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Special nursing homes for the elderly are 65 years of age or older and require constant care due to significant physical or mental disabilities, and those who have difficulty receiving care at home receive a place of living and generous long-term care services. Facility to be.
 

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Nursing home for the elderly

JapaneseLong-term care insuranceService benefits (2015)[1]
Home type
3,88900 million yen
(49.5%)
Visiting place
3,05400 million yen
(38.9%)
Visiting care/bathing816 billion yen (10.4%)
Visiting nursing/ Rehabilitation211 billion yen (2.7%)
Day care/ Rehabilitation1,777 billion yen (22.7%)
Welfare equipment loan247 billion yen (3.2%)
Short-term admission (Short stay)375 billion yen (5.8%)
More informations458 billion yen (4.9%)
Community-based
94800 million yen
(12.1%)
Small-scale multi-functional home care182 billion yen (2.3%)
Dementia Group Home509 billion yen (6.5%)
134 billion yen (1.7%)
More informations123 billion yen (1.6%)
Facility type
2,59300 million yen
(34.9%)
Nursing care facility(Special diet)1,363 billion yen (17.4%)
Nursing care health facility(Old health)1,017 billion yen (12.9%)
Nursing care facility227 billion yen (2.9%)
Home care support(Care manager)408 billion yen (5.2%)
the amount7,85400 million yen

Nursing home for the elderlyWhat is (Kaigorojin Fukushisetsu)?Long-term care insurance methodOn the basis ofLong-term care insuranceIt is a facility that handles long-term care services to which is applied.These facilitiesElderly Welfare ActBy municipalities based on Article 11Admission measuresIt is a target facility of, and in that contextSpecial nursing home for the elderlyIt is called (commonly known as special education).

Basically, one of 3 to 5 requiring nursing careCertified for long-term careThose who have received it are eligible.97.2% of residents of these facilitiesdementiaHave, and an additional 61.7%BedriddenState[2]..The average length of stay was 1405.1 days (2013)[2].

Due to chronic shortage of supply, 1 people were on standby in 2 when they applied for occupancy even if they needed long-term care 2014-52.4, of which 3 people needed long-term care 5-34.5.[3].. From 2015 (Heisei 27), the number of people who can apply for special nursing care is limited to 3-5 requiring nursing care, but as of April 2016, 28 (Heisei 4), the number of people on standby is 1. It remains high with everyone[4].

Grounds for installation

According to the Ministry of Health, Labor and Welfare, the nursing home for the elderly has the following functions.

Elderly Welfare Act
Article XNUMX Municipalities shall take the following measures as necessary.
A person over the age of XNUMXNeeds constant care due to significant physical or mental disabilityIn addition, if it is found that it is extremely difficult for a person who is difficult to receive this at home to be stipulated in the Long-term Care Insurance Law or to enter a nursing home for the elderly due to unavoidable reasons, the person is referred to the relevant municipality. To be admitted to a special nursing home for the elderly to be set up, or to entrust admission to a special nursing home for the elderly set up by a person other than the relevant municipality.
Article XNUMX-XNUMX
The special elderly nursing home is a person who is involved in the measures set forth in Article XNUMX, Paragraph XNUMX, Item XNUMX or a community-based long-term care service fee related to living care for residents under the provisions of the Long-term Care Insurance Law or a facility care service related to long-term care welfare facility services. It is a facility for the purpose of admitting and caring for persons involved in the payment of expenses and other persons specified by government ordinance.
Long-term care insurance method
Article XNUMX The term "elderly care welfare facility" as used in this Act means a special nursing home for the elderly (limited to those with a capacity of XNUMX or more) as stipulated in Article XNUMX-XNUMX of the Act on Social Welfare for the Elderly. (Same as above), but for those requiring nursing care who enter the special elderly nursing home, based on the facility service planA facility that aims to provide nursing care such as bathing, excretion, meals, and other daily life care, functional training, health management, and medical care."Nursing welfare facility service" means nursing care such as bathing, excretion, meals, etc., and other daily life care and functions provided based on the facility service plan for persons requiring long-term care who enter the nursing home for the elderly. Refers to training, health care and medical care.

Service type / usage pattern

  • Admission.
  • A short stay that stays for 30 days or less.
  • Day service to receive service by going with transportation in the daytime.

Market size

  • As of April 2012, 4 facilities have been approved[5].
  • The monthly cost for December 2012 was 12 million yen, and the ratio to the total cost of long-term care was 128,871%.[6].
  • As of October 2012, the number of people that can be admitted is 10.[7].

Deadline for admission

There is no deadline for admission under the admission contract, but if the illness or disability progresses or worsens and the physical and mental condition exceeds the range that can be taken care of at the long-term care welfare facility, which is a living facility, the person will be discharged.hospitalWill be transferred to.In the acute phasesick,ObstacleIf you are admitted to an acute care hospital, you can maintain your admission right for 3 months, but if you are discharged within 3 months and cannot return to the facility, your admission right will be lost and you will be canceled and discharged.

During the hospitalization period with the right to enter, no nursing care fees and food expenses will be incurred (not charged), but living expenses (living room usage fees) will be incurred (charged). If you are discharged within 3 months and cannot return to the facility, your illness or disability will recover to an acceptable state at the nursing home for the elderly, and if you apply for re-admission, you will have to wait for another admission. There are also businesses that give priority to admission over other people.

Target users

One of 3 to 5 requiring nursing careCertified for long-term careApplicable to those who have received (Before the revision of the Long-Term Care Insurance Law on August 2015, 8, those who have been certified as requiring long-term care 1 to 1).However, even if you need nursing care 1 or 2, special admission is permitted if dementia is severe or if there is unavoidable abuse by your family.[Source required][8][9]

Those who meet the following special admission requirements for nursing care 1 and 2

A. Due to dementia, symptoms / behaviors and communication difficulties that interfere with daily life are frequently seen, making it difficult to live at home.
B. Symptoms / behaviors and difficulty in communication that interfere with daily life are frequently seen with intellectual disabilities and mental disorders, making it difficult to live at home.
C. It is difficult to ensure physical and mental safety and security due to suspected serious abuse by family members.

D. Living at home is not possible due to the fact that the family is a single household, the family living together is elderly or sick, etc., and the support from the family cannot be expected, and the supply of long-term care services and living support in the area is not sufficiently recognized. It is a difficult situation.
— Example of Higashi-Osaka City (requirements for special admission), Notice of change in admission criteria for separate nursing homes for the elderly

room

  • Multi-bed room-Multiple beds are installed in one room and used by multiple residents.
  • Conventional private room-One bed is installed in one room and one resident uses one room.Previously it was expressed as a "private room", but with the advent of the unit type, it is expressed as a "conventional private room".
  • Unit type semi-private room-One bed is installed in one room and one resident uses one room.The lobby, dining room, kitchenette, baths (plural), and toilets (plural), which are shared spaces, are shared by 1 living rooms, and people live together.Long-term care staff will be dedicated to each unit.The difference from the unit type private room is that when the conventional / non-unit type long-term care facility is remodeled into a unit type, the multi-bed room is divided and remodeled into a private room.
  • Unit-type private room-One bed is installed in one room and one resident uses one room.The lobby, dining room, kitchenette, baths (plural), and toilets (plural), which are shared spaces, are shared by 1 living rooms, and people live together.Long-term care staff will be dedicated to each unit.

Professionals required for business

"Standards for personnel, equipment and operation of designated nursing care facilities for the elderly" (Welfare workMinisterial Ordinance) The job titles that appear to be the required personnel specified in Article 2 are as follows.[10].

Equipment necessary for business

Living room (multi-bed room capacity is 4 people or less in principle),Cafeteria, Kitchen,bathroom,Washroom,Toilet, Medical office, lobby, hall, office

The medical officeMedical lawIt is a clinic prescribed in Article 1-5, Paragraph 2, and must be equipped with medicines and medical equipment necessary for medical treatment of residents, as well as clinical laboratory equipment as necessary.[12].

Admission procedure

In many cases, the applicant or the agent (usually a spouse or a child) is the applicant.There are some differences depending on the municipality (= insurer), such as when submitting an admission application form to each business operator or when applying for multiple business establishments with one application form.In either case, the insurer is the person requiring long-term care who wishes to enter, the degree of long-term care required, the physical and mental condition, the current place and length of stay, the medical and long-term care status received, and the family caregiver if at home. In many cases, the factors that determine the priority of admission, such as the situation of the above, are quantified, and the priority of admission of the waiting person is set based on the total numerical value.

The number of people waiting to enter is estimated to be 2009 in 42,[13]Since there are facilities where the number of people waiting for admission reaches tens to hundreds at one facility, applicants for admission are in a situation where they make duplicate applications to multiple facilities and wait.

Even if the need for admission to the long-term care welfare facility for the elderly who has applied for admission has disappeared due to the death of the applicant / waiting person, admission to another facility, or hospitalization, the admission applicant is applying for admission. It is estimated that there are many cases in which the need for admission to the long-term care welfare facility has disappeared and there is no obligation to notify the cancellation of the application, and there are many cases in which the application has been submitted only nominally and in documents without being contacted. Therefore, it is estimated that the number of real waiters is less than the nominal number.[13].

User's burden

The cost paid by the user is 10% of the long-term care fee according to the degree of long-term care required and the type of living room + food expenses + living expenses according to the type of living room.[14][15][16].

For low-income earners, there are three levels of exemption for food and living expenses depending on the income level, and the exemption is borne by the municipality, which is the basic municipality.[14][15][16].

The total of household medical expenses + long-term care expensesHigh medical expensesOn the other hand, four levels of self-pay limit are set according to the total income level of the household, payment of high medical expenses exceeding the limit is exempted, and the exemption is borne by public medical insurance.[17][18][19].

When receiving long-term care covered by public long-term care insurance, the self-pay portion of the long-term care fee set by the long-term care insurance + the self-pay portion of the medical care fee set by the medical insurance, food expenses, living expenses or room charges when admitted or hospitalized Payments such as occur.For low-income earners, depending on the income level, food expenses and living expenses will be exempted from three stages, and the government will bear the exemption.[14][15][16]If you want to receive medical care covered by public medical insurance, you can use the 4-step self-pay limit system according to the household's total income level for the high-cost medical care that is the sum of the household's medical expenses and long-term care expenses. Medical insurance will cover the excess of the self-pay limit.[17][18][19]If you use all available social security systems, you may not be able to receive the necessary care or medical care due to the income of the person or household due to the income level of the person or family, or it is necessary for the care or medical care of the person. There is no situation in which a spouse or child is forced to bear the cost.[14][15][16][17][18][19].

Out-of-pocket expenses for long-term care insurance

24 revision of long-term care welfare facilities for the elderly according to the degree of long-term care required + self-pay portion of long-term care fees by room type
Degree of care requiredAmount for one day (yen)[14]Amount for one day (yen)[14]
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Needs nursing care 163062357765965918,90018,69017,31019,77019,770
Needs nursing care 269969164772972920,97020,73019,41021,87021,870
Needs nursing care 377076271980280223,10022,86021,57024,06024,060
Needs nursing care 483983178987287225,17024,93023,67026,16026,160
Needs nursing care 590789885894194127,21026,94025,74028,23028,230

Self-pay reduction and exemption criteria based on income level

24 revised criteria for exemption and exemption according to income level of nursing care facilities for the elderly
Income levelExemption from self-pay and burden of difference[15][16]Taxable income for the person and the entire household[15][16]
Stage 1Food expenses and living expenses are exempted and the difference is borne by the governmentThe person is a welfare recipient.
Stage 2Food expenses and living expenses are exempted and the difference is borne by the governmentThe taxable annual income of the person is less than 80 yen and all households are exempt from residence tax (taxable annual income is less than 211 million yen).
Stage 3Food expenses and living expenses are exempted and the difference is borne by the governmentThe taxable annual income of the person is 80 yen or more and less than 211 million yen, and all households are exempt from residence tax (taxable annual income is less than 211 million yen).
Stage 4There is no reduction or exemption of food expenses and living expenses, and the user bears the full amountThe person is a person subject to residence tax (annual taxable income is 211 million yen or more).

Out-of-pocket limits for food and living expenses based on income level

Food and living expenses by income level of nursing care welfare facilities for the elderly revised in 24
Income levelAmount for one day (yen)[15][16]Amount for one day (yen)[15][16]
Food expensesHousing expensesFood expensesHousing expenses
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Stage 130003204908209,00009,60014,70024,600
Stage 239032042049082011,7009,60012,60014,70024,600
Stage 36503208201,3101,31019,5009,60024,60039,30039,300
Stage 41,38032011501,6401,97041,4009,60034,50049,20059,100
  • Since income stage 4 is not subject to exemption from food and living expenses, food and living expenses are arbitrarily set by the nursing care facility for the elderly.
  • The above income stage 4 food and living expenses are standard model prices published by the Ministry of Health, Labor and Welfare.
  • 大部分の事業者は食費は1日1,200〜1,800円、30日36,000〜54,000円、居住費は最も高いユニット型個室では1日1,800〜3,500円、30日54,000〜100,500円に設定している[20].

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[14][15][16]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Needs nursing care 118,90018,69017,31019,77019,7709,00009,60014,70024,60027,90027,69035,91043,47053,370
Needs nursing care 220,97020,73019,41021,87021,8709,00009,60014,70024,60029,97029,73038,01045,57052,740
Needs nursing care 323,10022,86021,57024,06024,0609,00009,60014,70024,60032,10031,86040,17047,76057,660
Needs nursing care 425,17024,93023,67026,16026,1609,00009,60014,70024,60034,17033,93042,27049,86059,760
Needs nursing care 527,21026,94025,74028,23028,2309,00009,60014,70024,60036,21035,94044,34051,93061,830
  • The maximum amount of self-pay for one day of food expenses is 1 yen per day.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 0 yen for a conventional private room, 320 yen for a unit type semi-private room, and 490 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[14][15][16]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Needs nursing care 118,90018,69017,31019,77019,77011,7009,60012,60014,70024,60040,20039,99041,61046,17056.070
Needs nursing care 220,97020,73019,41021,87021,87011,7009,60012,60014,70024,60042,27042,03042,71048,27058,170
Needs nursing care 323,10022,86021,57024,06024,06011,7009,60012,60014,70024,60044,40044,16045,87050,46060,360
Needs nursing care 425,17024,93023,67026,16026,16011,7009,60012,60014,70024,60046,47046,23047,97052,56062,460
Needs nursing care 527,21026,94025,74028,23028,23011,7009,60012,60014,70024,60048,51048,24050,04054,63064,530
  • The maximum amount of self-pay for one day of food expenses is 1 yen per day.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 320 yen for a conventional private room, 390 yen for a unit type semi-private room, and 490 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[14][15][16]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Needs nursing care 118,90018,69017,31019,77019,77019,5009,60024,60039,30039,30048,00047,79061,41078,57078,570
Needs nursing care 220,97020,73019,41021,87021,87019,5009,60024,60039,30039,30050,01049,83063,51080,67080,670
Needs nursing care 323,10022,86021,57024,06024,06019,5009,60024,60039,30039,30052,20051,96065,67082,86082,860
Needs nursing care 425,17024,93023,67026,16026,16019,5009,60024,60039,30039,30054,27054,03067,77084,96084,960
Needs nursing care 527,21026,94025,74028,23028,23019,5009,60024,60039,30039,30056,13056,03069,84087,03087,030
  • The maximum amount of self-pay for one day of food expenses is 1 yen per day.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 320 yen for a conventional private room, 820 yen for a unit type semi-private room, and 1,310 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[14][15][16]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed room
2012/
4/1
Previous installation
Multi-bed room
2012/
4/1
Subsequent installation
Conventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Needs nursing care 118,90018,69017,31019,77019,77041,4009,60034,50049,20059,10069,90069,69093,210110,370120,270
Needs nursing care 220,97020,73019,41021,87021,87041,4009,60034,50049,20059,10071,97071,73095,310112,470122,370
Needs nursing care 323,10022,86021,57024,06024,06041,4009,60034,50049,20059,10074,10073,86097,470114,660124,560
Needs nursing care 425,17024,93023,67026,16026,16041,4009,60034,50049,20059,10076,10075,93099,570116,760126,660
Needs nursing care 527,21026,94025,74028,23028,23041,4009,60034,50049,20059,10078,21077,940101,640118,830128,730
  • Since income stage 4 is not subject to exemption from food and living expenses, food and living expenses are arbitrarily set by the nursing care facility for the elderly.
  • The above income stage 4 food and living expenses are standard model prices published by the Ministry of Health, Labor and Welfare.
  • 大部分の事業者は食費は1日1,200〜1,800円、30日36,000〜54,000円、居住費は最も高いユニット型個室では1日1,800〜3,500円、30日54,000〜100,500円に設定している[20].

Classification of income levels that set out-of-pocket limits for high-cost medical expenses

Classification of income level that sets the self-pay limit of high-cost medical expenses revised in 22
Income levelIf you are under 70 years old, you will be exempted from paying your own expenses and the difference[17][18][19]
High-income earnersIn the case of employee insurance, the standard monthly salary is 53 yen or more.
In the case of National Health Insurance, the annual taxable income of the household exceeds 600 million yen.
General income earnersOther than high-income earners and low-income earners.
Low incomeIn the case of employee insurance, the insured is a municipal inhabitant tax exempt, and in the case of national health insurance, the head of the household and all the insured of the household are municipal tax exempt (taxable income is less than 211 million yen).
Income levelIf you are 70 years old or older, you will be exempted from paying your own expenses and the difference will be borne.[17][18][19]
Active income earnersIn the case of late-stage elderly health and national health insurance, taxable income is 145 million yen or more.
In the case of employee insurance, the standard monthly salary is 28 yen or more.
For households with multiple elderly people aged 70 and over, the total income is less than 520 million yen (less than 70 million yen if there is one elderly person aged 383 and over).
General income earnersOther than active-income earners and low-income earners.
Low-income earners 2In the case of late-stage elderly insurance, all household members are exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of National Health Insurance, the head of the household and all insured persons in the household are exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of employee insurance, the insured person is a municipal inhabitant tax exempt (taxable income is less than 211 million yen).
Low-income earners 1In the case of health care for the elderly, the income of all household members is less than the municipal inhabitant tax exemption (taxable income is less than 211 million yen).
In the case of National Health Insurance, the income of the head of the household and all the insured persons of the household is less than the municipal inhabitant tax exemption (taxable income is less than 211 million yen).
In the case of employee insurance, the income of the insured and dependents is exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of pension income only, the amount of pension received is 80 yen or less.

Annual out-of-pocket limit for high-cost medical care based on income level

Annual self-pay limit for high-cost medical expenses based on the income level revised in 22
Income levelOver 75 years old70-74 yearsLess than 70 age
Long-term care insurance +
Late Elderly Insurance
[17][18][19]
Long-term care insurance +
Employee insurance
or
National Health Insurance
[17][18][19]
Long-term care insurance +
Employee insurance
or
National Health Insurance
[17][18][19]
High-income earners under 70
70 years old and over are active income earners
10,000,000 yen10,000,000 yen10,000,000 yen
General income earners10,000,000 yen10,000,000 yen10,000,000 yen
Low-income earners 2
Municipal inhabitant tax household tax exemption, etc.
10,000,000 yen10,000,000 yen10,000,000 yen
Low-income earners 1
Municipal tax household tax exemption
In case of pension income only, pension income is 80 yen or less
10,000,000 yen10,000,000 yen

footnote

[How to use footnotes]
  1. ^ White Paper on Health, Labor and Welfare 28 Edition (Report). Ministry of Health, Labor and Welfare. (2013). Document p235. https://www.mhlw.go.jp/toukei_hakusho/hakusho/. 
  2. ^ a b Overview of the 25 survey of long-term care service facilities and business establishments (Report). Ministry of Health, Labor and Welfare. (2013-10-01). https://www.mhlw.go.jp/toukei/saikin/hw/kaigo/service13/index.html. 
  3. ^ Status of applicants for admission to special nursing homes for the elderly (Report). Ministry of Health, Labor and Welfare. (2014-03-25). https://www.mhlw.go.jp/file/04-Houdouhappyou-12304250-Roukenkyoku-Koureishashienka/0000041929.pdf. 
  4. ^ Status of applicants for admission to special nursing homes for the elderly (Report). Ministry of Health, Labor and Welfare. (2017-03-27). https://www.mhlw.go.jp/stf/houdou/0000157884.html. 
  5. ^ White Paper on Health, Labor and Welfare > 25 Edition > Materials > Health and Welfare for the Elderly > Page 234 > Detailed Data 7 Number of Nursing Care Service Billing Offices
  6. ^ White Paper on Health, Labor and Welfare > 25 Edition > Materials > Health and Welfare for the Elderly > Page 233 > Detailed Data 5 Cost of each service
  7. ^ Ministry of Health, Labor and Welfare > Social Security Council > Long-term Care Insurance Subcommittee > September 25, 9 (18th) > Document 48 > Page 2 > Capacity of housing and facilities for the elderly
  8. ^ "About prioritization of special elderly nursing homes, etc. (PDF)”. Ministry of Health, Labor and Welfare. 2019/4/25Browse.
  9. ^ "Notice of change in admission criteria for special nursing homes for the elderly (designated nursing home for the elderly) (PDF)”. Higashi Osaka City. 2019/4/25Browse.
  10. ^ Standards for personnel, equipment and operation of designated long-term care welfare facilities for the elderly Article XNUMX - e-Gov Law Search
  11. ^ Regarding the numbers in parentheses, "Regarding the standards for personnel, equipment, and operation of designated nursing care facilities for the elderly.(March 12, 3, Elderly Care Company No. 17, Notification of Planning Section Manager, Health and Welfare Bureau for the Elderly, Ministry of Health and Welfare to the director of each prefecture's long-term care insurance department (bureau)) 43nd 2.Nurses and associate nurses are "nursing staff" in the notification.Article 3 of the Ministerial Ordinance states these as "(hereinafter referred to as" nursing staff ")".
  12. ^ Standards for personnel, equipment and operation of designated long-term care welfare facilities for the elderly Article XNUMX - e-Gov Law Search
  13. ^ a b Ministry of Health, Labor and Welfare > Social Security Council > Long-term Care Benefit Expenses Subcommittee > May 24, 5 > Document 17 > Pages 7-15
  14. ^ a b c d e f g h i j Ministry of Health, Labor and Welfare > Nursing care fee > 24 revision > Page 16 > Calculation structure of the number of nursing care benefit cost units such as designated facility services > 1 Nursing care welfare facility service
  15. ^ a b c d e f g h i j k l Ministry of Health, Labor and Welfare > Policy Council > Current status and future role of public long-term care insurance system 25 Ministry of Health, Labor and Welfare Health and Welfare Bureau > Page 26 > Mechanism of reducing the burden of food and housing expenses for low-income earners (supplementary benefits)
  16. ^ a b c d e f g h i j k l Ministry of Health, Labor and Welfare > Social Security Council > Long-term Care Benefit Expenses Subcommittee > November 23, 11 > Page 10 > User Burden by Income Stage
  17. ^ a b c d e f g h Ministry of Health, Labor and Welfare> About high-cost medical care and high-cost long-term care combined medical expenses system
  18. ^ a b c d e f g h Ministry of Health, Labor and Welfare > Social Security Council > Medical Insurance Subcommittee > September 25, 9 > Document 9 > Page 3
  19. ^ a b c d e f g h Ministry of Health, Labor and Welfare > iryouhokenn > Overview of Japan's medical system > Pages 8 and 10
  20. ^ a b Ministry of Health, Labor and Welfare > Nursing care service information disclosure system > Prefecture selection > Municipal selection > Business establishment search (search by service) > Nursing care elderly welfare facility > Business name selection > Details > Business establishment details > Usage fee, etc.

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