Rehabilitation in the long-term care insurance domain: a scoping review

Hiroshi Shinohara (), Yukio Mikami, Rumi Kuroda, Makoto Asaeda, Takashi Kawasaki, Ken Kouda, Yukihide Nishimura, Hiroyuki Ohkawa, Hiroyasu Uenishi, Toshio Shimokawa, Yasuo Mikami, Fumihiro Tajima and Toshikazu Kubo
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Hiroshi Shinohara: Aomori University of Health and Welfare
Yukio Mikami: Hiroshima University Hospital
Rumi Kuroda: Fukushima Medical University
Makoto Asaeda: Hiroshima University Hospital
Takashi Kawasaki: Kyoto Prefectural University of Medicine
Ken Kouda: Hiroshima University Hospital
Yukihide Nishimura: Iwate Medical University
Hiroyuki Ohkawa: Nishikyushu University
Hiroyasu Uenishi: Takarazuka University of Medical and Health Care
Toshio Shimokawa: Wakayama Medical University
Yasuo Mikami: Kyoto Prefectural University of Medicine
Fumihiro Tajima: Hiroshima University Hospital
Toshikazu Kubo: Kyoto Prefectural University of Medicine

Health Economics Review, 2022, vol. 12, issue 1, 1-10

Abstract: Abstract Purpose Since the enactment of the long-term care insurance (LTCI) act in 2000, the number of LTCI users has increased annually. However, evidence regarding what is being carried out as rehabilitation treatment under LTCI is lacking. In this study, a scoping review was performed to bridge this knowledge gap. Methods Articles related to rehabilitation in connection with LTCI published between April 2000 and November 2020 were searched for in PubMed, CINAHL, CENTRAL (Cochrane Central Register of Controlled Trials), Ichushi Web Ver.5, and CiNii and randomized controlled trials (RCTs) of rehabilitation provided under LTCI were examined. Results Of the 15,572 publications identified, 15 RCTs, including rehabilitation treatment by physiatrists and therapists, met the eligibility criteria of our review and were included. The rehabilitation trials in the 15 RCTs varied and included balance training, exercise therapy, cognitive tasks, and activities such as singing and dancing. The results allowed us to focus on three categories: fall prevention, dementia, and theory and tools interventions related to occupational therapy practice. Conclusion The focal points of attention in the rehabilitation treatment of LTCI were identified. However, the physical function, quality of life, and activities of daily living (ADL) of those who “need support” vary from person to person. Therefore, the consolidation of evidence on rehabilitation treatment of LTCI must be continued.

Keywords: Dementia; Fall prevention; Long-term-care insurance; Occupational therapy model; Rehabilitation (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1186/s13561-022-00407-6

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