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COVID-19 and long-term care policy for older people in Japan
- Authors:
- ESTEVEZ-ABE Margarita, IDE Hiroo
- Journal article citation:
- Journal of Aging and Social Policy, early cite May 2021,
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Japan’s initial response to COVID-19 was similar to that of the US. However, the number of deaths in Japan has remained very low. Japan also stands out for the relatively low incidence of viral transmission in Long-Term Care Facilities (LTCFs) compared to both European countries and the United States. This paper argues that Japan’s institutional decision to lockdown Long-Term Care facilities as early as mid-February – weeks earlier than most European countries and the US – contributed to lowering the number of deaths in LTCFs. This paper highlights a few lessons from the Japanese experience: (i) the presence of hierarchically organized government agencies whose sole missions are elderly care; (ii) the presence of effective communication channels between LTCFs and the regulatory authorities; and (iii) the well-established routine protocols of prevention and control in LTCFs. (Edited publisher abstract)
Reforming care and support: learning from Japan
- Author:
- PASSINGHAM Anna
- Publisher:
- Counsel and Care
- Publication year:
- 2008
- Pagination:
- 25p.
- Place of publication:
- London
The charity Counsel and Care calls for a care debate that recognises the global impact of an ageing population. It is argued that the Government's forthcoming green paper on the future of care and support in England must look at how care for older people has been successfully reformed in other countries. Japan has the world's fastest ageing population, highest life expectancies and a declining birthrate. The Japanese government's implementation of a national long-term care insurance system has ensured all Japanese older people get the care and support they need, despite the demographic timebomb. This experience should inform England's own long-awaited reform of social care.
Older people's exercising of choice in long-term care: a comparative analysis of England and Japan
- Author:
- WADA Yoshimi
- Journal article citation:
- Ageing and Society, 36(6), 2016, pp.1185-1210.
- Publisher:
- Cambridge University Press
There has been an increasing emphasis on choice for older people in long-term care in both England and Japan. However, despite the emphasis on the importance of choice, the perspectives of older people have been given little attention. Considering national and local policies in Bristol, England and Kyoto, Japan, the article explores how older people are exercising (and not exercising) choice in care practice through examining the perspectives of the older people themselves, as well as key informants in the field. Empirical data were collected from interviews with older people and key informants in the two countries, and were analysed using qualitative and comparative approaches. Choice in policy is regarded as a mechanism of the market with an assumption of the independent autonomous individual who can exercise ‘rational choice’. However, the findings have reflected older people's relational decision-making, which does not conform to the rational model of decision-making, and illustrates the value of ‘interdependence’. The findings from care practice have shown that choice was considered an important value in involving older people's views and ensuring their needs are met sensitively and respectfully. The findings also suggested that consideration of the psychological aspects of choice is an important aspect of ‘care’, facilitating the inclusion of older people's views in the process of making judgements, in order to meet their needs. (Publisher abstract)
Governing home care: a cross-national comparison
- Authors:
- BURAU Viola, THEOBALD Hildegard, BLANK Robert H.
- Publisher:
- Edward Elgar
- Publication year:
- 2007
- Pagination:
- 224p., bibliog.
- Place of publication:
- Cheltenham
This book offers a comprehensive analysis of the principle issues surrounding the governance of home care. In this context home care is taken to mean any care and support offered to older people in their homes. The analysis maps out governing arrangements in relation to formal and informal care services, informal care, care workers and users of care across nine countries: Estonia; New Zealand; Italy; the United Kingdom; Sweden; Japan; Germany; the Netherlands; the United States. The authors explore the ways in which country specific contexts shape governing arrangements and bring together insights form social care and public policy literature.
New policies for older workers
- Author:
- TAYLOR Philip
- Publisher:
- Policy Press
- Publication year:
- 2002
- Pagination:
- 45p.,bibliog.
- Place of publication:
- Bristol
Against a background of population ageing, policy makers in the majority of industrialised countries are developing policies aimed at extending working life and promoting the benefits of employing older workers. This report reviews developments in several countries and offers recommendations for public policy. Based on a review of recent literature and interviews with experts in Australia, Finland, Germany, Japan, the Netherlands and the USA, this report offers: a critical appraisal of current policies; highlights the fragmentation of these policies and the limited evidence for their effectiveness; considers the disadvantages of focusing attention on 'older workers'; attempts to shift the debate away from a narrow discussion of the needs of older workers towards a more general discussion of policy on work and the ageing process; shows how other countries are tackling age and employment issues; draws lessons for the development of public policy for older workers.
Elderly health care and social welfare policy
- Author:
- MURAKAWA Hirokazu
- Journal article citation:
- Journal of Social Policy and Social Work, 6, March 2002, pp.27-43.
- Publisher:
- Japan College of Social Work
This article examines recent dementia policy in Japan including the Golden Plan (2001-2004) as a key policy targeting older people. Details of staffing and provision of training for dementia care are discussed.
Implementing public policies and services in rural Japan: issues and problems
- Authors:
- HIRAYAMA Hisashi, MIYAZAKI Akio
- Journal article citation:
- Journal of Aging and Social Policy, 8(2/3), 1996, pp.133-146.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
The increased services for the elderly in Japan announced in the revised Gold Plan in 1994 are expected to present numerous issues and problems, particularly in the rural areas of Japan. This is due to unique circumstances such as depopulation and the presence of a disproportionately large number of elderly; geographical and physical isolation; a conservative and tradition-bound political climate; and conservative attitudes of the elderly. This article examines the current state of policy implementation, identifying issues and problems that are being encountered in the rural areas of Japan. Looks at issues such as economic and family life, health care, and service delivery for the elderly.
Rivers of pain, bridges of hope: a selection of articles
- Author:
- DAVIS Leonard
- Publisher:
- Writers' and Publishers' Cooperative
- Publication year:
- 1987
- Pagination:
- 329p.
- Place of publication:
- Hong Kong