Meghna Datta, Joseph H Neiman, Nathan A Boucher, Jehanne M Gheith
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引用次数: 0
Abstract
In the context of a rapidly growing aging population, the United States must address challenges with long term services and supports as that is what the acronym refers to. These challenges include affordability and access to home- and-community-based services (HCBS). One country that has faced similar challenges but has taken a markedly different approach is Japan, with a model of care known as the Community-based Integrated Care System (CbICS). We describe two defining characteristics of the CbICS that could serve as a starting point for the US. The first is the implementation of a hierarchy of support for older adults that emphasizes self-support and mutual aid to offset expensive federal measures. The second is the integration and delivery of medical and social services through designated, community-based centers. The US may benefit from applying key lessons learned from the CbICS. Additionally, we evaluate characteristics of Japan's integrated care approach and draw comparisons with US LTSS programs.
期刊介绍：
The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.
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