Are there inequities in the assessment of dementia under Japan's LTC insurance system?

International Journal of Geriatric Psychiatry

Volumn 18, Issue 4, 2003, Pages 346-352

  Arai, Y ^a   Zarit, S H ^b   Kumamoto, K ^a   Takeda, A ^c  

^a NATIONAL CENTER FOR GERIATRICS AND GERONTOLOGY   (Japan)

^b PENNSYLVANIA STATE UNIVERSITY   (United States)

^c Shizuoka Rehabilitation Hospital   (Japan)

Author keywords

Assessment; Caregiver; Dementia of Alzheimer's type; Japan; LTC insurance; Resource allocation; Vascular dementia

Indexed keywords

AGED; ALZHEIMER DISEASE; ARTICLE; BEHAVIOR DISORDER; CAREGIVER; CONTROLLED STUDY; CORRELATION ANALYSIS; DAILY LIFE ACTIVITY; DEMENTIA; DISABILITY; ELDERLY CARE; FAMILY; FEMALE; GOVERNMENT; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; JAPAN; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL ASSESSMENT; MULTIINFARCT DEMENTIA; OUTPATIENT CARE; RESOURCE ALLOCATION;

ACTIVITIES OF DAILY LIVING; AGED; CAREGIVERS; COST OF ILLNESS; DEMENTIA; DISABILITY EVALUATION; FEMALE; GERIATRIC ASSESSMENT; HEALTH CARE RATIONING; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INSURANCE, LONG-TERM CARE; JAPAN; MALE; MIDDLE AGED; NATIONAL HEALTH PROGRAMS; PSYCHIATRIC STATUS RATING SCALES; SOCIAL BEHAVIOR DISORDERS;

EID: 0344089198     PISSN: 08856230     EISSN: None     Source Type: Journal    
DOI: 10.1002/gps.836     Document Type: Article

References (23)

1. American Psychiatric Association. 1994. Diagnostic and Statistical Manual of Mental Disorders, 4th edn-Revised. American Psychiatric Association: Washington, DC.
2. Annerstedt L, Elmståhl S, Ingvad B, Samuelsson SM. 2000. Family caregiving in dementia: An analysis of the caregiver's burden and the 'breaking-point' when home care becomes inadequate. Scand J Public Health 28: 23-31.
3. Arai Y, Kudo K, Hosokawa T, et al. 1997. Reliability and validity of the Japanese version of Zarit Caregiver Burden. Psychiat Clin Neurosci 51(5): 281-287.
4. Arai Y, Ikegami N. 1998. How will Japan cope with the impending surge of dementia? In Health Economics of Dementia, Winblad AWB, Jonsson B, Karison G (eds). John Wiley & Sons: Chichester; 275-284.
5. Arai Y, Washio M. 1999. Burden felt by family caring for the elderly members needing care in southern Japan. Ageing Ment Health 3: 158-164.
6. Asada T, Yoshioka M, Morikawa S, et al. 1994. Development of a Troublesome Behaviour Scale (TBS) for the elderly patients with dementia. Jpn J Public Health 41: 518-527 (in Japanese).
7. Asada T, Kinoshita T, Morikawa S, et al. 1999. A prospective 5-year follow-up study on the behavioural disturbances of community-dwelling elderly people with Alzheimer disease. Alzheimer Dis Assoc Disord 13(4): 202-208.
8. Campbell JC, Ikegami N. 2000. Long-term care insurance comes to Japan: A major departure for Japan, this new program aims to be a comprehensive solution to the problem of caring for frail older people. Health Aff 19(3): 26-38.
9. Davies P. 1996. Sociological approaches to health outcomes. In Health Outcomes: Biological, Social, and Economic Perspectives, Macbeth HM (ed.). Oxford University Press: Oxford; 94-139.
10. Draper BM, Poulos CJ, Cole AM, et al. 1992. A comparison of caregivers for elderly stroke and dementia victims. J Am Geriatrics Soc 40: 896-901.
11. Folstein MF, Folstein SE, McHugh PU. 1975. 'Mini-Mental State': A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12: 189-198.
12. Groves WC, Brandt J, Steinberg M, et al. 2000. Vascular dementia and Alzheimer's disease: Is there a difference? A comparison of symptoms by disease duration. J Neuropsychiatry Clin Neurosci 12(3): 305-351.
13. Hachinski VC, Lassen NA, Marshall J. 1974. Multi-infarct dementia: A cause of mental deterioration in the elderly. Lancet 2: 207-209.
14. Haley WE, Pardo KM. 1989. Relationship of severity of dementia to caregiving stressors. Psychol Ageing 4: 389-392.
15. Hughes CP, Berg L, Danziger WL, et al. 1982. A new clinical scale for the staging of dementia. Br J Psychiatry 140: 566-572.
16. Ito H, Tachimori H, Miyamoto Y, Morimura Y. 2001. Are the care levels of people with dementia correctly assessed for eligibility of the Japanese long-term care insurance? Int J Geriatr Psychiatry 16: 1078-1084.
17. Ministry of Health and Welfare. 1996. White Paper on Welfare (Kousei Hakusho). Gyousei: Tokyo (in Japanese).
18. Ministry of Health, Labor and Welfare. 2002. Long term care insurance. htpp://www.mhlw.go.jp/topics/kaigo/index.html (in Japanese).
19. Nandi S. 2001. Quantifying dementia care in Japan: A discussion on the long-term care insurance. Psychogeriatrics 1: 100-107.
20. Vetter PH, Krauss S, Steiner O, et al. 1999. Vascular dementia versus dementia of Alzheimer's type: Do they have differential effects on caregivers' burden? J Gerontol Soc Sciences 54B(2): S93-S98.
21. Williams J, Lyons B, Rowland D. 1997. Unmet long-term care needs of elderly people in the community: A review of the literature. Home Health Care Services Quart 16(1/2): 93-119.
22. Zarit SH, Reever KE, Bach-Peterson J. 1980. Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist 20: 649-655.
23. Zarit SH, Zarit JM. 1990. The Memory and Behavior Problems Checklist 1987R and the Burden Interview. Pennsylvania State University Gerontology Center: University Park, PA.