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Trends and Factors in Japan's Long-Term Care Insurance System (eBook)

Japan's 10-year Experience
eBook Download: PDF
2013 | 2014
IX, 138 Seiten
Springer Netherlands (Verlag)
978-94-007-7875-7 (ISBN)

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Trends and Factors in Japan's Long-Term Care Insurance System -  Pedro Olivares-Tirado,  Nanako Tamiya
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Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system.

Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan.

The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the  LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan.


Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system.Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan.The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan.

Chapter 1: The Aging Population in Japan.- Chapter 2: Development of the Long-Term Care Insurance System in Japan.- Chapter 3: Long-Term Care Expenditures in Japan.- Chapter 4: Effect on the New Preventive Policy on Long-Term Care Expenditures in Japan.- Chapter 5: Measuring Efficiency in Special Nursing Home: an Application of Data Envelopment Analysis (DEA).- Chapter 6: Institutional long-Term Care Expenditures and Proximity to Death in Japan.- Chapter 7: Future Challenges Towards Establishment of a Sustainable Long-Term Care Insurance System in Japan.- References. ​

Erscheint lt. Verlag 19.11.2013
Reihe/Serie SpringerBriefs in Aging
SpringerBriefs in Aging
Zusatzinfo IX, 138 p. 15 illus.
Verlagsort Dordrecht
Sprache englisch
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Geriatrie
Naturwissenschaften Biologie
Sozialwissenschaften Politik / Verwaltung
Sozialwissenschaften Soziologie Empirische Sozialforschung
Sozialwissenschaften Soziologie Spezielle Soziologien
Wirtschaft Volkswirtschaftslehre Wirtschaftspolitik
Schlagworte Aging Population • Caring of elderly people • Health service research • Japan • Kaigo Hoken • Long-term care expenditures • New preventive policy • Proximity to death • Public long-term care insurance • Special nursing home • Welfare Policies for the elderly
ISBN-10 94-007-7875-9 / 9400778759
ISBN-13 978-94-007-7875-7 / 9789400778757
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