| 5
3 |
The
Comparison of the facilities between Sweden and Japan |
I have explained some long term care facilities in Japan. It is
true that the welfare and medical system in both countries are so
different that it is rather hard to compare the facilities in both
countries. But through the comparison between the long term facilities in
both countries. I found that the Swedish nursing homes - sjukhem - are
similar to the Japanese Geriatric Hospitals and that the Swedish Old Age
Homes - ålderdomshem -are similar to Japanese nursing homes for
aged. Because the Swedish old age homes and the Japanese nursing homes
for the aged are both welfare facilities for those who can not stay at
home any longer and do not need so much medical care. But the Swedish
Nursing Homes "was" the medical facilities for those who needed
some kind continuous med i ca I care I ike the patients at the Japanese
geriatric hospitals. But
after the ÄDEL-reformen in 1992, the responsibility of the Swedish nursing homes moved to the municipality. So now the Swedish nursing homes are becoming more like the Japanese nursing homes for the aged. And at the Swedish faciIities the number of stuffs is much more and the care standard is much better than those of Japan. The care cost is more expensive in Sweden.
Table.16
|
Number of Full Time Stuffs and Size at the Facilities and the Hospitals |
| Facilities |
Physi - cian |
Nurse * |
Care Stuff |
m2
per
patient * * |
| Nursing Home |
l*** |
3 |
22 |
8.25 m2
( 4-
6beds ) |
| Facilities for Health Services for Elderly |
1 |
8 |
20 |
8 m2
(4 beds in a room) |
| Geriatric Hospital |
3 |
17 |
13 |
4.3 m2
( 4-2Obeds ) |
| Hospital |
6 |
25 |
- |
|
| SWEDEN |
|
|
|
|
| Old Age Home (Ålderdomshem
) |
0 |
0
**** |
52 |
17.6
m2 singleroom |
Nursing Home
( Sjukhem ) |
0
***** |
25
****** |
51
****** |
16.0
m2
(1-4 beds) ******* |
| * |
Including assistant nurse in Japan |
|
** |
(
)
Number of Beds in One Room |
|
*** |
Part Time Physician |
|
**** |
The nurses, who work for the county council regularly visit the old
age homes. |
|
***** |
The physician who work for the county council, regularly visit the
nursing homes |
|
****** |
The Statistic from the MATHILDENBORG SHUKHEM i MalmöCare Stuffs : 51 assistant nurses(undersköterska) |
|
******* |
27% single room, 30%
double room, 38% 4-beds room |
|
(Source:
|
Socialstyrelsen redvisar 1987:12 "Att bo pa
institution") |
|
(Source:
|
Guideline by Ministry of Health and Welfare in Japan IHE ARBETSRAPPORT 1992 5 in Sweden) |
In
Japan, Ministry of Health and Welfare decide the guideline of the number
of the stuffs per patients at the institutions and at the hospitals.
But
in Sweden there is no strict guideline as in Japan.
It
is clear that the size of the room is much bigger in Sweden. And the single room is more common in Japan.
The
definition of the institutions and the ADL of the patients are different
one another, so to compare the institutions in both countries are
difficult. But we can compare roughly, because generally speaking
the residents at the Japanese nursing homes and the facilities for health
service for elderly are similar to the residents at the old age homes in
Sweden and the residents at the Japanese geriatric hospital are similar to
the residents at the Swedish nursing homes.
The
comparison of the number of stuffs per one resident and the running cost per one resident per one day are as follows;
Table.17
|
The Comparison of the Number of Stuffs, the Running Costand the Expenses
by the Resident Self |
| |
Number of
Stuffs |
Running
Cost ( SEK ) * |
Average
Expenses of Resident
Self |
Japan
Nursing Home
Facilities for Health
Service for Elderly
Geriatric Hospital |
0.
26
0.29
0.33 |
560
580
780 |
56
111
44** |
Sweden
Old Age Home
Nursing Home |
0.52
0.76 |
l,000
l,200 |
167***
65**** |
|
(number of stuffs means the total number of
physicians, nurses ,assistant nurses and care stuffs)
|
| Running Cost |
(Source:
|
"Koreishakai no Shakaihosho no Kadai"
by Prof.Mitsuya Ichien |
| |
Kansai Gakuin University Economy Rapport 45-2 |
| |
publ i shed 25.08.199 l |
|
: : |
"Facts sheets on Sweden" in 1992) |
|
1
|
SEK = 15 Japanese YEN on April in 1993 |
*
|
The
household cost in Japan is about 50% more expensive than in Sweden. So the real cost gap is much bigger than this
compar i son . |
**
|
Official statistic By the Ministry of Health and Welfare is 44 SEK per day . But actualIy bedridden eIdeIyor seniIe dementia patients sometimes must employ private care stuffs because the number of care stuffs at the hospitals is too few. In such case, patients must pay 200-400 SEK per day. |
***
|
There is no statistic. But residents pay about 5,000-6,000 SEK per month. But there is a housing allowance system in Sweden .
|
|
****
|
This price will become much more expensive from 1993 |
|
