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Japan's vision of a 'total care' future looks bright
- Author:
- HAYASHI Mayumi
- Journal article citation:
- Health Service Journal, 124(6404), 27 June 2014, pp.25-27.
- Publisher:
- Emap Healthcare
Describes the Japanese government's ambitious "2025 vision" for the delivery of health care for its ageing population through the establishment of a localised 'comprehensive "total care" provision. (Edited publisher abstract)
The Japanese voluntary sector’ s responses to the increasing unmet demand for home care from an ageing population
- Author:
- HAYASHI Mayumi
- Journal article citation:
- Ageing and Society, 36(3), 2016, pp.508-533.
- Publisher:
- Cambridge University Press
As Japan faces the challenge of the increasing demand for home care from its ageing population in an era of economic constraints, the expectation has evolved that the voluntary sector will fill the shortfall in statutory provision through semi-volunteers providing affordable home care. Drawing on qualitative interviews with managers from 15 voluntary organisations, this article explores their experiences in trying to meet this expectation. Even though most organisations provided supplementary home-care services, the empirical evidence indicates a limited capacity to deliver this expectation, with respondents aware of the deteriorating situation. It has been ascertained that supply mechanisms differ between the traditional voluntary – and the new hybrid – organisations. The former employ ‘cost-efficient’ labour such as ‘paid volunteers’ on below minimum pay rates. In contrast, the ‘hybrids’ use paid employees at regular pay rates, a finding that contradicts optimistic assumptions about the ideological role of ‘traditional’ voluntary organisations. This article suggests the importance of acknowledging diverse responses from the voluntary sector, including the new hybrids with their acknowledgement of voluntary and commercial imperatives. Open mindedness and a preparedness to revise interpretations of the earlier ‘models’ of the voluntary sector are essential. The conclusion proposes that the best strategy to unlock the voluntary sector's full potential to deliver supplementary home care is a multi-platformed approach, with adequate public purse funding, which pragmatically maximises resources. (Publisher abstract)
Japan's search for a seamless care package: is the micro-multifunctional community facility providing total care for older people the answer? And would it meet the needs of an ageing population in the UK?
- Author:
- HAYASHI Mayumi
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2014
- Pagination:
- 7
- Place of publication:
- London
This case study takes a detailed look at the challenge of meeting the unprecedented demand for long-term healthcare and social care for Japan’s ageing population. It offers some fresh insights into recent and current measures taken, particularly the micro-multifunctional community facility for a total care package with some appreciation of both the impact and remaining challenges in this field. The micro-multifunctional facility model aims to provide core day care provision, planned and emergency day/overnight respite care, regular and on-demand health care, personal care and domestic support. Each facility caters for a maximum of 25 registered, eligible older people with various levels of assessed need still living at home in the local community. The paper argues that more evaluative evidence from the Japanese experience is required to determine whether similar models for total care packages would work in the UK. However, it notes that they could represent an answer to the increasing demand for home care and extra care provision. (Edited publisher abstract)
Learn from the land of rising demand
- Author:
- HAYASHI Mayumi
- Journal article citation:
- Health Service Journal, 124(6393), 4 April 2014, pp.26-27.
- Publisher:
- Emap Healthcare
Japan faces a serious challenge in meeting the demand for health and social care for its older population. In 2000 a mandatory long term care insurance system was launched. Co-funded from taxation and insurance contributions paid in by everyone over the age of 40, the system gives entitlement to everyone over 65 years. The aim is to encourage the use of public services, and reduce care by the family. This article considers these developments and looks at what England can learn from this policy. (Original abstract)