History of assistive devices and home modification services under long-term care insurance system in Japan across 20 years: A narrative review.

IF 2.5 4区医学 Q1 REHABILITATION Assistive Technology Pub Date : 2024-10-01 Epub Date: 2023-01-13 DOI:10.1080/10400435.2022.2161667

Natsuka Suyama, Kaoru Inoue, Shohei Kuniya, Chirathip Thawisuk, Anuchart Kaunnil

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Abstract

In this aging society, support services for older adults through the social welfare system have been introduced in many countries; in Japan, the long-term care insurance (LTCI) system was introduced in 2000. This review examined research of the past 20 years to investigate the history of assistive devices and home modification services and discussed future directions for health professionals through a narrative review. We selected 86 Japanese papers and six English papers: a total of 92 papers were analyzed by three researchers. This review revealed that assistive devices and home modification services contributed to helping users and decreased caregiver burden. Many studies have shown the importance of appropriate and sufficient cooperation among professionals. However, some issues related to LTCI were identified such as the regulation of subsidies and little flexibility considering local area conditions. The effectiveness and issues of assistive devices and home modification services were shown, and adjustments were suggested for the system and professional education according to the changes in a social situation. In addition, systematic research seems to be a small number; hence, studies with reliable research methods and analyses are needed to show the effectiveness of services and examine intervention by professionals.

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日本长期护理保险制度下的辅助设备和家居改造服务的 20 年历史：叙述性综述。

在这个老龄化社会中，许多国家通过社会福利制度为老年人提供支持服务；日本于 2000 年引入了长期护理保险（LTCI）制度。本综述对过去 20 年的研究进行了梳理，调查了辅助设备和家居改造服务的历史，并通过叙述性综述讨论了医疗专业人员的未来发展方向。我们选取了 86 篇日文论文和 6 篇英文论文：共有 92 篇论文由三位研究人员进行了分析。综述显示，辅助设备和家居改装服务有助于帮助使用者并减轻照顾者的负担。许多研究表明，专业人员之间适当而充分的合作非常重要。不过，也发现了一些与长期护理保险相关的问题，如补贴的监管和考虑当地条件的灵活性不足。研究显示了辅助器具和家居改造服务的有效性和问题，并建议根据社会形势的变化对系统和专业教育进行调整。此外，系统性的研究似乎为数不多；因此，需要采用可靠的研究方法和分析进行研究，以显示服务的有效性并检查专业人员的干预情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Assistive Technology REHABILITATION-

CiteScore

4.00

自引率

5.60%

发文量

期刊介绍： Assistive Technology is an applied, scientific publication in the multi-disciplinary field of technology for people with disabilities. The journal"s purpose is to foster communication among individuals working in all aspects of the assistive technology arena including researchers, developers, clinicians, educators and consumers. The journal will consider papers from all assistive technology applications. Only original papers will be accepted. Technical notes describing preliminary techniques, procedures, or findings of original scientific research may also be submitted. Letters to the Editor are welcome. Books for review may be sent to authors or publisher.