Long-Term Care in the 21st Century

Perspectives from Around the Asia-Pacific Rim

Iris Chi

• Publisher: Routledge
• Year: 2013
• eBook ISBN: 9781134735587
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Who pays for long-term care? Discover the unique approaches of seven countries around the Pacific Rim!Long-Term Care in the Twenty-First Century discusses policies and programs for long-term care in seven countries around the Asia-Pacific Rim: the United States, Canada, Japan, Australia, Singapore, Hong Kong, and Taiwan. Each country is covered in two chapters, one to examine the philosophy and values that underlie its approaches to long-term care, the second to discuss its systems of service delivery. These thoughtful analyses, backed up with facts and figures, explain program successes and failures in the context of demographic and social trends and with reference to the differing political systems across the region. Its breadth of perspective and insightful examination of cultural differences make Long-Term Care in the Twenty-First Century an important contribution to the international comparative study of aging. The programs in the United States, Australia, and Canada offer a fascinating contrast with the longer-established and very different programs in the Asian countries, including Japan, the world's oldest country.Long-Term Care in the Twenty-First Century provides practical information on essential gerontological issues for each country, including:

• financing arrangements
• development of client classification systems
• case management in both residential and community-based systems
• key source documents, references, and Web sites
• political and cultural influences
• home-based and family caregivingThis valuable book provides a critical record of developments in the current transition period. This multicultural perspective contributes a chance for all countries to learn from the experience of others in dealing with a problem that is increasingly important as the world population ages. Long-Term Care in the Twenty-First Century is an essential resource for scholars, service providers, policymakers, and anyone concerned with care of the aged, not only in Pacific Rim countries but around the world.

Index

Activities of Daily Living (ADLs), 77

Adult day care

in Canada, 61, 89, 90

in Singapore, 191-192

in Taiwan, 222, 225

Aged Care Assessment Teams (ACATS, Australia), 105, 120

Aged cared. See Long-term care

Aged populations. See Demographic trends

Aging policy

Japanese context of, 6-12

as priority issue, 239

Alberta Resident Classification System (ARCS, Canada), 74

Assessment

in Australia, 105, 120, 133-135

in Japan, 28, 30

Assessment and treatment centers, in Canada, 90

Assisted living residences, in Canada, 90-91

Australia, 1, 3, 237

accreditation program for care facilities in, 130-132

aging as priority policy issue, 239

assessment for care in, 105, 120, 133-135

caregiver support groups in, 111-113

case management in, 109, 110

changing balance of care in, 104-108, 113-115

cost pressures in, 238

informal caregivers in, 111-113

organization of service delivery in, 118-120

possible developments for assessment process in, 133-135

quality assurance in, 129-132

recent aged care policy directions in, 102-103

resident classification for long-term care facilities in, 120-129

residential care in, 118

role of Aged Care Assessment Teams in, 120

roles of government in aged care policy in, 103-104, 105

structure of aged care system in, 102, 103

targeting community care in, 108-111

types of residential care facilities and services, 118-119

Benefit structures, 39

Canada, 1, 3

adult day care in, 61, 89, 90

aging as priority policy issue, 239

caregiver support groups in, 90

case-mix-based payment systems in, 73-75, 78-80

challenges in funding long-term care in, 75-79

community-based care programs, 89-91

cost pressures in, 238

diversity of long-term care systems in, 85

establishing unified funding formula in, 78-79

financing long-term care and regionalization in, 72-73

funding for long-term care facilities in, 72-75

future long-term care challenges for, 97-98

health expenditures in, 71-72

histor...

Table of contents

• Front Cover
• Long-Term Care in the 21st Century: Perspectives from Around the Asia-Pacific Rim
• Title Page
• Copyright
• Contents
• Introduction
• Long-Term Care Policy Reform in Japan
• Aged Care Service Delivery in Japan: Preparing for the Long-Term Care Insurance Scheme
• Long-Term Care Policy and Financing as a Public or Private Matter in the United States
• The Program of All-Inclusive Care for the Elderly (PACE): An Innovative Long-Term Care Model in the United States
• Long-Term Care Funding in Canada: A Policy Mosaic
• National Consistency and Provincial Diversity in Delivery of Long-Term Care in Canada
• Recent Developments in Aged Care Policy in Australia
• Australian Approaches to Resident Classification and Quality Assurance in Residential Care
• Long-Term Care Policy for Elders in Hong Kong
• Changing Needs and Changing Service Delivery for Long-Term Care in Hong Kong
• The Savings Approach to Financing Long-Term Care in Singapore
• Organization and Delivery of Long-Term Care in Singapore: Present Issues and Future Challenges
• Exploring Policy and Financing Options for Long-Term Care in Taiwan
• Organization and Delivery of Long-Term Care in Taiwan
• Lessons Learned, Questions Raised
• Index