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Care Management Practices for Low-Income Elderly People in Urban Areas of Japan: An Exploratory Factor Analysis (105102)
Session: On Demand
Room: Virtual Poster Presentation
Presentation Type: Virtual Poster Presentation
In Japan, the living conditions of low-income elderly people who require support have become a pressing social issue, particularly given their high concentration in large cities. These households also face challenges such as "elderly-to-elderly" caregiving and the so-called "8050 problem," referring to middle-aged children in their 50s who continue living with and depending on their parents in their 80s. These cases are frequently encountered in care management practice and are expected to increase in the future. The purpose of this study is to elucidate key dimensions of current care management practices for the low-income elderly in urban areas of Japan. This study was conducted in February 2025 using self-administered questionnaires. The survey was mailed to 1,500 care management centers, requesting one care manager from each center to complete it. A total of 379 valid responses were received, yielding a response rate of 25.3%. Exploratory factor analysis was performed to analyze the data. Five factors were identified: (1) Assessment of QOL sustainability in the family unit; (2) Bio-psychosocial, environmental, and strength-based assessment of the client; (3) Service coordination, financial management, and monitoring; (4) Assessment of financial status and management capabilities; and (5) Implementation of economic support and rights advocacy. In conclusion, the results of the factor analysis highlight the necessity of comprehensive support for the client's life stability. Family, health, living environment, service coordination, and financial support are interconnected. The identification of two distinct economic factors emphasizes that economic stability is critically important in care management practice, requiring early intervention.
Authors:
Takako Ayabe, BAIKA Women's University, Japan
Yoshihito Takemoto, Okayama Prefectural University, Japan
Shinichi Okada, Osaka Metropolitan University, Japan
About the Presenter(s)
Dr Takako Ayabe is currently an Professor of BAIKA Women`s University.
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Virtual Poster Presentation
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