探讨日本在应对亚洲快速老龄化方面的经验贡献:聚焦老年痴呆症护理。

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global health & medicine Pub Date : 2024-02-29 DOI:10.35772/ghm.2023.01124
Hiroko Baba, Myo Nyein Aung, Ayumi Miyagi, Ayako Masu, Yuta Yokobori, Hiroyuki Kiyohara, Eriko Otake, Motoyuki Yuasa
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摘要

这篇综述文章探讨了日本在应对亚洲快速老龄化方面的潜在贡献,特别关注老年痴呆症护理。由于日本在老龄化社会方面走在前列,我们从日本的政策历史中汲取了宝贵的经验和教训,并对其贡献进行了反思。我们将世界卫生组织西太平洋地区办事处的 "西太平洋地区健康老龄化行动计划 "与日本的 "促进痴呆症政策纲要 "进行了比较。讨论了以下五个问题:i) 从互助的角度提高日本对痴呆症的认识和社区参与;ii) 在地方一级开展预防痴呆症的社会活动;iii) 医疗和长期护理方面的人力资源;iv) 居家养老的地方协调员,以评估护理需求并根据个人情况制定护理计划;v) 研究和开发长期护理产品。鉴于这些因素,必须通过跨部门的综合方法来应对老龄化社会,包括政策、研究、护理产品的开发、社区和护理人员的教育。日本的人口老龄化措施并没有给出明确的答案,这促使我们考虑从日本的试验和错误中得出更好的解决方案。在国际比较中,通常将 7%、14% 和 21% 的老龄化率作为老龄化进程速度的指标,但在达到这 7%之前,应考虑制定适合各国国情的政策。
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Exploring the contribution of Japan's experience in addressing rapid aging in Asia: Focus on dementia care.

This review article explores the potential contribution of Japan's experience in addressing rapid aging in Asia with a specific focus on dementia care. As Japan is a frontrunner in terms of aging society, we consider valuable insights and lessons from Japanese policy history and reflect on its contribution. The World Health Organization, Regional Office for the Western Pacific Regional Action Plan on Healthy Ageing for the Western Pacific was compared with the Japanese "Outline for Promotion of Dementia Policies". The following five issues were discussed: i) improving awareness of dementia and community engagement in Japan from a mutual aid perspective; ii) social activities for prevention of dementia at the local level; iii) human resources for medical and long-term care; iv) local coordinators for old people care at home to evaluate the needs for care and tailor the care-plan on an individual basis; v) research and development of long-term care products. Given these factors, it is important to address the aging society through a combined cross-sectoral approach, including policy, research, development of care products, community, and education of care workers. Aging population measures in Japan do not provide a definitive answer, which prompts the consideration of better solutions derived from Japan's trial and error. The aging rate of 7%, 14%, and 21% are commonly used in international comparisons as indicators of the speed of the aging process, but before this 7% is reached, policies tailored to each country should be considered.

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