- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Chapter 121 Normal cognition and ageing: structure, function, and cognitive reserve
- Chapter 122 Epidemiology of Alzheimer’s disease: a relevant challenge for long-term follow-up of a population-based cohort
- Chapter 123 Cognitive impairment—risk factors and prevention
- Chapter 124 Neuropsychological evaluation of cognition
- Chapter 125 Mild cognitive impairment
- Chapter 126 The diagnosis of Alzheimer’s disease: assessment and criteria
- Chapter 127 Assessment and diagnosis of the non-Alzheimer dementias
- Chapter 128 Pharmacological interventions in mild cognitive impairment and dementia
- Chapter 129 Non-pharmacologic behavioural activity interventions to prevent dementia
- Chapter 130 Management of comorbidities in dementia patients
- Chapter 131 Evidence-based management of behavioural and psychological symptoms of dementia
- Chapter 132 Caregivers in dementia: role and empowerment
- Chapter 133 A new model of care for patients with dementia: the Japanese initiative for dementia care
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 1027) A new model of care for patients with dementia: the Japanese initiative for dementia care
- Chapter:
- (p. 1027) A new model of care for patients with dementia: the Japanese initiative for dementia care
- Author(s):
Yohko Maki
, Takashi Sakurai
, and Kenji Toba
- DOI:
- 10.1093/med/9780198701590.003.0133
Facing the unprecedented ageing society, Japan’s contribution to the world should be to lead worldwide discussion on dementia care. This chapter introduces the Japanese initiatives for dementia care. For realization of a society where people with dementia live well, the new concept of ‘prosocial relationship-based care’ for dementia has been introduced as the ethical background; community members are expected to reach out helping hands to each person with dementia to restore their participation in society. Based on this basic concept and the long-term care insurance system, various measures related to primary, secondary and tertiary preventive approaches for dementia have been promoted to achieve appropriate and seamless coordination of medical and long-term care. To establish prosocial relationships, it is critical to promote cooperation among various stakeholders, and develop community networks and social resources.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Chapter 121 Normal cognition and ageing: structure, function, and cognitive reserve
- Chapter 122 Epidemiology of Alzheimer’s disease: a relevant challenge for long-term follow-up of a population-based cohort
- Chapter 123 Cognitive impairment—risk factors and prevention
- Chapter 124 Neuropsychological evaluation of cognition
- Chapter 125 Mild cognitive impairment
- Chapter 126 The diagnosis of Alzheimer’s disease: assessment and criteria
- Chapter 127 Assessment and diagnosis of the non-Alzheimer dementias
- Chapter 128 Pharmacological interventions in mild cognitive impairment and dementia
- Chapter 129 Non-pharmacologic behavioural activity interventions to prevent dementia
- Chapter 130 Management of comorbidities in dementia patients
- Chapter 131 Evidence-based management of behavioural and psychological symptoms of dementia
- Chapter 132 Caregivers in dementia: role and empowerment
- Chapter 133 A new model of care for patients with dementia: the Japanese initiative for dementia care
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing