Community-based care for healthy ageing: lessons from Japan

Bulletin of the World Health Organization
Junko SaitoNaoki Kondo

Abstract

The measures for long-term care prevention that the Japanese government had introduced in 2006 were unsuccessful because of the failures to identify high-risk individuals and to enrol enough participants in the community prevention programme. The Japanese government shifted its primary strategy from a high-risk strategy to a community-based population strategy in 2015, by reforming the Long-term Care Insurance Act. This act is focusing on community-based care and social determinants of health. The Act and the government's plans for long-term care prevention are inspired by a social participation intervention called ikoino saron, that is gathering salons for people older than 65 years. These salons, managed by local volunteers, are held once or twice a month in communal spaces within walking distance of community members' homes and have a low participation fee. At the gatherings, older people can meet and interact with others through enjoyable, relaxing and sometimes educational programmes. Japan has the world's largest ageing population, with 27.7% (35.2 million/126.7 million) of people older than 65 years. Studies have shown that participation in the salons was associated with a halved incidence in long-term care needs and abo...Continue Reading

References

Oct 27, 2017·Alzheimer's & Dementia : Translational Research & Clinical Interventions·Hiroyuki HikichiIchiro Kawachi

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Citations

Aug 25, 2020·Annals of Geriatric Medicine and Research·Minoru Yamada, Hidenori Arai
Jan 23, 2020·International Journal of Environmental Research and Public Health·Kazushige IdeKatsunori Kondo

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