2016 Volume 65 Issue 2 Pages 105-113
In Japan, towards 2025, when the baby boomers will be 75 years or older, a full-scale reform regarding the "health care provider system" and the "long-term care service delivery system" is being carried out to address the rapid changes in population and disease structure. In 2014, to promote overall health care and long-term care insurance through the establishment of efficient and high-quality health care provision systems and "community-based integrated care systems," a structure known as the "regional health care comprehensive insurance policy" was established. In addition, within the health care system, the "community healthcare initiative" and "hospital beds function report" was institutionalized. Also within the long-term care insurance system, enhancement and restructuring of community support business, ensuring fairness of the cost burden, and prioritization of the benefits were conducted. Legislation of a "community-based integrated care system" is a breakthrough as this progressed the system towards holistic support of home life for elderly people from the user's point of view.
