Okamoto A Z
Kinki University Medical School, Japan.
J Aging Health. 1997 Nov;9(4):514-28. doi: 10.1177/089826439700900405.
The author assessed the potential need for visiting nursing and rehabilitation services on a national level to estimate the volume of services expected for Japan's proposed new long-term care insurance. Baseline data were obtained from the national survey on freestanding visiting nursing stations conducted in September 1994, in which the population of 18,500 patients was professionally assessed by visiting nurses. The baseline data were then applied to the national sampling survey on households conducted in June 1992, in which respondents self-reported their activities of daily living (ADL) and health status. There are estimated to be 836,000 noninstitutionalized elderly with disability. Their need for visiting nursing and rehabilitation services is expressed as 48.26 million visits or 57.33 million working hours annually. Current service volume accounts for only 5% of the potential need, suggesting a sharp rise in demand once the new insurance is fully implemented.
作者在国家层面评估了对上门护理和康复服务的潜在需求，以估计日本拟议的新长期护理保险预期的服务量。基线数据取自1994年9月进行的全国独立上门护理站调查，其中18500名患者的情况由上门护士进行了专业评估。然后将这些基线数据应用于1992年6月进行的全国家庭抽样调查，受访者在该调查中自行报告了他们的日常生活活动（ADL）和健康状况。据估计，有83.6万无机构照料的残疾老年人。他们对上门护理和康复服务的需求为每年4826万次上门服务或5733万工时。目前的服务量仅占潜在需求的5%，这表明一旦新保险全面实施，需求将大幅上升。
