Advance in Long-term Care Assessment Tools (review) / 中国康复理论与实践

ABSTRACT

In the developed countries, long-term care insurance system is adopted to deal with the problem of long-term care for the elderly. The developed countries use long-term care assessment tools to assess the objective needs of the elderly, and then adopt a hierarchical management system to achieve rational allocation of resources. The development of long-term care assessment tools in the developed countries is relatively mature. Long-term care assessment tools in the development countries not only assesse the activities of daily living of the elderly and cognitive ability, but also pay more attention to the assessment of medical care. Presently, China's mainland region is also doing long-term care insurance system pilot. The assessment tools of the pilot cities mainly assess activities of daily living, cognitive ability and social participation. As the first city to enter an aging population in China, Shanghai's assessment tool is more comprehensive, which not only includes activities of daily living, cognitive ability and social participation, but also includes medical care. In line with the national community-home care model, Shanghai has also increased home environmental assessment. Taiwan, combined with our cultural background on the basis of foreign assessment tools, pays more attention to the load of primary caregivers, so as to reduce the pressure of informal caregivers.