4262.1: Tuesday, November 14, 2000 - 4:50 PM

Abstract #16332

Need Assessment of Japan's Long Term Care Insurance

AtoZ Okamoto, Department of Public Health, Kindai Medical School, 377, Onohigashi, Osaka-Sayama-shi, Osaka, 589-8511, Japan, +81-723-66-0221(x3271), atoz@med.kindai.ac.jp

The benefit of Japan's Long Term Care Insurance (LTCI) is characterized by monetary cap metered to the estimated caring time of the disabled. All applicants will receive on-site surveys conducted by certified care managers and the survey findings will be assessed objectively using branching algorithms (collectively called gtree modelh). The survey form includes 85 ADL items, which are clustered into 7 categories. These 85 items plus 7 categorical scores will be put into 9 branching algorithms to yield the most likely estimates of caring time (minutes per day) for 1) cosmetics, 2)defecation, 3)eating, 4)bathing, 5)physical activity, 6)domestic service, 7)rehabilitation, 8)problematic behavior and 9)medical care. The estimated total caring time will be the sum of these 9 and the monetary cap will be set at six different levels, within which the disabled can receive services subject to 10% copayment. The rationale for Japanfs need assessment is based on the evidence obtained from one-minute observational study conducted on approximately 300,000 person-days of nursing home residents. This large-scale survey had been conducted under the auspices of the government after it found the much famed RUG-III was not consistent with Japanfs LTCI. The presenter will introduce the logic of need assessment and report the early results of assessment performed in the first six months of its implementation. On-line assessment program in English will also be provided over the web http://CareManager.Net/APHA

Learning Objectives: Participants will be able to understand the logic and algorithm used to determine the benefit level of Japanfs LTC insurance

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA