The (Japan-Born) "Flying-Geese" Theory of Economic Development Revisited--and Reformulated from a Structuralist Perspective

The Japan-born "flying-geese (FG)" theory of growth has recently gained recognition in academia and popularity in the media. Since Kaname Akamatsu introduced his ideas in a very broad fashion in the 1930s, opportunities abound for further elaboration and application to contemporary development issues. This paper reviews some of his key ideas and presents a reformulation from a new evolutionary structuralist perspective. The oft-used, yet vague, concept of "the ladder of economic development" is defined in terms of a "leading-sector" stages model, a la Schumpeter--and what comes next as a new rung is considered. The enabling mechanisms of structural upgrading are explored, and the dynamics and benefits of an FG formation of aligned countries are stressed. Also, a new stages (FG-theoretic) model of balance-of-payments is introduced to discuss the financial issues of "borrowed growth" and "global (G2) imbalances." The dynamics of structural upgrading and interactive growth via trade and investment within a hierarchy of countries is the essence of these reformulated FG models, which make up what is now increasingly shaped and recognized as "new structural economics.

Rehabilitation in the long-term care insurance domain: a scoping review

Abstract Purpose Since the enactment of the long-term care insurance (LTCI) act in 2000, the number of LTCI users has increased annually. However, evidence regarding what is being carried out as rehabilitation treatment under LTCI is lacking. In this study, a scoping review was performed to bridge this knowledge gap. Methods Articles related to rehabilitation in connection with LTCI published between April 2000 and November 2020 were searched for in PubMed, CINAHL, CENTRAL (Cochrane Central Register of Controlled Trials), Ichushi Web Ver.5, and CiNii and randomized controlled trials (RCTs) of rehabilitation provided under LTCI were examined. Results Of the 15,572 publications identified, 15 RCTs, including rehabilitation treatment by physiatrists and therapists, met the eligibility criteria of our review and were included. The rehabilitation trials in the 15 RCTs varied and included balance training, exercise therapy, cognitive tasks, and activities such as singing and dancing. The results allowed us to focus on three categories: fall prevention, dementia, and theory and tools interventions related to occupational therapy practice. Conclusion The focal points of attention in the rehabilitation treatment of LTCI were identified. However, the physical function, quality of life, and activities of daily living (ADL) of those who “need support” vary from person to person. Therefore, the consolidation of evidence on rehabilitation treatment of LTCI must be continued