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Longitudinal Changes in the Government-Certified Index Stage and Requisite Costs for Long-Term Care Insurance System among the Community-Dwelling Demented Elderly in Japan
Joint Authors
Shigeta, Masahiro
Shinagawa, Shunichiro
Nakayama, Kazuhiko
Nakamura, Shiori
Iwamoto, Makoto
Tsuno, Norifumi
Source
International Journal of Alzheimer's Disease
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
A new public long-term care (LTC) insurance was launched in 2000 in Japan.
However, there have been few studies involving factors that increase LTC costs of demented subjects; no follow-up studies involving the Government-Certified Index (GCI) and requisite costs related to the causes of dementia.
Method.
An epidemiological survey was conducted in a rural area in Japan in 1999, and 271 subjects were diagnosed as dementia patients.
Age, sex, mini-mental state examination, clinical dementia rating, activity of daily living, causes of dementia, and coexisting physical disease were confirmed.
After the LTC insurance has been launched, we tracked the GCI stages and payment amounts every month for 8 years.
Result.
209 subjects were certified to be eligible for LTC insurance; however, 13 did not receive any payment.
Only 49 out of 209 were alive after the follow-up period.
The most common cause of dementia was Alzheimer’s disease (AD), followed by vascular dementia (VaD).
There was no significant difference between the mortality rates of the two groups.
VaD subjects required higher costs than AD subjects in the total certified period and in GCI stage 5.
Conclusion.
Our results indicate that causes of dementia can have an impact on the requisite costs for the LTC insurance.
American Psychological Association (APA)
Shinagawa, Shunichiro& Nakamura, Shiori& Iwamoto, Makoto& Tsuno, Norifumi& Shigeta, Masahiro& Nakayama, Kazuhiko. 2013. Longitudinal Changes in the Government-Certified Index Stage and Requisite Costs for Long-Term Care Insurance System among the Community-Dwelling Demented Elderly in Japan. International Journal of Alzheimer's Disease،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-451060
Modern Language Association (MLA)
Shinagawa, Shunichiro…[et al.]. Longitudinal Changes in the Government-Certified Index Stage and Requisite Costs for Long-Term Care Insurance System among the Community-Dwelling Demented Elderly in Japan. International Journal of Alzheimer's Disease No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-451060
American Medical Association (AMA)
Shinagawa, Shunichiro& Nakamura, Shiori& Iwamoto, Makoto& Tsuno, Norifumi& Shigeta, Masahiro& Nakayama, Kazuhiko. Longitudinal Changes in the Government-Certified Index Stage and Requisite Costs for Long-Term Care Insurance System among the Community-Dwelling Demented Elderly in Japan. International Journal of Alzheimer's Disease. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-451060
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451060