IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v71y2010i2p400-404.html
   My bibliography  Save this article

Disparities in systems development for elder abuse prevention among municipalities in Japan: Implications for strategies to help municipalities develop community systems

Author

Listed:
  • Nakanishi, Miharu
  • Nakashima, Taeko
  • Honda, Tatsuo

Abstract

In April 2006, a national elder abuse prevention and caregiver support law was enacted in Japan, where elder abuse prevention is carried out by municipalities, and caregiver support and intervention are provided by a public long-term care insurance program. The aims of this study were (1) to examine factors at baseline affecting disparities in the progress of systems development for elder abuse prevention among municipalities, and (2) to determine what kind of support municipalities request from prefectural or national governments to help municipalities develop systems for elder abuse prevention. Written questionnaires were administered to the most knowledgeable person in the department responsible for reporting elder abuse in each municipal government between December 2006 and October 2008. The final sample for analysis consisted of 489 (26.6% of 1840) municipalities that provided complete information. Municipalities that achieved a high level of implementation originally had a higher rate of reports of abuse per 1000 elderly persons and greater involvement by police and advocacy groups at baseline. Since cities were the largest type of municipality, they had the greatest number of activities as of 2 years after implementation of the law. The results highlight that the prefectural or national government should offer different types of support according to the kind of municipality: sharing and using experts in an extended association for municipalities with limited resources and smaller size (towns and villages) and aggregating information on difficult cases for larger municipalities (cities). Further research should investigate specific strategies that the prefectural or national government can implement to help promote systems development for municipalities with low rates of reported cases of elder abuse, such as training programs to ensure that all care providers can recognize the signs and symptoms of elder abuse.

Suggested Citation

  • Nakanishi, Miharu & Nakashima, Taeko & Honda, Tatsuo, 2010. "Disparities in systems development for elder abuse prevention among municipalities in Japan: Implications for strategies to help municipalities develop community systems," Social Science & Medicine, Elsevier, vol. 71(2), pages 400-404, July.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:2:p:400-404
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00328-X
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Haruaki Hirota & Hideo Yunoue, 2008. "Does Broader-Based Local Government affect Expenditure on Public Long-Term Care Insurance? The Case of Japan," Economics Bulletin, AccessEcon, vol. 8(11), pages 1-20.
    2. repec:ebl:ecbull:v:8:y:2008:i:11:p:1-20 is not listed on IDEAS
    3. Nakanishi, Miharu & Hoshishiba, Yumiko & Iwama, Nobuyuki & Okada, Tomoko & Kato, Etsuko & Takahashi, Hiroshi, 2009. "Impact of the elder abuse prevention and caregiver support law on system development among municipal governments in Japan," Health Policy, Elsevier, vol. 90(2-3), pages 254-261, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hirota, Haruaki & Yunoue, Hideo, 2011. "平成の大合併と歳出削減‐類似団体別市町村財政指数表を用いた実証分析‐ [Municipal mergers and local government expenditure. Evidence from Categorized Data of Japanese Municipalities]," MPRA Paper 37484, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:71:y:2010:i:2:p:400-404. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.