Integrated Community Care System Research Articles

GERO-EDUCATION IN JAPAN: COMMUNITY RE-DESIGNING TO ACHIEVE HEALTHY AGING AND WELL-BEING

Abstract Japan has achieved the world’s highest level of life expectancy and is currently experiencing a super-aging society. Because of this, we have to take steps towards achieving a healthy aging society with evidence-based policies and longevity with happiness (well-being). In addition, it is necessary to integrate digitalization with information and communications technology through more than just the conventional healthcare measures such as going into the local community to increase opportunities for people from all generations to connect and interact. We also have to realize a true “population approach” with the aim of building a community where residents can easily engage in community-based activities centered on self-help and mutual aid. It is an urgent task to create a place for activities such as lifelong education and multi-generational exchanges as well as to build a comprehensively integrated community care system that allows people to live with peace of mind when they need long-term care. Thinking about planning the 100-year life, the super-aging society has had consequences for the healthcare and social care of older people in Japan, leading to societal innovations that promote health in older people. To extend the healthy life expectancy and achieve a bottom-up sense of community resilience and activity, an interdisciplinary gerontological collaboration with multi-stakeholders is indispensable, with collaborators such as municipal governments, industries, professional staffs, academic researchers (including universities, young career researchers, and students), and citizens. This session will introduce our efforts to promote gerontology education through redesigning the community with comprehensive knowledge.

Transforming Care for Older Adults Living with Complex Health Conditions in Ontario Post-Covid: Conference Proceedings and Recommendations.

The virtual conference 'Transforming Care: Supporting Older Adults Post-COVID in Ontario' was held in October 2021. It was organized by Specialized Geriatric Services (SGS) East and held over three half-days. The guiding themes included: The Need, The Innovation, and The Transformation. Over 500 participants heard from ~50 clinicians, researchers, administrators, older adults, care partners, and community partners. The pandemic uncovered and exacerbated existing issues and pushed us to explore new ways to support older adults living with complex health conditions. The following key priorities were identified: older adults and their care partners call for personalized care experiences, and a lifespan approach to care delivery; aging in the community remains the most common preference; an integrated community care system that supports aging at-home should be prioritized; care delivery by SGS interprofessional teams and specialists is paramount to providing comprehensive care; building health human resource capacity should be a system priority; and promising innovations should be scaled and spread. Evidence shows that we cannot return to status-quo; post-pandemic planning of both who we serve and how we serve needs to be anchored in system renewal, not just recovery. Renewal means integrating lessons learned during the pandemic into the redesign of our systems of care. Investments in innovative, upstream strategies that support home and community-based care, and target health promotion and prevention are necessary. The provincial and regional infrastructure of SGS has the expertise and capacity to assist Ontario Health Teams in responding to the evolving health and social needs of this population.

The Strategic Plan of the Japan Pharmaceutical Association, The Aspect of a Super Aged Society

The anticipation of Japan's decreased birthrate and a shift to an aged society has led to the field of medical care to review the country's social security system. The review calls for a reform of the medical insurance system under the universal health coverage system to fit the changing demographic. The target year of 2025 has the government advocating for an "integrated community care system", with the 'baby-boom generation' turning 75. This is a sustainable regional system that can cope with the aging society and the declining birthrate simultaneously. Within this new system, I would like to discuss The Strategic Plan of the Japan Pharmaceutical Association, released with the aim of realizing pharmacists and pharmacy services that can immediately respond to the expectations of society; from the perspective of the theme of this symposium, "Communicating the image of pharmacists in a community-based society".

The Current Status and Issues of Integrated Community Care System

The Current Status and Issues of Integrated Community Care System

Competencies required for nurses to contribute to the integrated community care system

Competencies required for nurses to contribute to the integrated community care system

Geriatrics Perspectives From Japan

In 2025, Japan’s baby boomers will cross the threshold of 75 years of age; a phenomenon that has been referred to as “the 2025 crisis”, resulting in a significant burden on the healthcare system. To address this issue, the Japanese government is establishing the Integrated Community Care System, to provide comprehensive medical and long-term care services in each community. In cooperation with government and affiliated organizations, the Japan Geriatrics Society (JGS) has been working to develop the Integrated Community Care System. As a result of this effort, geriatric medicine is being integrated into the health care system through incentives for practitioners. For instance, medical facilities can be reimbursed if they perform comprehensive geriatric assessments (CGA) and CGA-based management/care. Additionally, home care medicine and polypharmacy are emerging issues of interest to the government. In this symposium, I will discuss how JGS has been trying to achieve “Aging in Place” in Japan.

A study on promotion method of effective initiatives for establishment of the Integrated Community Care System

A study on promotion method of effective initiatives for establishment of the Integrated Community Care System

Toward the development of a vibrant, super-aged society: The future of medicine and society in Japan.

Toward the development of a vibrant, super-aged society: The future of medicine and society in Japan.

地域包括ケアシステム、コンパクトシティおよび防災集団移転の一体的展開と住民生活への影響 東日本大震災被災地における住民生活実態調査から

地域包括ケアシステム、コンパクトシティおよび防災集団移転の一体的展開と住民生活への影響 東日本大震災被災地における住民生活実態調査から

Long-Term Care System in Korea

Korea is a country with unexpectedly fast ageing speed, which gives burden on caregivers of older adults. Thanks to long-term care insurance and national health insurance system, most people who need long-term care are currently staying in long-term care facilities like nursing homes and long-term care hospitals. However, new project of integrated community care system is under trial implementation. This review demonstrates perspectives on Korean long-term care system from the past to the future.

7. Primary Health Care and the Integrated Community Care System

7. Primary Health Care and the Integrated Community Care System

<b>A study on design method of questionnaire survey in Integrated Community Care System</b>

<b>A study on design method of questionnaire survey in Integrated Community Care System</b>

Concept analysis of "Gojo" (mutual help)

Objective The purpose of this study is to redefine "Gojo" (mutual help) among residents and explore measures to develop it Gojo in the integrated community care system. In 2000, long-term care insurance accelerated Japan's movement toward an aging society, thus increasing the importance of Gojo. This study aims to clarify the conceptual definition it has come to acquire in recent years and explore ways it can be developed in comprehensive community systems.Methodology Rodger's evolutionary concept analysis was utilized in the study. A keyword research was done using the term "Gojo" in the Japan Medical Abstracts Society (Ichushi Web) and CiNii Articles databases. The search period was from 2000 to 2016 (search date: August 30, 2016) and the database search formula was set to "Gojo/TA". Thirty documents were selected through random sampling and a total of 32 documents were selected for analysis, including landmark documents. A qualitative analysis was conducted on three frameworks: attributes (i.e., characteristics of Gojo), antecedents (i.e., factors affecting Gojo), and consequences (i.e., expected results for Gojo). These three frameworks represent how Gojo is used, the events occurring before it, and the events resulting from it, respectively.Results The characteristics of Gojo were found to include "experiences of empathy toward residents' daily need for support," "awareness about the residents' efforts to support each other," and "interaction among residents who support other's daily needs." The factors affecting Gojo were identified to be "the need for daily life support beyond what self-help, social solidarity care, and governmental care can provide"; "interchange among residents"; "sharing needs for daily life support among residents"; and "a resident-led public system that promotes mutual support." Gojo's expected results were "a solution for residents' needs of daily support"; "promotion of self-help awareness"; "providing them with a role to enhance their purpose in life"; and "encouraging exchanges and relations between them."Conclusion Gojo was defined as "the interaction between local residents who support their daily needs, have an empathic experience of the need for daily life support, and have the desire to support each other." In addition, the following points were suggested as measures necessary to expand Gojo. The residents must have sympathy for other residents who need daily life support, understand the benefits of supporting each other, and have a public support system, even if Gojo is led by the residents.

Development of a Nurse Competency Scale for Hospital to Home Transition within an Integrated Community Care System

Development of a Nurse Competency Scale for Hospital to Home Transition within an Integrated Community Care System

Survey Report on the Efforts to Engage Dental Professionals in the Development of the Integrated Community Care System

Survey Report on the Efforts to Engage Dental Professionals in the Development of the Integrated Community Care System

Real State of the Terminal Care of Lung Cancer in the Integrated Community Care System after Medical Fees Revision 2018

Abstract Background After Medical Fees Revision FY2018, movements from Integrated Community Care Ward(IW) to Long-term Treatment Ward(LW) are not regarded as going home, but we foresaw in the last annual meeting that the Integrated Community Care System(IS) might still function well in the terminal care of lung cancer if home care system and LW were effective. So we verify the predict by examining our additional practice over the last year. Methods We investigated medical records of 164 dead lung cancer patients treated in Tokyo Kensei Hospital(THp) (35 IW beds, 64 LW beds) and Ooizumi Health Cooperative Hospital(OHp) (47 IW beds, and 47 acute ward beds) in the last 6 years, and checked the state of cooperation between hospitals and clinics, the places of death. Results 41 of 66 THp patients passed away in LW, and 12 in IW. Such cases are still increasing due to introduction for BSC from acute hospitals. In FY2018 we saw a lung cancer patient who enjoyed the terminal care under the cooperation among acute hospital, IW, home care system, and LW (case presentation). In OHp no patients move to hospice or LW in FY2018, 32 (with 3 additional) cases of 98 patients passed away at home, and 8 (with 5 additional at one year) cases died in IW. Since FY2015 when IWs were opened in both hospitals, 1632 patients of all diseases stayed 28.4 days on average at IW in THp, and 1995 patients 29.4 days in OHp, significantly longer (P Conclusion After revision 2018, definition of going home has been more strict, but we recognize that IS where IW centers actually functions well under the close cooperation with home care or LW.

Factors related to preference for participation and degree of commitment in community activities among older adults in Japanese depopulated areas

To address the rapid increase in the ageing population, Japan implemented the Long-Term Care Insurance System (LTCS) in 2000. Additionally, a community-based integrated community care system was released in 2012. The purpose of these policies was to help older people who need care or support to continue to live their preferred lifestyles in their own communities. According to this paradigm, older residents are themselves considered members of the community caregiving team and expected to participate in volunteer activities to help the neighbourhood. One such activity is social participation including community activities. Many factors influencing social participation have been found in previous literature. However, knowledge of specific factors about community activities is limited, even though these kinds of activities have attracted policy attention. Our study examined factors related to thoughts about community activities among people aged >40years. We conducted random sampling in two depopulated areas in Japan and used an anonymous mail survey method. Our survey consisted of three parts: social demographics, health and life, and medical/long-term care. A total of 2,466 individuals participated in the study (response rate 52.2%), whose average age was 64.2 (SD=10.3) and 46.5% (n=1,146) were female. Items including talking with neighbours frequently (social demographics), higher self-rated health (health and life), the need for health consultations and the desire to take care of family members when they need help (medical/long-term care) were significantly related to both preference for participation and degree of commitment in community activities. To encourage participation in community activities among older citizens, we recommend interventions related to health literacy and family ties.

「地域包括ケア」において後退する「社会的な問い」——地域包括ケアにおいて誰がいかに負担・コストを担うのか——

「地域包括ケア」において後退する「社会的な問い」——地域包括ケアにおいて誰がいかに負担・コストを担うのか——

Local Contributions and Regional Alliances by Pharmaceutical Wholesalers

Recently, we considered the term 'integrated community care system' and aimed to play a role in the process by joining various healthcare occupations as part of this new integrated system. Given our company's ties with people involved in a range of occupations, we are poised to play a liaison role. We called a "face-to-face meeting" with local healthcare practitioners to begin exploring this cooperation. We believe that as meetings such as these become more widespread across the Kinki Region, they can serve as part of an integrated community care system. Through the formation of a number of alliances by this means, we hope to facilitate the transition to an integrated community care system. The meetings will provide opportunities for a range of healthcare and long-term care professionals, such as physicians, pharmacists, care managers, social workers, and home-visit nurses, to engage in discussions centered on the interests and needs of patients. Another important topic is whether we can derive from these conversations efforts that would assist in the development of "health support pharmacies". In that regard, we have set up some support tools for pharmacies that have held health fairs for local inhabitants. We consider these meetings beneficial in finding a solution to the situation of "polypharmacy"-a recent medical problem. We hope that our meetings will create an opportunity to work cooperatively toward a vision for the future of healthcare and long-term care within a community, through communicating and sharing our proposals for pharmacists based on these experiences.

Review of the evaluation of the project to establish an integrated community care system in Fukuoka prefecture designed to promote improvement of its medical care system

Review of the evaluation of the project to establish an integrated community care system in Fukuoka prefecture designed to promote improvement of its medical care system