Miharu Nakanishi1, Taeko Nakashima2. 1. Institute for Health Economics and Policy, Minato-ku, Tokyo, Japan. Electronic address: mnakanishi-tky@umin.ac.jp. 2. Institute for Health Economics and Policy, Minato-ku, Tokyo, Japan.
Abstract
BACKGROUND: The Ministry of Health, Labour, and Welfare of the Japanese national government announced a "Five-Year Plan for Promotion of Measures Against Dementia (Orange Plan)" in September 2012. This article described features of the Japanese dementia strategy in comparison with international dementia policies. METHODS: An international comparative study was implemented on national dementia policies to seek suggestions for Japanese national strategy. The study consisted of a bibliographical survey, a field survey, and an online case vignette survey in several countries. RESULTS: The Japanese health- and social-care system had multiple access points in the dementia care pathway, as did Australia, France, South Korea, and the Netherlands. Contrary to Japan, a simplified access point was observed in Denmark, England, and Sweden. The Orange Plan aimed to establish specific health-care services, social-care services, and the coordination of agencies for persons with dementia. However, fragmentation remains in the dementia care pathway. CONCLUSION: The national government should examine fundamental revisions in health, social-care services, and advocacy in joint initiatives with Alzheimer's Association Japan to improve the national dementia strategy.
BACKGROUND: The Ministry of Health, Labour, and Welfare of the Japanese national government announced a "Five-Year Plan for Promotion of Measures Against Dementia (Orange Plan)" in September 2012. This article described features of the Japanese dementia strategy in comparison with international dementia policies. METHODS: An international comparative study was implemented on national dementia policies to seek suggestions for Japanese national strategy. The study consisted of a bibliographical survey, a field survey, and an online case vignette survey in several countries. RESULTS: The Japanese health- and social-care system had multiple access points in the dementia care pathway, as did Australia, France, South Korea, and the Netherlands. Contrary to Japan, a simplified access point was observed in Denmark, England, and Sweden. The Orange Plan aimed to establish specific health-care services, social-care services, and the coordination of agencies for persons with dementia. However, fragmentation remains in the dementia care pathway. CONCLUSION: The national government should examine fundamental revisions in health, social-care services, and advocacy in joint initiatives with Alzheimer's Association Japan to improve the national dementia strategy.
Authors: A Bieber; A Stephan; H Verbeek; F Verhey; L Kerpershoek; C Wolfs; M de Vugt; R T Woods; J Røsvik; G Selbaek; B M Sjölund; A Wimo; L Hopper; K Irving; M J Marques; M Gonçalves-Pereira; E Portolani; O Zanetti; G Meyer Journal: Z Gerontol Geriatr Date: 2017-06-14 Impact factor: 1.281
Authors: David A Bennett; Lei Yu; Jingyun Yang; Gyan P Srivastava; Cristin Aubin; Philip L De Jager Journal: Transl Res Date: 2014-05-16 Impact factor: 7.012