Aged-Care Support in Japan: Perspectives and Challenges

This study explores economic aspects of the market for long term care (LTC) with a special focus on Japan. First, we describe the LTC system in Japan as presently implemented, and we highlight some aspects of the program that are novel and potentially of interest to other countries seeking models for long-term care provision. Next, we discuss alternative projections of Japanese LTC utilization and costs. Finally, since Japan appears likely to experience important shortfalls in LTC in the future, we discuss whether such services might be more efficiently organized and financed under alternate forms of provision.

State Implementation of National Health Reform: Harnessing Federal Resources to Meet State Policy Goals

Discusses state options for maximizing coverage and access to care; reforming the health insurance market; holding insurers accountable for high-quality, affordable coverage; restructuring healthcare delivery and financing; and cutting budget deficits

Foreword: Health Care Reform in the United States—The Presidential Task Force

This essay serves as the foreword to Implementing U.S. Health Care Reform, a symposium held in 1993. The exact specifications of the new health care system depend on the package that President Clinton will send to Capitol Hill and the changes that Congress will make in the reform package. Some of the basic structures and organizing principles of the new system that are being considered by the President are already the subject of intense public scrutiny. The design being considered would involve new relations between the federal government and the states, between the public and private sectors, and between health care financing and delivery. The federal government would establish the parameters of the new system through national legislation, regulation, and guidelines, with implementation occurring principally at the state level. State flexibility would become a hallmark of the new system, with states having considerable leeway in implementation. Provided that states follow national parameters, they probably could establish very different kinds of health care systems, ranging from a single payer to managed competition within a budget. Given the strong preference among many health policy experts for a single-payer system, it is extremely important to emphasize the states\u27 authority to implement such a system. A large state, for example, might consider establishing a system of managed competition in urban areas, and a single-payer system in rural areas where effective competition is constrained by the small number of consumers and providers. The new system will provide the right to health care to all citizens and lawful residents of the United States, all of whom will receive health security cards, transferable to any area of the country. The card would also guarantee access to health care independent of employment or other eligibility criteria. Therefore, the new system will address the American public\u27s concern for long-term security in health care--coverage would be portable and move with the individual if he or she changed jobs or lived in another part of the country

Better health and ambient assisted living (AAL) from a global, regional and local economic perspective

Assisting technologies aim to provide more support in the meeting of one's daily needs and the preservation of one's autonomy and quality of life. Continual developments in medicine, medical equipment, nursing and medical care are assumed to lead to new types of care being created. A high degree of social and economic relevance has been attributed to assisting technologies, as well as information and communication systems, by scientists and politicians alike, particularly in connection with the development, promotion and organization of so-called senior-friendly environments and with ambient assisted living (AAL). Here the focus is especially upon the aged of the future, their specific demands and resources, which these technologies should be able to serve while adhering to their individual requirements. These new technologies can also be extremely relevant to people surrounding the elderly. They can make a considerable difference to the way in which people are able to live together for example by assisting the nursing care provided by close relatives and they may represent new opportunities to the providers of outpatient and inpatient nursing and medical care. -- Assistierende Technologien sollen der besseren Unterstützung bei der Deckung von Bedürfnissen des täglichen Lebens und zur Erhaltung von Selbständigkeit und Lebensqualität dienen. Es ist davon auszugehen, dass durch die kontinuierliche Entwicklung in der Medizin, der Medizintechnik sowie assistierender Technologien in der medizinischen und pflegerischen Versorgung neue Versorgungsmöglichkeiten geschaffen werden. Insbesondere im Zusammenhang mit der Entwicklung, der Förderung und der Ausgestaltung sogenannter altersgerechter Lebenswelten bzw. eines ambient assisted living (AAL) wird den unterstützenden Technologien und Informations- und Kommunikationstechniken von wissenschaftlicher und politischer Seite eine hohe gesellschaftliche und wirtschaftliche Relevanz zugewiesen. Im Fokus stehen dabei vor allem die zukünftigen Älteren und ihre spezifischen Bedarfe und Ressourcen, die diese Technologien ihren individuellen Bedürfnissen entsprechend nutzen können sollen. Derartige Techniken können aber auch für Personen aus dem sozialen Umfeld der Älteren von hoher Relevanz sein. So können diese die Gestaltung des Zusammenlebens erheblich ändern - beispielsweise durch die Unterstützung bei der pflegerischen Versorgung durch Angehörige - und beispielsweise den Anbietern im Bereich der gesundheitlichen und pflegerischen ambulanten und stationären Versorgung neue Möglichkeiten der Versorgung bieten.

International Profiles of Health Care Systems, 2012

This publication presents overviews of the health care systems of Australia, Canada, Denmark, England, France, Germany, Japan, Iceland, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. Each overview covers health insurance, public and private financing, health system organization, quality of care, health disparities, efficiency and integration, care coordination, use of health information technology, use of evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views

City of Ideas: Reinventing Boston's Innovation Economy: The Boston Indicators Report 2012

Analyzes indicators of the city's economic, social, and technological progress; potential for creating innovative solutions to global and national challenges; and complexities, disparities, and weaknesses in the indicators and innovation economy paradigm

Aiming Higher for Health System Performance: A Profile of Seven States That Perform Well on the Commonwealth Fund's 2009 State Scorecard

Identifies policies and practices linked to high performance in six top-ranked states and the most-improved state in 2007-09. Offers insights into improving coverage, prevention and treatment, avoidable hospital use and costs, equity, and healthy lives

Better Health and Ambient Assisted Living (AAL) from a global, regional and local economic perspective

Assisting technologies aim to provide more support in the meeting of one's daily needs and the preservation of one's autonomy and quality of life. Continual developments in medicine, medical equipment, nursing and medical care are assumed to lead to new types of care being created. A high degree of social and economic relevance has been attributed to assisting technologies, as well as information and communication systems, by scientists and politicians alike, particularly in connection with the development, promotion and organization of so-called senior-friendly environments and with ambient assisted living (AAL).economic development; ambient assisted living; health care system; assisting technologies; health care; new technologies; health economy

Labor Market Patterns Since 2007

[Excerpt] The period since 2007 has been a time of significant change for labor markets. The Great Recession of 2007-2009, the longest and deepest recession since the Great Depression, caused the unemployment rate to briefly reach 10%, and labor markets have subsequently experienced a long and gradual recovery. Most labor force metrics, including the unemployment rate and various other measures of labor force underutilization, have returned to levels that have historically been consistent with full employment