The Japanese Journal of Clinical Dialysis Vol.16 No.12(9)

Theme Degree of Dialysis Nursing Care for Old-old Population is Growing Rapidly
Title Case management with older dialysis patients
Publish Date 2000/10
Author Jo Fujita Division of Social Work, Shirasagi Hospital
[ Summary ] This article discusses the characters of and problems with the Long-Term Care Insurance Law which started in April, 2000. The characteristics discussed are cost of caregiving services, limitations of insurance payment, and user's choice of services. However, these characteristics raise new problems concerning insurance : first, the proceedure is not open todisclosure; secondly, it takes a long time until patients and their families can utilize caregiving services provided by insurance; thirdly, patients and their families do not fully possess the necessary information about insurance.
Therefore, social workers must monitor how insurance influences the life of patients and their families, and become their advacates, while effectively intervening to utilize caregiving services.
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