Harmonization of the Standard of Longterm Care Certificate between Japan and Indonesia

Transcription

1 The Toyota Foundation International Grant Program for Fiscal 2013 Toward Solutions Through Mutual Learning: Issues That Emerging Southeast Asia And Japan Share Harmonization of the Standard of Longterm Care Certificate between Japan and Indonesia Takeo Ogawa, PH.D. President, Specified Non-profit Corporation Asian Aging Business Center And Comment by Professor Tri Budi W. Rahardjo

2 Sharing Demographic Transition Industrialization with Demographic Transition Rapid Increasing of Older Population. Decreasing of Working Age Population Demographic Bonus but Population Aging

3 Population Ageing in Japan and Indonesia % of UN, World Population Prospects: The 2010 Revision Japan Indonesia

4 Old-Age Dependency Ratio % of 65+/ Japan Indonesia

5 An Agenda of Long-term Care UN: Principle for Older Persons Independence, Self-realization, Participation, Care, and Dignity WHO: Active Ageing & Age-friendly City The Long term Care is an important agenda.

6 Japanese Policy toward Population Ageing % of 65+ Policy < 7% 1970 Pre-ageing 7-14% 1995 Ageing 14-21% 2005 Aged 21%< Present Super Aged Universal Medical Care(1958), Universal Pension(1959), Universal Social Services for Older Persons(1963), Universal LTC Facilities(1964) Infrastructure for Population Ageing(1971, 1990), Medical Care for Older Persons(1973, 1982), Retirement 60 (1979), Social Worker & Certified Care Worker (1987) Universal Long-term Care Insurance(2000) Economic Partnership Agreement with Indonesia, Philippines(2008)

7 What are Difficulties for Foreign Care Workers? (1) Japanese Writing and Reading. (2) Almost Candidates are trained in Nursing School or Polytechnic. (3) Lesser Earnings for Caring than Nursing. (4) No Estimation for Career Path to Nurse. (5) Blind Alley of Next Job.

8 Towards Harmonization of Care Certificate (1) Reconsidering of Informal Care (2) Reinforcement of Nursing skills (3) Reconstructing Long-term Care Insurance (4) Training for Career Path based on the Competencey (5) Establishing Higher Grades Qualification with Decent Earnings.

9 (6) Recurrent/Lifelong Learning on the Job Training. (7) Mastering of Knowledge and Skills of Gerontechnology. (8) Exchange of Train-the-Trainer Programs (9) Training of the Disaster Caring Team (DCAT) (10) Establishing a Training Center of KAIGO

10 Challenges Beyond EPA Mutual Understanding of LTC for the Elderly in Japan and Indonesia Sharing Knowledge and Skills and Human Capital of LTC Applying in Integrated Community Care Systems in Japan and Indonesia Establishing Asia-Pacific LTC Certificate Framework

11 First Step of Our Challenge Japan Support Center for Practicum of Caring Kaigo-yobo and Health Promotion Programs Training for Beginners and Certified Care Worker Yui, Kizuna, Sogo-Fujo Indonesia Puskesmas (Community Health Center Posyandu ( Community Health Promotion Portal) Training for Pramurukti and Perawat Lansia Gotong Royong

12 Aging in Place Integrated Community Care System Medical Care Long-term Care Aging-in-Place Life-Support & Preventive Care

13 Long Term Care Network in The Community in Yogyakarta Hospital Sub village Red Cross Health Center Comm. Leader Institut ional Care Older person Family Village- Subdistrict VOLUNTEER Community Volunteer Population and FP Field staff Small Shops

14 New Competency for the Integrated Community Care Sharing Moral and Risk of Caring Instructing Knowledge and Skills of Entrée Level or Beginners Level. Organizing Community Activities with a multiprofessional team. Multi-cultural Understanding Foreign Workers, Foreign Seniors, Japanese in Foreign Countries

15 Clients of Medical Care/LTC In patients/day 1,463,000 1,846,000 Out Patients/day 5,815,000 6,407,000 Long-term Care Recipients 3,678,000 (2008) 6,324,000 Kawagoe, Masahiro Shakai Hosho Kenkyu, Vol.45, No.3,

16 Nurses and Care Workers in Nurses in Hospitals 749,664 1,122,430 Nurses in Clinics 177, ,627 Visiting Nurses 67, ,240 Nurses in Assisted Livings 10,621 22,436 Nurses in Facilities of LTC Insurance 54,856 71,416 Care Workers in Hospitals 221, ,444 Care Workers in Clinics 51,186 67,178 Visiting Care Workers 378, ,225 Care workers in Assisted Livings 130, ,337 Care Workers in Facilities of LTC Insurance 260, ,514 Kawagoe, Masahiro Shakai Hosho Kenkyu, Vol.45, No.3,

17 Framework of Care Qualification Certified Care Worker Core Professional Care Manager Beginner Chief Care Manager

18 Training for Beginners 130 hours Training Understanding of Competency: 6 hours Dignity and Support for Independent: 9 hours Fundamentals of Caring: 6 hours Understanding Long-term Care and Partnership with Medical Care: 9 hours Communication Skills for Caring: 6 hours Understanding of Ageing: 6 hours Understanding of Dementia: 6 hours Understanding of Disabled: 3 hours Body and Mental Mechanics and Support Skills: 75 hours Wrap Up: 4 hours Evaluation: 1 hour