継続的なケアのための資金調達

アクセスの拡大と質の向上が求められる継続的なケア（LTC）に関するサービスは、経済的および社会的利益をもたらすことが見込まれる健全な公共投資の対象です。しかしながら、継続的なケアの資金調達には課題があります。高齢者が経済的困難に陥ることなく必要とするケアを受けられるようにするためには、各国がどのようにして継続的なケアのための資金調達制度を構築できるかをよりよく理解することが肝要です。

人口の高齢化に関連した継続的なケアに関するWHO資金調達概要を作成する。

継続的なケのためのWHO資金調達概要を作成するにあたり、エビデンスを収集するための研究が進められています。バックグラウンドペーパーとして以下のテーマごとに研究論文をとりまとめて発表する予定です：継続的なケアのための資金調達の観点からみるジェンダー公平性への影響； 継続的なケアのための財政と予算; 継続的なケアのための資金調達に対応するための重要政策と制度イニシアチブに関する迅速スコーピングレビュー； 継続的なケアのための資金調達における課題および低・中所得国への影響に関するレビュー。本研究には、 高齢者のケアに関するアンメットニーズの定量化を目的としたWKCの先行研究も活用されます。

Research brief series. Long-term care financing: lessons for low- and middle-income settings

Brief 1. What is driving the demand for long-term care?

World Health Organization. (‎2023)‎. Long-term care financing: lessons for low- and middle-income settings: brief 1: drivers of the demand for long-term care. World Health Organization. https://iris.who.int/handle/10665/375891. License: CC BY-NC-SA 3.0 IGO

Brief 2. What are the approaches in determining population coverage for long-term care?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 2: decisions about population coverage of long-term care. World Health Organization. https://iris.who.int/handle/10665/376245. License: CC BY-NC-SA 3.0 IGO

Brief 3. How do countries pay for long-term care?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 3: how countries finance long-term care. World Health Organization. https://iris.who.int/handle/10665/376276. License: CC BY-NC-SA 3.0 IGO

Brief 4. What long-term care services will be covered?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 4: determining the long-term care services covered in the benefits package. World Health Organization. https://iris.who.int/handle/10665/376277. License: CC BY-NC-SA 3.0 IGO

Brief 5. How have countries aligned financing and delivery of long-term care services?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 5: aligning financing and delivery in long-term care. World Health Organization. https://iris.who.int/handle/10665/376615. License: CC BY-NC-SA 3.0 IGO

Brief 6. How have countries ensured financial protection for the poor?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 6: ensuring financial protection in long-term care. World Health Organization. https://iris.who.int/handle/10665/376619. License: CC BY-NC-SA 3.0 IGO

Brief 7. How do countries promote quality and value in long-term care?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 7: promoting quality and value in long-term care. World Health Organization. https://iris.who.int/handle/10665/376911. License: CC BY-NC-SA 3.0 IGO

Brief 8. How have countries ensured financial sustainability for long-term care?

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 8: ensuring financial sustainability in long-term care. World Health Organization.  https://iris.who.int/handle/10665/376937. License: CC BY-NC-SA 3.0 IGO

Brief 9: How have countries supported the recruitment and retention of the LTC workforce?

World Health Organization. (2024). Long-term care financing: lessons for low- and middle-income settings: brief 9: Supporting workers in the formal long-term care system. World Health Organization. https://iris.who.int/handle/10665/378692. Licence: CC BY-NC-SA 3.0 IGO

Brief 10: Supporting informal long-term caregivers for older people

World Health Organization. (‎2024)‎. Long-term care financing: lessons for low- and middle-income settings: brief 10: supporting informal long-term caregivers. World Health Organization. https://iris.who.int/handle/10665/379077. License: CC BY-NC-SA 3.0 IGO

Brief 11: Technologies for promoting healthy ageing

World Health Organization. (‎2025)‎. Long-term care financing: lessons for low- and middle-income settings: brief 11: technologies for promoting healthy ageing. World Health Organization. https://iris.who.int/handle/10665/382156. License: CC BY-NC-SA 3.0 IGO

Background paper 1 and research brief: Issues in long-term care financing.

Costa-Font J, Raut N. A review of issues in long-term care financing. WHO Centre for Health Development Working Paper on Long-Term Care. November 2022. https://wkc.who.int/docs/librariesprovider24/articles-documents/costafontreport-ltc.pdf?sfvrsn=f40ff6f4_3&download=true 

Long-term care summaries - Global policies for financing long-term care. April 2025.

Background paper 2 and research brief: Lessons learned from the Kansai region of Japan

World Health Organization, Imanaka, Yuichi, Sasaki, Noriko & Goto, Etsu. (‎2023)‎. Financing long-term care for older people: intergenerational transfers and financial stability in Japan. World Health Organization.  License: CC BY-NC-SA 3.0 IGO

Long-term care summaries - Intergenerational fairness in long-term care financing in Japan. April 2025.

Background paper 3 and research brief: Gender equity implications for long-term care financing

Saito T, Jin X, Noguchi T, Komatsu A, Kanamori M. Inequities by sex and gender in access to, and affordability of, long-term care: modifiable factors. Geneva: World Health Organization; 2023. Licence: CC BY-NC-SA 3.0 IGO.

Long-term care summaries - Gender inequities in long-term care. April 2025.

Background paper 4 and research brief: How countries publicly finance long-term care

World Health Organization, Cheng, Terence C., Yip, Winnie & Feng, Zhanlian. (‎2023)‎. Public provision and financing of long-term care: case studies in middle- and high-income countries. World Health Organization. License: CC BY-NC-SA 3.0 IGO

Long-term care summaries - Public long-term care provision and financing. April 2025.

Background paper 5 and research brief: Rapid scoping review about initiatives to improve coverage, quality, financial protection and financial sustainability in long-term care

Macdonald M, Langman E, Caruso J. Initiatives to improve the coverage, quality, financial protection and financial sustainability of long-term care: a rapid scoping review. Geneva: World Health Organization; 2023. Licence: CC BY-NC-SA 3.0 IGO.

Long-term care summaries - Initiatives to improve long-term care financing and coverage. April 2025.

Cylus J et al. The Care Dividend: why and how countries should invest in long-term care. Cambridge University Press. 2025. 

Collection "The care dividend from investing in long-term care" that summarizes the main findings of The Care Dividend:

• Unlocking economic growth in an ageing world. Geneva: World Health Organization; 2025. https://doi.org/10.2471/B09377
• The vital link between long-term care and health care systems. Geneva: World Health Organization; 2025. https://doi.org/10.2471/B09379
• Fostering individual health and financial well-being through robust care systems. Geneva: World Health Organization; 2025 (The care dividend from investing in long-term care). https://doi.org/10.2471/B09381
• How governments can lead on care innovation. Geneva: World Health Organization; 2025 (The care dividend from investing in long-term care). https://doi.org/10.2471/B09393

Barber SL, Ong P, Han ZA. (2025). Long-term care in Ageing Populations. In: Haring R, Kickbusch K, Ganten D, Moeti M (eds) Handbook of Global Health, Springer, Cham. https://link.springer.com/referencework/10.1007/978-3-030-05325-3

Macdonald M, Weeks LE, Langman E, et al. (2024). Recent innovations in long-term care coverage and financing: a rapid scoping review. BMJ open, 14(2), e077309. https://doi.org/10.1136/bmjopen-2023-077309