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Three levels of care: principle p of subsidiarity Self Help Mutual Help Public Assistance Self care: individual Not systematized Mutual care: Informal network base on locality or co-belongingness (Fürsorge) Social solidarity care: Social solidarity based on same goal Association Govermental care: Government systematized The Japanese system stem and the four levels els in the provision of care T. Tsutsui, T. Matushige,M Otaga,M Morikawa. From care by family to care by society and care in local communities : switching to a small government by the shift of long-term care provision. ISA world congress of Sociology,Gothenburg, Sweden 11 17 July 2010 paper 7
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Three paradigm phases in Japanese long-term care Phase 1 : care by family ( -1999) Informal network inside the community or co- belongingness or Fürsorge (by Community) Phase 2 : care by society (2000-2005) Social Solidarity based on a same goal by Association Mutual Help: Mutual Help: Social solidarity care: Phase 3 : care by community (2006 - ) SYSTEMATISED Informal network inside the community or co-belongingness or Fürsorge (in the Community) Mutual Help: Systematizing mutual help ( ) T. Tsutsui, T. Matushige,M Otaga,M Morikawa. From care by family to care by society and care in local communities : switching to a small government by the shift of long-term care provision. ISA world congress of Sociology,Gothenburg, Sweden 11 17 July 2010 discussion paper Social solidarity care: System of Mutual care 9
34 33 32 31 30 29 28 27 26 25 24 23 22 21 20 T. Takako, S. Higashino, M. Otaga.Changes in the Filial Obligations of Family Caregivers under the Public Long-Term Care Insurance System in Japan.the 19th IAGG World Congress, p.298, paris,france, July 5-9,2009 10
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2007 154 68% 70 9 32% 103 50 4 11,500 236,000 11,000 574,000 ISA world congress of Sociology,Seoul, Korea 2013.[symposium] Promoting Access, Quality and Cost Containment in Japan s Long Term Care System: Current Policies and Future Directions. Thomas Klie
50 ISA world congress of Sociology,Seoul, Korea 2013.[symposium] Promoting Access, Quality and Cost Containment in Japan s Long Term Care System: Current Policies and Future Directions. Thomas Klie
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Community based careintegrated care Community-based care Community-based care Integrated care Integrated t care care 1 T. Plochg NS. Klanzinga Community-based integrated care: myth or must? International Journal for Quality in Health Care 14:91-101:2002 2 T. Plochg Building a Tower of Babel in health care? Theory & practice of community-based integrated care International Journal of Integrated Care. 6 e21 2006 15
Integrated care 5 2 116 Bodenheimer T. Coordinating Care -- A Perilous Journey through the Health Care System. New England Journal of Medicine 2008 March 6;358(10):1064-71. Pham HH, Schrag D, O'Malley AS, Wu B, Bach PB. Care patterns in Medicare and their implications for pay for performance. New England Journal of Medicine 2007 March 15;356(11):1130-9. 16
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Integrated care 4 NPO, Vaarama, M., Pieper, R.(eds.) (2006). Managing integrated care for older people. STAKES, Helshinki. Somme, D., Trouvé, H. (2009). Implanter et évaluer une politique d'intégration des services aux personnes âgées: l expérimentation PRISMA France. In L évaluation des 385-395, L'Harmattan, Paris. Couturier, Y., Trouvé, H., Ganon, D., Etheridge, F., Carrire, S.& Somme, D. (2009). Réceptivité d'un modèle québécois d'intégration des services aux personnes âgées en perte d'autonomie en France. Lien social et politiques, n.62 Henrard, JC. (2002). Le système français d aide et de soins aux personnes âgées. Santé Société et Solidarité, 2:73 82.. 18
integrated care 1970 1990 WHO ECintegrated care 2010Integrated careintegrated care Goodwin, N. (2010) Integrated care as a scientific discipline: the need for more theory and new analytical methods, International Journal of Integrated Care, Vol 10. 19
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Integrated care 9 Integrated care ** ** * Integrated care *** ** * Leinchsering K.(2004). Developing integrated health and social care services for older persons in Europe. International Journal of Integrated Care, Vol.4, e01-e15 22
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vertical integration horizontal integration C B A 95 Health Maintenance Organization(HMOs) HMO 24
Integration Leutz(1999) Integration Linkage Coordination Full integration Linkage Coordination CoodinationLinkage Integration Full integration 25
Linkage Coordination Full integration, Margaret MacAdam. Frameworks of Integrated Care for the Elderly: A Systematic Review. 2008 Canadian Policy Research Networks Inc 26
Suter integrated care10 1 2 3 4 5 6 7. 8. 9. 10. Suter, E., Oelke,ND., Adair, CE., Armitage, GD. (2010). Ten Key Principles for Successful Health Systems Integration Healthc Q. 2009 October; 13(Spec No): 16 23. 27
ICP Integrated Care Pilots RAND Europe (2012).National Evaluation of the Department of Health s Integrated Care Pilots FINAL REPORT: FULL VERSION 28
Integrated care Margaret MacAdam. Frameworks of Integrated Care for the Elderly: A Systematic Review. 2008 Canadian Policy Research Networks Inc 29
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Integrated care 4 NPO, Vaarama, M., Pieper, R.(eds.) (2006). Managing integrated care for older people. STAKES, Helshinki. Somme, D., Trouvé, H. (2009). Implanter et évaluer une politique d'intégration des services aux personnes âgées: l expérimentation PRISMA France. In L évaluation des 385-395, L'Harmattan, Paris. Couturier, Y., Trouvé, H., Ganon, D., Etheridge, F., Carrire, S.& Somme, D. (2009). Réceptivité d'un modèle québécois d'intégration des services aux personnes âgées en perte d'autonomie en France. Lien social et politiques, n.62 Henrard, JC. (2002). Le système français d aide et de soins aux personnes âgées. Santé Société et Solidarité, 2:73 82.. 36
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