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- 저자 : Hidenori Arai (검색결과 3 건)
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Long-Term Care System in Japan
Minoru Yamada,Hidenori Arai 대한노인병학회 2020 Annals of geriatric medicine and research Vol.24 No.3
The long-term care insurance (LTCI) system was introduced in Japan in 2000 to address the demands of older persons with disabilities based on the concept of a user-oriented social insurance system with support for independence. Older people with a certification for LTCI service needs can utilize facility services, in-home services, and community-based services depending on their physical and cognitive impairments. After the implementation of the LTCI system, there was a rapid increase in persons certified for LTCI service needs, with a corresponding increase in the financial burden on the government. Therefore, the Japanese government started a disability prevention program in which older people were screened for frailty by the Kihon checklist in addition to a high-risk approach with appropriate prevention programs in each community. After unsatisfactory outcomes of the high-risk approach for disability prevention, the government changed the primary strategy to a community-based population strategy to build a community to seamlessly provide preventive, medical, and long-term care and welfare and housing services to all individuals. Further improvement of the community-based integrated care system is needed for healthy aging in a superaged society.
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Bounce Forward Better: Geriatric and Gerontological Research in the Post-pandemic Future
Jee Hyun Noh,Hidenori Arai,Tung Wai Auyeung,Matteo Cesari,Walter R. Frontera,Hyuk Ga,Hee-Won Jung,Wee Shiong Lim,Jae Young Lim 대한노인병학회 2022 Annals of geriatric medicine and research Vol.26 No.4
In recent years, we have faced challenges in managing coronavirus disease 2019 (COVID-19), especially in older adults. The pandemic has precipitated a global health crisis that impeded older adults from maintaining their health. Disruption of the routine management of chronic diseases, physical inactivity deteriorating physical function and quality of life, malnutrition, and mental disorders have been suggested as major threats to the health of older adults. To address these problems and facilitate reactivation of normal care activities, this article summarizes the contents of a webinar held by the Annals of Geriatric Medicine and Research (AGMR) regarding the future directions of geriatric medicine and research in the post-COVID-19 era.
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Social Frailty Among Community-Dwelling Older Adults: Recommended Assessments and Implications
Hyuma Makizako,Kota Tsutsumimoto,Hiroyuki Shimada,Hidenori Arai 대한노인병학회 2018 Annals of geriatric medicine and research Vol.22 No.1
Even though social factors that determine frailty in older people contribute to adverse health outcomes, there is little consensus in terms of the definition of social frailty. Therefore, in this article we reviewed literature on social frailty and attempted to define the term. Although we found that living alone, social participation, economic hardship, and other such factors are associated with a decline in activities of daily living and increased risk of disability, we have not reached an agreement on either the most effective methods of assessing social frailty or the most effective interventional approaches to address social frailty. Further investigations are needed to define social frailty and identify effective interventions to promote active aging by focusing on the social aspects in older adults with social frailty. It would be reasonable to think that this approach will also improve physical and cognitive frailty.
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