Abstract
In Japan, Community-based integrated care systems are being built in response to a super-aged society and policies of de-institutionalization. In this paper, we present findings and discussion of our review about Japanese psychiatric home visit nursing services provided by Home Visit Nursing Stations (HVNS). We have examined documents, investigated the implementation rate and summarized findings of the surveys of home visiting services from 2006 to 2016. The number of users of psychiatric home visiting services during 2007 to 2015 increased from 13,532 to 52,203. From 2013 to 2015 there was a large increase in user numbers, from 31,248 to 52,208. The implementation rate of psychiatric home visiting also increased steadily from 35.5% in 2006 to 58.3% in 2016. These changes reflected the impact of policy on psychiatric service usage in Japan. We should be able to detect the outcome of psychiatric home visiting nursing in influencing patient’s quality of daily life and their recovery.
Highlights
In Japan, community-based integrated care systems are being built to accommodate a superaged society, within economic constraints
The number of users of psychiatric home visit nursing services provided by Home Visit Nursing Stations (HVNS) during 2007 to 2015 increased from 13,532 to 52,203
The implementation rate of psychiatric home visit nursing services among HVNS during 2006 to 2017 increased steadily from 35.5% in 2006 to 58.3% in 2016 (Fig. 2)
Summary
In Japan, community-based integrated care systems are being built to accommodate a superaged society, within economic constraints. Japan still has the highest ratio of beds. By the late 1990’s and early twenty-first century, Japan was implementing mental health reform including deinstitutionalization and expansion of community mental health services [2]. From 2013, according to the Medical Care Act, each prefecture in Japan had to formulate a Medical Care Plan for patients with mental health problems, to ensure the medical care coordination system was applied and appropriate care was provided with good quality. This law regulated five major illnesses; Cancer, Cerebral apoplexy, Acute Myocardial infarction, Diabetes and Psychiatric Diseases
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