Imamura K
Department of Orthopedic Surgery, Kumamota Kinoh Hospital, Shimizu-machi, Japan.
Pride Inst J Long Term Home Health Care. 1993 Winter;12(1):3-17.
Due to increasing national health expenditure and an aging society, Japan in the 1980s started to reinforce home health care, going beyond her long-time investment in institutional care. Since 1983, a sequence of policies was issued focused mainly on frail elderly care. In support of this governmental approach, a variety of enterprises and charity activities have flourished. Now, however, in the midst of a worldwide recession, rationing as health policy is under reconsideration and has an influence on health care for minorities, including the elderly. In Japan, home health care is under review and a new service system was initiated in April 1992. In this article, the newly inaugurated community-based home visiting nursing scheme is introduced together with a short history of elderly care and related business activities in Japan. Feasibility of the new scheme is discussed and compared with the previous version of home visiting nursing, which had its base in hospitals.
由于国家卫生支出不断增加以及社会老龄化，日本在20世纪80年代开始加强家庭医疗保健，超越了其长期以来对机构护理的投入。自1983年以来，一系列主要侧重于体弱老年人护理的政策相继出台。为支持政府的这一举措，各类企业和慈善活动蓬勃发展。然而，如今在全球经济衰退的背景下，作为卫生政策的配给制正在重新审视之中，并且对包括老年人在内的少数群体的医疗保健产生影响。在日本，家庭医疗保健正在接受审查，1992年4月启动了一项新的服务体系。本文介绍了新设立的社区上门护理计划，以及日本老年人护理和相关商业活动的简短历史。讨论了新计划的可行性，并与以前基于医院的上门护理版本进行了比较。
