ニュージーランド高齢者介護におけるサービスと自己負担
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概要
- 論文の詳細を見る
New Zealand's public long-term care services for the elderly are financed by tax revenues of central government like other social security services such as medical care and public pension. In this article, long-term care means long-term non-medical care, for example, bathing and cooking, and related medical care including nurse visits. These services are divided into two categories: facilities services and community care. Facilities services are provided in public and private geriatric hospitals or rest homes. Community care is delivered to the elderly in their homes. Excluding related medical care, community care consists of personal care and home support services. Community care services include bathing, clothing, toileting and so on. Home support services include cleaning, cooking, shopping and others. When old people need these public services, a particular group of practitioners, geriatrician, nurse, physical therapist, occupational therapist, assesses their needs and co-ordinates the services. Simultaneously, they have to accept income-asset tests. That is to say, they have to partly pay for their services according to the amount of their income and the monetary value of their assets. This co-payment is adopted to facilities services and home support services. Personal services are free. There are a number of measures set in place to assure the quality of these services. For instance, national standards of the services and advocacy agencies which deal with aged people's complaints.
- 福井工業大学の論文
- 2003-03-20
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