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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)
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)
Comparing how to compare: an evaluation of alternative performance measurement systems in the field of social care
- Authors:
- CLARKSON Paul, et al
- Journal article citation:
- Evaluation, 16(1), January 2010, pp.59-79.
- Publisher:
- Sage
This article provides an overview of performance measurement systems and compares the different performance measurement systems in practice for older people receiving community care services in England, Northern Ireland and Japan. Over time, there have been changes in England with current systems concentrating on national systems of regulation with top-down implementation of standards and measures. In contrast, Northern Irish organisations are compared descriptively without the use of national targets. A third type of approach used in Japan, with organisations providing similar services utilising local information collected in a bottom-up manner, used service user generated data. The authors use the Performance Indicator Analytical Framework, a ‘logic model’ which compares the different systems in use, concentrating on aspects of system design and the use of measures. Comparing how to compare must, say the authors, be sensitive to the different aims ascribed to performance evaluation in the three countries. In England, the aim is one of control of subordinate agencies by central government while in Northern Ireland description of the complexity of outputs allow local Trusts to compare their provision with others and plan locally. In Japan, monitoring of the long-term insurance system by the municipalities provided detailed data at the local level. The authors conclude the choice of performance measurement system can constrain or enhance relationships with other evaluative activities, thereby affecting social care provision.
Measuring the social-care service needs of impaired elderly people in Japan
- Authors:
- NAKANO Ikuko, et al
- Journal article citation:
- Ageing and Society, 16(3), May 1996, pp.315-332.
- Publisher:
- Cambridge University Press
Looks at the results of a research project carried out in Maebashi, Japan, to measure the needs of impaired elderly persons and their families for social care services. Results found that a substantial expansion of both nursing home care and in-home care services would be required to meet demands.
The young, the old and the state: social care systems in five industrial nations
- Editor:
- ANTTONEN Anneli
- Publisher:
- Edward Elgar
- Publication year:
- 2003
- Pagination:
- 206p.,bibliog.
- Place of publication:
- Cheltenham
This work is a comparative account of social care services for children and older people in five key industrial nations (Finland, Germany, Japan, the United Kingdom and the United States). The authors move beyond institutional description and seeking to understand the normative and moral qualities of welfare systems. The book builds on existing theories of welfare state regimes by extending the analysis to the arena of social care. A full account is provided of the historical, economic and political origins of childcare and care for older people in each of the five countries. These analyses are then used as the basis for a theoretical account of the developmental trajectories of social care systems. The book proposes that there are common pressures at work in all industrial nations driving their welfare systems to similar forms of organisation and structure. However, these trends are mediated by important differences in culture and history.