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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)
Review of older people's engagement with government
- Author:
- ELBOURNE John
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2008
- Pagination:
- 83p., bibliog.
- Place of publication:
- London
On 22 May 2008, the Minister for Pensions Reform, Mike O’Brien announced that John Elbourne had been asked to: “Examine the current arrangements for the engagement of older people and the ability of those arrangements to inform policy and actions of Government at all levels". John publishes this emerging finding on 9 October 2008. On 18 November 2008, John presented his final report to Government. To ensure that everyone with an interest in this important area has an opportunity to provide views on John’s findings and recommendations, Rosie Winterton, Minister of State for Pensions and the Ageing Society is inviting comments.
The Scottish way
- Author:
- MARSHALL Mary
- Journal article citation:
- Professional Social Work, July 2008, pp.16-17.
- Publisher:
- British Association of Social Workers
This article analyses Scotland's free personal care policy and describes how this alternative approach to care funding has worked.
Shifting from fragmentation to integration: a systematic analysis of long-term care insurance policies in China
- Authors:
- ZHOU Wusi, DAI Weidong
- Journal article citation:
- International Journal of Integrated Care, 21(3), 2021, p.11. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Long-term care is an effective intervention that help older people cope with significant declines in capacity. The growing demand for long-term care signals a new social risk and has been given a higher political priority in China. In 2016, 15 local authorities have been selected to pilot the long-term care insurance programme. However, the current implementation of these programmes is fragmented, with a measure of uncertainty. This study aims to investigate the principles and characteristics of long-term care insurance policies across all pilot authorities. It seeks to examine the design of local long-term care insurance systems and their current status. Methodology: Based on the 2016 guidance, a systematic search for local policy documents on long-term care insurance across the 15 authorities was undertaken, followed by critical analysis to extract policy value and distinctive features in the delivery of long-term care. Results: The results found that there were many inconsistencies in long-term care policies across local areas, leading to substantial variations in services to the beneficiaries, funding sources, benefit package, supply options and partnership working. Policy fragmentation has brought the postcode lottery and continued inequity for long-term care. Discussion: Moving forward, local authorities need to have a clear vision of inter-organisational collaboration from the macro to the micro levels in directional and functional dimensions. At the national level, vertical governance should be interacted to outline good practice guidelines and build right service infrastructure. At the local level, horizontal organizations can collaborate to achieve an effective and efficient delivery of long-term care. (Edited publisher abstract)
Should dehydration in older people be a marker of lack of quality in long term care provision?
- Authors:
- HOOPER Lee, BUNN Diane K.
- Journal article citation:
- Quality in Ageing and Older Adults, 15(4), 2014, pp.232-236.
- Publisher:
- Emerald
This viewpoint considers whether dehydration in older people should be used as a marker of lack of quality in long-term care provision. It examines the assumed relationship between dehydration and the quality of care and then considers factors that can lead to dehydration in older people are then considered. The author concludes that even with the best care, older people, in the absence of a sense of thirst, and for fear of urinary accidents, difficulties getting to the toilet or choking, may choose to drink less than would be ideal for their health. While good care supports older people to minimise these problems, it also respects older people making their own decisions around when, what and how much to drink. It appears that dehydration may sometimes be a sign of good care, as well as arising from poor care. Residential care homes should not be stigmatised on the basis of their residents being dehydrated, but rather helped to explore whether they are achieving an appropriate balance between care and quality of life for their residents. (Edited publisher abstract)
Gone for good?: prefunded insurance for long-term care
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2011
- Pagination:
- 65p.
- Place of publication:
- London
In the debate on how to fund long-term care in England and Wales, some stakeholders have advocated a central role for financial services, and pre-funded consumer insurance in particular. This report examines this approach by considering: the potential role that pre-funded insurance could take in funding long-term care; and the extent to which the pre-funded long-term care insurance market can help policymakers achieve key strategic policy objectives for social care. It examines the demand and supply-side barriers to the use of pre-funded long-term care insurance, noting the last UK provider exited the market in 2010 citing a lack of demand. No country has achieved an effective market in pre-funded long-term care insurance, with France having the highest rate at 15%. The report argues that even if the UK were in the future to achieve a take-up of 15% this would still result in outcomes that failed to meet many policy objectives for long-term care funding, particularly associated with ‘catastrophic costs’, fiscal pressures and the incidence of means-testing. It concludes by outlining some of the multiple other roles that the financial services industry could take in funding social care, particularly around delivering and servicing a state-sponsored insurance scheme for long-term care, akin to the schemes found in countries such as Singapore and the Netherlands.
New Labour, equity and public services: a Rawlsian perspective
- Authors:
- KEEN Justin, et al
- Journal article citation:
- Policy and Politics, 35(2), April 2007, pp.197-214.
- Publisher:
- Policy Press
The UK government has repeatedly stressed its commitment to equity in public services. It is difficult to test this commitment in many policy arenas, but it can be achieved more readily in services where a balance has to be struck between state and individual financing and provision. This article uses the example of long-term care for older people to illustrate the arguments. A modified form of Rawls' Difference Principle is employed to characterise the positions of the government and its critics in long-term care and in other policies.
An example to us all
- Author:
- HUNTER Mark
- Journal article citation:
- Community Care, 16.10.03, 2003, pp.58-59.
- Publisher:
- Reed Business Information
Looks the introduction of free nursing and personal care for older people by Scotland's local authorities and explains why the approach seems to be working.
Getting personal
- Author:
- TRUELAND Jennifer
- Journal article citation:
- Health Service Journal, 11.10.01, 2001, pp.9-10.
- Publisher:
- Emap Healthcare
Reports on the tensions that are rising as the four UK nations get set to start payments for nursing care - and in Scotland, personal care for elderly people.
The age-old care dilemma
- Author:
- RUSSELL Conrad
- Journal article citation:
- Community Care, 28.9.00, 2000, p.14.
- Publisher:
- Reed Business Information
The author argues that proper long-term care for older people is incompatible with low taxation, something the government shows no sign of acknowledging.