Organised by: Co-Sponsored: Malaysian Healthy Ageing Society
A Forum on “Nursing Homes: Issues and Implication” 22 nd March, 2012. Kuala Lumpur, Malaysia Japanese Nursing Homes in the Universal-Service Oriented Long-term Care Takeo Ogawa, Ph.D. Professor, Kumamoto Gakuen University Board Member, Asian Ageing Business Center
Wealth, Ageing, Population GNI/capita , ppp intl.$ 60000 Bubble: Population, 000s 50000 SINGAPORE USA 40000 JAPAN CANADA AUSTRALIA EU 30000 KOREA NEW ZEALAND 20000 VIET NAM MALAYSIA THAILAND 10000 INDONESIA PHILIPPINES CHINA 0 0 5 10 15 20 25 30 35 60+ Population, % WHO, 2010, World Health Statistics 2010, Demographic and Socioeconomic Statistics .
Population Ageing 1950 2010 National Institute of Population and Social Security Research
Dependency Ratio 100 100 90 90 Demographic Bonus Demographic Onus 80 80 70 70 60 60 50 50 40 40 30 30 20 20 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 5 5 6 6 7 7 8 8 9 9 0 0 1 1 2 2 3 3 4 4 5 5 9 9 9 9 9 9 9 9 9 9 9 9 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 Child-dependency ratio Old-age dependency ratio Dependency ratio
Population by Household Type （％） 90 80 70 60 単独 Live alone 50 夫婦のみ With Spouse 親と子供 Nuclei Fam. 40 その他の親族 Other Fam. Institution 施設 30 20 10 0 -14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-59 70-74 75-79 80-84 85+ 2005 Census
Beds in Nursing Homes 450000 400000 383326 350000 300000 Residential Care for the 250000 Poor Elderly 220916 200000 Residential Care for the 161612 Elderly 150000 119858 100000 71031 69191 67938 67219 66837 50000 47024 41606 0 80 Beds 1963 1975 1980 1990 2000 2005
Why does the elderly need of LTC? (%) Component ratio 1.8 11.4 Cerebrovascular 21.5 Dementia 2.3 2.8 Senility 3 Arthropathy 3.2 Fall Heart 15.3 3.9 Parkinson Diabete 10.2 Respiratory Cancer 13.7 10.9 Ministry of Health, Labour, and Welfare, 2010. Comprehensive Survey of Living Conditions of the People onHealth and Welfare
The Care Needed by Age 900 839 800 690 700 581 600 500 424 Population 400 The Care-needed 300 233 200 133 114 107 90 80 100 44 22 0 65-69 70-74 75-79 80-84 85-89 90+
65+ Population in General Households and Institutions 100.0 98.5 97.7 95.9 91.5 83.8 80.0 73.9 61.9 60.0 51.4 48.6 40.0 38.1 26.1 20.0 16.2 Private Institution 1.5 2.3 4.1 8.5 Households 0.0 General Institution 100+ 65-69 70-74 75-79 80-84 85-89 90-94 95-99 Household 2005 Census
Low ADL High Independent Rehabilitation Facilities Assisted Livings for the Elderly Retirement Communities (Rojin Hoken Sisetsu (Yuryo Rojin Home) Chukan Sisetsu) Nursing Homes for All Frail Elderly Geriatric Hospitals (Tokubetsu Yogo Roujin Home) Economic Status Rental Housing for Older Persons with Services (Service-tsuki Jutaku) Co-living Facilities for the Elderly with Moderate Fee (Care House) Public Housing for the Poor Elderly Nursing Homes Dependent (Silver Housing) for the Poor Elderly (Yogo Roujin Home
Target Housing for the Elderly 22985 1400000 24500 Silver Housings 208827 1200000 Rental Housings 138431 1000000 Assisted Livings 88059 66239 Group Homes 800000 Care Houses 422703 600000 Nursing Homes for the Poor Elderly 400000 Nursing Homes 319052 Rehabilitation Facilities 200000 Geriatric Hospital 99309 0
Transform-Plan of Nursing Homes Nursing Home The Serious Cared Multi- Functional Satellite Services Service Station Day Care, Home Help, ５０ Unit Care Stay, Reside Private House Branch Services Multi-Functional Service Station Annex Services Day Care + Visiting Care Day Care, Home Help, Multi- Functional Stay, Reside Assisted Living Service Station Day Care, Home Help, Relocation Stay, Reside Private House Private House Private House
Community-based Comprehensive Care Shifting Decentralization Localization Activation Meals on Wheel, Congregate Meal, Visiting Nurse, Visiting Helper, Day-Service, Lodging, Satellite Services Transportation Health Check
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