Igarashi Ayumi, Eltaybani Sameh, Takaoka Manami, Noguchi-Watanabe Maiko, Yamamoto-Mitani Noriko
The University of Tokyo, Japan.
Gerontol Geriatr Med. 2020 Nov 27;6:2333721420975320. doi: 10.1177/2333721420975320. eCollection 2020 Jan-Dec.
Dealing with an aging society is a global challenge, and more countries than ever before are now mobilizing their healthcare systems to provide high-quality long-term care (LTC) to older adults. This paper reviews the current situation pertaining to aging and the issues for measuring the LTC quality in Japan. It also introduces current efforts to develop quality indicators for measuring LTC quality. Assuring the quality of LTC and developing indicators to measure its quality is a challenge worldwide. Detailed systems for LTC quality measurement have been developed and managed, primarily in the US. In Japan, on the other hand, such systems do not exist; the public LTC system mostly depends on the evaluation of structural aspects, such as facility structure and staffing. Our research group has been developing quality indicators to measure LTC quality. In the future, we aim to evaluate care quality in various LTC settings using the proposed quality indicators, aiming to improve care quality across LTC settings in the community-based integrated care system.
应对老龄化社会是一项全球性挑战，如今比以往任何时候都有更多国家在调动其医疗保健系统，为老年人提供高质量的长期护理（LTC）。本文回顾了日本老龄化的现状以及衡量长期护理质量的相关问题。它还介绍了目前为制定衡量长期护理质量的质量指标所做的努力。确保长期护理质量并制定衡量其质量的指标是一项全球性挑战。详细的长期护理质量衡量系统主要在美国得到了开发和管理。另一方面，在日本，这样的系统并不存在；公共长期护理系统主要依赖于对结构方面的评估，如设施结构和人员配备。我们的研究小组一直在开发衡量长期护理质量的质量指标。未来，我们旨在使用提议的质量指标评估各种长期护理环境中的护理质量，目标是在基于社区的综合护理系统中提高所有长期护理环境中的护理质量。
