Use of home care services effectively reduces feelings of burden among family caregivers of disabled elderly in Japan: preliminary results

Abstract

The findings suggest that care services provided under the LTC insurance have been successfully reducing burden among family caregivers in the study area.

Few urban–rural differences in older carers' access to community services

“…Our findings are consistent with previous research which found that service access is low for those caring for Health Service Utilisation spouses, even though they rated the quality of information on respite services as good. 4,[7][8][9]15 Australian research on this topic has generally been conducted with non-representative samples and has tended to focus on restricted populations, such as carers of people with dementia, while research from other countries is of limited use because of the substantial differences in health care systems. The low response rate and levels of missing data are causes for caution in interpretation of the findings of this study.…”

“…3 Appropriate services have the potential to reduce the stress and burden felt by carers. 4 A number of studies have identified high levels of unmet need for services among carers but it is not clear whether it is lack of services or reluctance to use them which causes the problem. 3 Reasons for low use of existing services are varied and may include the belief that caring is part of the role of spouse or family member, the care recipient not wishing to accept services, the service not being suitable for some reason, carers not being aware of service availability, or problems …”

Permasalahan Lanjut Usia di Daerah Perdesaan Terpencil

“…Salah satu sistem yang dapat dicontoh adalah LTCI yang diterapkan di Jepang. 11,18 Strategi ini terbukti efektif mereduksi beban perawatan (waktu, tenaga, biaya, emosional) keluarga di daerah perdesaan Jepang. Pemanfaatan tenaga perawat kesehatan masyarakat juga memberikan tambahan lapangan pekerjaan dan pendapatan ekonomi bagi sebagian tenaga kerja.…”

“…Pasien dan keluarga yang menjalani sistem LTCI menggunakan tenaga kerja profesional yang berintegrasi dengan keluarga untuk mengoptimalkan perawatan, meningkatkan kepuasan pasien dan keluarga, serta mampu mengatasi masalah sosial budaya di perdesaan Jepang. 18 Model tersebut perlu dipikirkan di Indonesia, dengan persiapan pengetahuan, pengalaman, sumber daya manusia, dan dukungan optimal pemerintah pusat dan daerah.…”

“…Sistem ini membutuhkan investasi dana dan sumber daya manusia yang besar, tetapi kelangsungannya dapat menunjang sistem kesehatan lansia secara lebih baik. 11,18 Sistem ini dapat mengurangi beban keluarga dalam perawatan lansia dan mengoptimalkan segenap sumber daya teknologi, sarana/prasarana primer, serta sumber daya manusia untuk meningkatkan aspek promosi kesehatan, pencegahan, dan pengobatan terhadap masalahmasalah kesehatan lansia. Apabila sistem ini berjalan baik, Indonesia dapat menjadi negara dengan lansia berkualitas tinggi.…”