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Record no: |
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Title: |
Disparities in systems development for elder abuse prevention among municipalities in Japan: implications for strategies to help municipalities develop community systems. |
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Reference: |
Social Science and Medicine, 71(2), July 2010, pp.400-404. |
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ISSN paper: |
0277-9536 |
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Abstract: |
In 2006, a national elder abuse prevention and caregiver support law was passed in Japan, with prevention of elder abuse a municipal (cities, ‘special wards’ legally equivalent to cities, towns and villages) responsibility with a public, long-term care insurance program funding care support and intervention costs. This study examines factors at baseline affecting disparities in the progress of systems development for elder abuse prevention among municipalities and what type of help and support municipalities are requesting from ‘prefectural’ or national government. For two weeks in December 2006 (T1), 1840 municipalities asked ‘the most knowledgable person in the department responsible for reporting elder abuse’ to complete a written questionnaire. In 2 weeks of October 2008 (T2), questionnaires were completed again and this paper reports data from 489 (26.6%) municipalities (average 25, 859.4 residents 65+ years) who responded at T1 and T2. Those municipalities with high levels of implementation originally showed higher rates of reports of abuse per 1000 older people and greater involvement of police and advocacy groups at baseline. Cities, being the largest had the highest number of activities at T2. ‘Prefectural’/national government should vary their support according to municipality type, encourage sharing of experts by municipalities limited by resources, aggregate information for difficult cases in larger municipalities, and promote symptom recognition training, say these authors. |
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Format: |
article; |
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Topics: |
care workers; carers; central government; elder abuse; health insurance; interagency cooperation; local government; long term care; older people; prevention; regional government; training; |
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www.scie-socialcareonline.org.uk/profile.asp?guid=e5dafb47-3ea4-47ee-904e-747ff0367523 |
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