Outcomes of Long-Term Care Insurance Services in Japan: Evidence from National Long-Term Care Insurance Claim Data

July 2018–October 2019

The goal of this study is to clarify the structural and procedural factors associated with the sustainment or improvement of residents’ care-need levels in long-term care facilities. Residents in long-term care facilities, day-service users, and day-care users will be included in this research. Statistical analyses will be carried out by combining national long-term care insurance claim data, vital statistics data, and a survey of institutions and establishments for long-term care.

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Kiyoko Shiromasa
Preparation for an Aging Society in Thailand

October 2018–November 2019

To address Thailand’s rapid aging, the Center of Excellence for Ageing Business and Care Development at Thammasat University will undertake a broad research program to examine the history of Thai policies on population aging, develop policy recommendations on the elderly in the informal sector, analyze consumption behavior among the elderly to improve their financial choices, and examine trends in the aging-related market and innovations that will allow older citizens to enjoy healthy aging and contribute to the economy longer.

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Kiyoko Shiromasa
The Skill Circulation of Oral Care and Swallowing Function Rehabilitation: Developing a Career Path for Returned Healthcare Migrants from Japan to Asian Countries

April 2018–August 2021

The circulation of the long-term care workforce is recognized as one of the most important topics under the framework of the Asia Health and Wellbeing Initiative (AHWIN). This project seeks to develop a training program for oral care and swallowing function rehabilitation that can be used by trainees heading to Japan as predeparture training and that can also contribute to educating health care workers in the sending countries. 

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ResearchDavid Monico
Longitudinal Survey of Aging and Health in ASEAN Countries

April 2018–March 2022

Mankind has achieved a remarkable level of longevity, and as a result, the number of senior citizens in societies around the globe will grow in the near future. But can we call it “success” if longevity leads to restraints on the vibrancy or vitality of humanity? This longitudinal study traces 12,000 seniors in the Philippines and Vietnam who are aged 60 years or older for a number of years to analyze the factors that contribute to a longer healthy life.

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David Monico
Development of New Japanese Proficiency Test Focusing on Japanese Communication in Carework

April 2018–March 2019

Japan’s Technical Intern Training Program has recently been amended to include trainees in the field of elderly care. The aim of this shift is both to ease Japan’s care worker shortage, but also to transfer care skills and knowledge from Japan to the trainees’ home countries, which are mainly Asian countries. But to meet those goals, trainees must have sufficient Japanese language skills. This study will seek to develop criteria for Japanese language proficiency testing that is specifically designed for care workers. 

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David Monico
Demand and Supply of Long-Term Care for Older Persons in Asia

April 2018–March 2021

The government of Japan intends to accept more caregivers from Southeast Asia as technical intern trainees in the hope that the long-term care skills and knowledge they attain in Japan can be utilized upon their return to their home countries, where rapid aging is expected to take place in the near future. This framework assumes that Japan lacks the necessary care workforce while the economies of Southeast Asia have workforce redundancies, but there is currently little data to back that assumption. This research that will produce estimates of the supply and demand for long-term care personnel in each economy, which will facilitate policymaking on the international circulation of the care workforce and improvements to the elderly care system.

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David Monico
Human Resources for Health and Elderly Care in Asia

April 2018–March 2020

As Asian societies experience increased aging, the flow of nurses and care workers between countries will become increasingly necessary to meet the demand in advanced aging countries. This research project examines the case of Filipino, Indonesian, and Indian nurses and care workers who are working overseas to better understand the flow of human resources in the nursing and elderly care sector. 

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Kiyoko Shiromasa
Feasibility of the Introduction of Japanese-Style Rehabilitation Centers to Cambodia, Lao PDR, and Vietnam

August 2017–July 2019

Brain injury impairs physical functions and activities of daily living (ADL), and thus it often results in the need for long-term care. Societies facing rapid aging are expected to see a greater number of patients with brain injury (e.g., stroke) as compared to societies with younger populations given the accumulation of risk factors as individuals age. This study examines whether Japanese-style rehabilitation can contribute to the prevention of impairment of physical function and activities of daily living (ADL) for patients with brain injuries in Cambodia, Lao PDR, and Vietnam.

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David Monico
Establishment of Rehabilitation-Providing System Focusing on the Improvement of Activities of Daily Living and Masticatory-Swallowing Function

November 2017–May 2018

Rehabilitation focused on improvement of activities of daily living (ADLs) and masticatory-swallowing function is critical to reducing the need for long-term care. This study examines the current status of such rehabilitation in ASEAN member-states, with the objective of providing policy recommendations to ASEAN member-states that can be used in preparation for the coming aging of their societies.

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David Monico