title: [The combination of "Careworks" insurance plan integrated with medical and long-term care insurance].
abstract: The social security system in Japan was greatly revolutionized when the long-term care insurance plan began in April 2000. Thus, Japan began the 21st century with two great social insurance plans, that is, medical care insurance and long-term care insurance. Each delivery system is divided: the medical care insurance plan is for the acute stage, and the long-term care is for the chronic stage. Both systems can be intended to cooperate to provide continuous care throughout life. The public health and welfare system has been trying hard to efficiently integrate the medical and long-term care insurance plans. However, it is necessary to establish a new insurance plan for ensuring the integrated adequacy of both insurance systems. One's life is destined to shift from medical care to long-term care at some point. As one ages or becomes disabled, it becomes difficult to lead an independent life with self-decision, and social support become necessary from third parties, instead of from the family or from one's own means. The society imposes the responsibility of payment of the medical and long-term care plan premiums on the individual throughout life. However, the structure of these insurance foundations should be combined under an integrated system, "Careworks", in order to also combine the concepts of length of life from the medicine and the respect of living from the long-term case to improve the social security of the life.
authors.affiliation: Prefectural University of Hiroshima, Department of Health and Welfare.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sumii
mesh_terms: D000368:Aged; D003695:Delivery of Health Care; D006299:Health Services for the Aged; D006801:Humans; D007353:Insurance, Long-Term Care; D007564:Japan; D008134:Long-Term Care; D009313:National Health Programs; D012943:Social Security