Abstract
Adult day care (ADC) is among the most common services in the Japanese long-term care context, but information on how such care is offered remains scarce. This study aimed to develop a measurement tool to assess the richness of clients’ experiences regarding their ADC service use. Through a collaboration with ADC administrators and staff, semi-structured interviews were conducted with three ADC clients (in one ADC agency), and a questionnaire survey (17 items about clients’ and their families’ experiences within ADC) was applied to 360 ADC clients (in 11 ADC agencies). Principle component analysis showed four factors regarding experience of ADC use: “Social participation”, “Hygiene and health”, “Exercise and eating habits”, and “Family support”. These positive experiences might be effectively provided if stakeholders refer to clients’ needs during ADC experiences, and their effective provision may relate to better care outcomes.
Highlights
With rapidly aging global populations, expenditure on long-term care (LTC) has increased; this share of the gross domestic product (GDP) has increased more rapidly than any other health care expenditure, and the annual growing rate during the 2005–2015 period was 4.6% across Organization for Economic Cooperation and Development (OECD) countries [1]
In Japan, the Ministry of Health, Labour and Welfare (MHLW) encourages the disabled older population to appraise and adopt relevant services depending on their needs [2]; it support such encouragement to help this populational group in reaching independence in the performance of their activities of daily living (ADL)
OECD countries share preoccupations regarding the need for evidence-based support information in the LTC context, and the need for the proposals coming from such knowledge to be fulfilled [4]
Summary
With rapidly aging global populations, expenditure on long-term care (LTC) has increased; this share of the gross domestic product (GDP) has increased more rapidly than any other health care expenditure, and the annual growing rate during the 2005–2015 period was 4.6% across Organization for Economic Cooperation and Development (OECD) countries [1]. The MHLW has proposed to accumulate and analyze scientific data collected from LTC practices and their outcomes in Japan by scientifically valid indicators [3]. The development of LTC measurement tools might contribute to the betterment of LTC systems in rapidly aging countries
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