# [10] Health and Welfare Services for the Elderly

## Outline of Long-Term Care Insurance System

## Overview

## Long-Term Care Insurance System Diagram

## Service providers

• Home-visit long-term care (home help service)

• Home-visit bathing service

• Home-visit nursing care

• Home-visit rehabilitation

• Outpatient rehabilitation service (day care)

• Management guidance for in-home care

• Outpatient day long-term care (day service)

• Short-term admission for daily life long-term care (short stay)

• Short-term admission for recuperation

• Daily life long-term care for elderly in a specified facility

• Sales of specified equipment covered by public aid

• Rental service of equipment for long-term care covered by public aid

## Facility services

• Welfare facilities for the elderly requiring long-term care (Special nursing home for the elderly)

• Health care facilities for the elderly requiring long-term care (Health care facilities for the elderly)

• Sanatorium type medical care facilities for the elderly requiring care

## Community-based services

• Regular visiting/on demand home-visit long-term/nursing care

• Night time home-visit long-term care

• Outpatient long-term care of dementia patients

• Multifunctional small group home

• Communal daily long-term care for dementia patients (group home)

• Daily life long-term care for people admitted to a community-based specified facility

• Community-based facility for preventive daily long-term care of the elderly welfare instruments

• Compound services

## Others

• Home modification

Preventive long-term care services

• Home-visit care service for preventive long-term care

• Home-visit bathing service service for preventive long-term care

• Home-visit nursing care service for preventive long-term care

• Home-visit rehabilitation service for preventive long-term care

• Outpatient rehabilitation service for preventive long-term care

• Management guidance for in-home care service for preventive long-term care

• Outpatient care service for preventive long-term care

• Short-term stay service for preventive long-term care at a care facility

• Medical care service for preventive long-term care through a short-term stay

• Daily life care service for preventive long-term care for elderly in specific facilities

• Sales of specific preventive long-term care welfare instruments

• Lending preventive long-term care welfare instruments

## Community-based

preventive long-term care services

• Outpatient care service for preventive long-term care for dementia patient

• Small-sized multifunctional in-home care service for preventive long-term care

• Daily life care service for preventive long-term care in communal living for dementia patient

## Others

• Allowance for home modification

* 5% of the public expenditure from the national government is for adjustment and may increase/decrease depending on the number of persons aged 75 or older and income distributions of the elderly.

* For benefit expenses of facilities, etc. (benefit expenses of 3 long-term care insurance facilities and specified facilities designated by prefectures), 20% is borne by the national government and 17.5% by prefectures.

* The number of the primary insured persons is from “Status report on the Long-Term Care Insurance (Provisional) (April 2013)”

* The number of the secondary insured is based on the report from the medical insurers aimed to fix the amount of levies for long-term care benefit expenses by the Social insurance medial fee payment fund; the figure is monthly average in FY2012.