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KMID : 0978920200210020071
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Korean Journal of Clinical Geriatrics
2020 Volume.21 No. 2 p.71 ~ p.76
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Japan’s End of Life Care Policy for the Elderly
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Kabumoto Chizuru
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Abstract
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In Japan, it is expected that the aging population will make it difficult to secure End-of-Life Care (EOLC) resource. Therefore, it is necessary to strengthen the system of EOLC by resources other than hospitals and clinics. In this paper, I consider how the EOLC policy for the elderly has been developed in such a situation, and what issues it has. First, I confirm the position of EOLC in recent economic and social policies. Next, I will consider the spread of decision-making support, the enhancement of home care medicine, the promotion of cooperation between medical services and long-term care services, and the construction of the system to supply EOLC in long-term care facilities. As a result of consideration, the issues clarified are as follows; 1) the formulation of a plan with priority targets to respond to needs, 2) the establishment of operations that lead to the substantial effects of Advance care planning (ACP), 3) the establishment of a stable supply system for home care medicine resources with EOLC functions, and 4) cooperation enhancement between medical professionals and care workers in long-term care facilities.
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KEYWORD
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Advance care planning, End of life care, Home care medicine, Japan
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