title: [Change of dementia care management after implementation of long-term care insurance].
abstract: Dementia health care management has changed completely since implementation of long term care insurance in Japan. Physicians made diagnosis of Alzheimer's disease and collaborated with care manager. Then people with dementia can have care services like short-stay, day services and also institutional care, if they want. Long term care insurance can help or substitute health insurance in old age. But still many old people or families want to stay longer in institutions. Now government support preventive care including dementia. We studied reminiscence therapy on cognitive function for dementia for 2 months. Cognitive function was improved after months compared to control group. The results showed stimulation by old goods, therapists or collaborators is useful for dementia. Reminiscence is one of good activities for dementia at every care services.
authors.affiliation: Chubu National Hospital.
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Endo
mesh_terms: D019090:Case Management; D003704:Dementia / Q000191:economics / Q000517:prevention & control / Q000534:rehabilitation / Q000628:therapy*; D018166:Health Care Reform; D006699:Home Care Services / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007326:Institutionalization / Q000191:economics; D007353:Insurance, Long-Term Care / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D007564:Japan; D008134:Long-Term Care / Q000191:economics / Q000706:statistics & numerical data