Personal Social Services and Health Services for the Elderly

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Other Title
  • 高齢者の介護と医療
  • 戦後英国経済における成長・安定・平等(序説)-上-
  • センゴ エイコク ケイザイ ニ オケル セイチョウ アンテイ ビョウドウ ジョセツ ジョウ
  • A Comparison with Sc a n dinavian Countries
  • 北欧との比較

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Description

Welfare services for the elderly in Sweden and Denmark have a long history of incremental development. These countries have been moving from (1) an era of selectivism to (2) one of universalism, and, have passed through (3) an era of generalized health care and normalization. It is apparent that they are now moving towards (4) home care for the elderly, the decentralization of the welfare system into basic municipalities and the creation of service networks at various welfare area levels. Moreover, (5) they recognize the claim that to avoid increasing welfare costs and maintain their standards of welfare supply within the restraints imposed on expenditure, it is necessary to introduce“welfare mixing”, which optimally combines welfare supply depending on informal sectors such as private market household supply, volunteers and non-profit organizations in addition to the, public welfare supply.<BR>In Japan, on the other hand, we believe that the replenishment of the public welfare supply for services to the elderly etc. is the optimal path to the best welfare mix. This is the new model for a Japanese-style welfare society (Maruo,1984)Care services for the elderly seem to be sufficiently provided through (i) welfare mixes from the supply point of view, and (ii) the combination of public funds, social insurance and individual undertaking of cost from the cost burden point of view.<BR>Welfare mixing is necessary in Japan's case for future considerations; the ratio of the aging population to the total population in 2025 will be much larger than that of Sweden at this time. If dependence increases on public welfare supply, the national tax and social insurance system will be quickly overburdened. However, these are not the only reasons. It is imperative that the 21st century welfare society surpass the present national welfare models which utilize a combination of the government (public) sector and the private enterprise (market) sector as its foundation, and allow the informal and social (community) sectors to once aga in fulfill their considerable roles.

Journal

  • Iryo To Shakai

    Iryo To Shakai 6 (3), 1-12, 1996

    The Health Care Science Institute

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