title: [Future issues for the long-term care insurance system in Japan].
abstract: Although the prevention and reduction of requirements for long-term care is one of the main aims of the long-term care insurance system, most of care-recipients have deteriorated in their certified care levels since the implementation of the system in 2000. Demands for services at facilities rather than in-home services are increasing. Waiting lists for public nursing homes are becoming longer and longer. Residential care in for-profit private homes is growing rapidly. Homicides of disabled older persons by their exhausted caregivers are still prevalent. Concerning these serious situations, retaining the human dignity of care-recipients should be the most essential issue of the long-term care insurance system.
authors.affiliation: Institute of Disability Sciences, University of Tsukuba.
authors.forename: Setsu
authors.initials: S
authors.lastname: Iijima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data* / Q000639:trends; D006708:Homicide / Q000517:prevention & control / Q000706:statistics & numerical data; D006801:Humans; D007353:Insurance, Long-Term Care / Q000639:trends*; D007564:Japan; D008134:Long-Term Care / Q000706:statistics & numerical data* / Q000639:trends; D009735:Nursing Homes / Q000706:statistics & numerical data