Physical Therapy Korea
pISSN 1225-8962 eISSN 2287-982X
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Long-Term Care Insurance System of Japan and its operation status

Category Long-term care service Facility User
(1,000)
Service expensed
In-home
servicea
Home-visit service • Home-visit long-term care 33,176 1,456.7 9.1
• Home-visit bathing long-term care 1,770 123.0 0.5
• Home-visit nursing 11,795 701.0 2.6
• Home-visit rehabilitation 4,614 153.6 0.4
• Guidance for management of in-home medical care 39,123 1,053.5 1.1
Daily service • Outpatient day long-term care (day service) 23,881 1,604.5 12.5
• Outpatient rehabilitation (day care) 7,920 621.8 4.1
Short stay • Short-term admission for daily life long-term care 10,615 739.1 4.3
• Short-term admission for recuperation 3,781 152.9 0.6
• Daily life long-term care admitted to a specified facility 5,550 280.6 5.4
• Rental service of equipment for long-term care covered by public aid 7,113 2,413.1 3.0
Facility servicea • Long-term care welfare facility for the elderly (Special nursing home for the elderly) 8,057 690.7 18.6
• Long-term care health facility 4,285 566.2 13.2
• Sanatorium medical facility for the elderly requiring long-term carec 912 73.0 2.0
• Integrated facility for medical and long-term care 145 12.4 0.2
Community-
based
serviceb
• Regular visiting/on demand home-visit long-term/nursing care 946 36.8 0.5
• Home visit at night for long-term care 172 12.6 0.0
• Community-based outpatient day long-term care 19,452 596.8 4.1
• Outpatient long-term care of dementia patients 3,439 82.7 0.9
• Multifunctional long-term care in a small group home 5,648 143.2 2.5
• Communal daily long-term care for dementia patients (group home) 13,904 257.4 6.9
• Daily life long-term care for people admitted to a community-based specified facility 350 10.4 0.2
• Daily life long-term care for people admitted to a special nursing home 2,344 75.7 2.1
• Combined multiple Service 627 18.1 0.3

Values are presented as number only or percent. Bold text means services that require rehabilitation professionals as a manpower condition. aServices designated and supervised by prefectures, ordinance-designated cities, and core cities. bServices designated and supervised by municipalities. cServices decided to be abolished by the 2017 Long-Term Care Insurance Act revision, but there are exceptions, the number of facilities and users remaining until 2035. dOf the total service expenses, the expenses related to preventive long-term care, the expenses related to the care management as well as the expenses paid by municipalities, were not included. Adapted from ‘Actual statistics such as long-term care benefits expenses in 2018–2019’ of Ministry of Health, Labor and Welfare (2019) [40].

Phys. Ther. Korea 2022;29:94~105 https://doi.org/10.12674/ptk.2022.29.2.94
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