Kosaka M
Institute for Health Economics and Policy, Tokyo, Japan.
J Case Manag. 1996 Winter;5(4):182-5.
The present public medical care system in Japan was originally designed in 1961 and covers the entire population. However, several converging medical and demographic factors are forcing the Japanese to redesign their system, particularly as it relates to their increasing elderly population. An estimated 17% of the population will be over 65 years of age by 2000, and nearly one million of them will be bedridden. The Japanese legislature is currently considering new legislation that by the end of this century would provide 10 times as many nursing facility beds, 14 times as many temporary-stay beds, and build or renovate 500 times as many care houses (handicapped accessible) as currently exist.
日本现行的公共医疗体系最初设计于1961年,覆盖全体国民。然而,一些综合的医疗和人口因素正促使日本重新设计其医疗体系,尤其是考虑到日益增加的老年人口。预计到2000年,17%的人口将超过65岁,其中近100万人将卧床不起。日本立法机构目前正在考虑新的立法,到本世纪末,将提供比目前多10倍的护理机构床位、14倍的临时留宿床位,并建造或翻新比现有数量多500倍的护理之家(方便残疾人使用)。