92/106 Longterm health care systems
and active aging in Japan!

() GMSSYUICHI ANDO, M.D., PHD.
INSTITUTE OF GLOBAL MEDICAL AND SPORTS SCIENCE JAPAN, INC.

Outline
1. 
Background2. 
Long-term Care Insurance System

3.   Sports for Aging Society
4.  Conclusion

The most rapidly aging society in the world
40% (2050)
23%(2010)

Years
7% to 14%in % of 65+
population
USA73UK47
France115
Germany 40
Sweden85Japan
2412%(1990)
Gold plan

Introductionof LTCIGreat East Japan Earthquakeon March/11492/106

Aging society

Decrease in family’s capacity to provide care.
Living Arrangements 1960-2005
Proportion of Older People (65+)

100.0%

u

90.0%
80.0%



One of major

70.0%

global concerns

With Children

60.0%

Spouse Only

50.0%

Alone
40.0%

Institution

30.0%
20.0%
10.0%
0.0%
1960

1970

1980

1985

1990

1995

2000

2005

5

What is ‘healthy ageing’  
u “Healthy ageing” is defined by the World reporton ageing and health as the process ofdeveloping and maintaining the functional ability
that enables well-being in older age.

u Well-being: Welfare, Health, Happiness, Comfort

#"



u Not only disease free, but also mentally fulfilled!



02/1

6

9

Health care and Welfare Combined into One System
Welfare services for elderly(1963~)
 Long-term Care
Insurance
2000~

Social Welfare
Services for theElderly Act[In-home Services ]-Home-help service-Home-visit bathing service-Home-visit nursing-Home-visit rehabilitation-Management & guidance forin-home care

Care plan example for Care-level 2#!

"

#   

% !


% !

% !

    [ Facility Services ]-Special nursing homes for the elderly-Health services facilities for the elderly-Sanatorium-type medical care facilities#$!%

#$!%

#$!%



    -Rental services for welfare equipments-Sales of designated welfare equipments [Short-stay services]-Short-stay for the elderly requiring care
-Short-stay for the elderly requiring
medical care

LTCI monthly benefit allocation :358,300 yen (3,984 US=90yen)
Co-payment of user :35,830 yen[Commuting services]-Day care service
v-Day rehabilitation
service

Care plan example for Care-level 5

#Medical Insurance for aged(1982~)  

LTCI monthly benefit allocation :194,540 yen (2,161 USD &=90yen)
Co-payment of user :19,454 yen (10%)

Increase in well-being spending
Trilion Yen

3pension

1975

medical1985

1995

others

2005

2015

2025

02/1

6

94

 &"#($Characteristics and issues of LTCI

What is ‘healthy ageing’  u %

u “Healthy ageing” is defined by the World report

Provides service but no cash benefit.
u &"'!)







Expenditures for well-being grew exponentially.

on ageing and health as the process ofdeveloping and maintaining the functional ability
that enables well-being in older age.

u Well-being: Welfare, Health, Happiness, Comfort

#"



u Not only disease free, but also mentally fulfilled







!




Sport

What is ‘healthy ageing’# 
u “Healthy ageing” is defined by the World reporton ageing and health as the process ofy.
dignitability
developing and maintaining thefunctionaldnapiritthat enables well-being
h rich ins older age.
it%
y life w+hltaeH!*#)')#u Well-being: Welfare, Health, Happiness, Comfort
u Not only disease free, but also mentally fulfilled&"

($u 



Physical exercise in the community.

502/169'
The Basic Act on Sport (2010)(+ /! ,0 )-#)$ & "%. 1* '
The Basic Act on Sport (2010)u u u To consequently contribute to the soundu To consequently contribute to the sounddevelopment of mind and body of citizens,the formation of the bright and prosperous lifeof the citizens, the realization of an energetic
society and the harmonized development of
an international society.

3F D
Comprehensive community sports clubu A5(<*;:,
K.

@" 9) DNBF

Run on a daily basis at schools or public facilities nearby%- J? D #  9)  6E2I
0'!7> 
G= H&C+ D8$ HML14/u O

Provide opportunities for local children's sports activities,encourage the wellbeing of young people by interactingwith families and various generations, maintain andimprove local residents' health as well as contribute to thecreation of a lifelong sports society.

(+ /! ,0 )-#)$ & "%. 1* 
development of mind and body of citizens,the formation of the bright and prosperous lifeof the, the realization of an energetic
society and the harmonized development of
an international society.

Number of Comprehensive community sports club

92

/106

"# '. 3@ 9Characteristics and issues of LTCIu(:0&;

14,%=$)ConclusionThe number of Comprehensive community sports club grew, though themembers or who attend the event do not increase as expected.
u5>82*!?<

Many staffs support their activity voluntary or with low salary, because oflimited budget.
u/7%+6

Many clubs face shortage of club managers and staffs.

yhealthlepopeelderly society.
ekam
to th ert ca nuo"$)>&#+95.6!
&meSpht;?
itmm/2B9
oand c;?
>')Longtermhealthcaresystems
 and activeaging in Japan
were introduced.
@ .
4#95 Active Aging8<nd*:&#udignityairit)>-% /230
4
rich sp 71 hit
(wefli=yAhcare and active,aging as well asealt
HLong-term
4 subject for aging
medical careareimportant;?
society.

u 2 ".*$+%(4.

03

Longterm health care systems and active
aging in Japan were introduced.
u .*  Active Aging -1 !/ 2# %()& ,'
Long-term care and active aging as well as
medical care are important subject for aging
society.

ConclusionБаярлалаа(GMSS  NPO2002

www.gmss.jp