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Community-based care for healthy ageing: lessons from Japan

2019/06/03 by Junko Saito, Maho Haseda, Airi Amemiya +3
Psychology · Social Sciences · #Health and Well-being Studies #Health disparities and outcomes #Intergenerational Family Dynamics and Caregiving

paper · doi:10.2471/blt.18.223057

openalex publication_date 2019/06/03 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/31

Abstract

PROBLEM: The measures for long-term care prevention that the Japanese government had introduced in 2006 were unsuccessful because of the failures to identify high-risk individuals and to enrol enough participants in the community prevention programme. APPROACH: , that is gathering salons for people older than 65 years. These salons, managed by local volunteers, are held once or twice a month in communal spaces within walking distance of community members' homes and have a low participation fee. At the gatherings, older people can meet and interact with others through enjoyable, relaxing and sometimes educational programmes. LOCAL SETTING: Japan has the world's largest ageing population, with 27.7% (35.2 million/126.7 million) of people older than 65 years. RELEVANT CHANGES: Studies have shown that participation in the salons was associated with a halved incidence in long-term care needs and about one-third reduction in the risk of dementia onset. Evidence also suggests that financially vulnerable older adults were more likely to participate in such interventions. In 2017, 86.5% (1506/1741) of the Japanese municipalities had implemented the salons. LESSONS LEARNT: Integrated care for long-term care prevention should consider interventions targeting the whole community in addition to high-risk individuals.

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