Malaysian Healthy Ageing Society A Forum on Nursing Homes: Issues and - - PowerPoint PPT Presentation

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Malaysian Healthy Ageing Society A Forum on Nursing Homes: Issues and - - PowerPoint PPT Presentation

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,


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Organised by:

Malaysian Healthy Ageing Society

Co-Sponsored:

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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

A Forum on “Nursing Homes: Issues and Implication” 22nd March, 2012. Kuala Lumpur, Malaysia

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10000 20000 30000 40000 50000 60000 5 10 15 20 25 30 35

JAPAN EU USA SINGAPORE CANADA AUSTRALIA KOREA NEW ZEALAND CHINA MALAYSIA

PHILIPPINES INDONESIA THAILAND VIET NAM

GNI/capita , ppp intl.$ 60+ Population, % Bubble: Population, 000s

Wealth, Ageing, Population

WHO, 2010, World Health Statistics 2010, Demographic and Socioeconomic Statistics .

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Population Ageing

National Institute of Population and Social Security Research 1950 2010

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Dependency Ratio

10 10 20 20 30 30 40 40 50 50 60 60 70 70 80 80 90 90 100 100 1 9 4 1 9 4 1 9 5 1 9 5 1 9 6 1 9 6 1 9 7 1 9 7 1 9 8 1 9 8 1 9 9 1 9 9 2 2 2 1 2 1 2 2 2 2 2 3 2 3 2 4 2 4 2 5 2 5 Child-dependency ratio Old-age dependency ratio Dependency ratio

Demographic Bonus Demographic Onus

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Population by Household Type(%)

10 20 30 40 50 60 70 80 90

  • 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+ 単独 夫婦のみ 親と子供 その他の親族 施設

Live alone

With Spouse

Nuclei Fam. Other Fam. Institution

2005 Census

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Beds in Nursing Homes

47024 71031 69191 67938 67219 66837 80 41606 119858 161612 220916 383326 50000 100000 150000 200000 250000 300000 350000 400000 450000 1963 1975 1980 1990 2000 2005 Residential Care for the Poor Elderly Residential Care for the Elderly

Beds

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Why does the elderly need of LTC?

(%)

21.5 15.3 13.7 10.9 10.2 3.9 3.2 3 2.8 2.3 11.4 1.8

Component ratio

Cerebrovascular Dementia Senility Arthropathy Fall Heart Parkinson Diabete Respiratory Cancer Ministry of Health, Labour, and Welfare, 2010. Comprehensive Survey of Living Conditions of the People onHealth and Welfare

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The Care Needed by Age

839 690 581 424 233 133 22 44 80 114 107 90 100 200 300 400 500 600 700 800 900 65-69 70-74 75-79 80-84 85-89 90+ Population The Care-needed

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65+ Population in General Households and Institutions

1.5 2.3 4.1 8.5 16.2 26.1 38.1 51.4 98.5 97.7 95.9 91.5 83.8 73.9 61.9 48.6

0.0 20.0 40.0 60.0 80.0 100.0 65-69 70-74 75-79 80-84 85-89 90-94 95-99 100+

Private Households Institution

2005 Census Institution General Household

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ADL Low High Economic Status Independent Dependent Geriatric Hospitals

Nursing Homes for All Frail Elderly (Tokubetsu Yogo Roujin Home) Nursing Homes for the Poor Elderly (Yogo Roujin Home

Rehabilitation Facilities for the Elderly (Rojin Hoken Sisetsu Chukan Sisetsu) Assisted Livings Retirement Communities (Yuryo Rojin Home) Public Housing for the Poor Elderly (Silver Housing) Rental Housing for Older Persons with Services (Service-tsuki Jutaku)

Co-living Facilities for the Elderly with Moderate Fee (Care House)

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Target Housing for the Elderly

99309 319052 422703 66239 88059 138431 208827 24500 22985 200000 400000 600000 800000 1000000 1200000 1400000

Silver Housings Rental Housings Assisted Livings Group Homes Care Houses Nursing Homes for the Poor Elderly Nursing Homes Rehabilitation Facilities Geriatric Hospital

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Transform-Plan of Nursing Homes

Nursing Home The Serious Cared 50 Unit Care

Multi- Functional Service Station Multi- Functional Service Station

Assisted Living Relocation Private House Private House Private House Private House Day Care, Home Help, Stay, Reside Day Care, Home Help, Day Care, Home Help, Stay, Reside Stay, Reside

Day Care Visiting Care

+

Multi-Functional Service Station

Satellite Services

Annex Services Branch Services

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Community-based Comprehensive Care

Meals on Wheel, Congregate Meal, Visiting Nurse, Visiting Helper, Day-Service, Lodging, Satellite Services Transportation Health Check Shifting Decentralization Localization Activation