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Burden Of Family Care-Givers And The Rationing In The Long-Term Care Insurance Benefits Of Japan

Author

Listed:
  • WATARU SUZUKI

    (Tokyo Gakugei University, 4-1-1 Nukuikitamachi, Koganeisi Tokyo, Japan 184-8501, Japan)

  • SEIRITSU OGURA

    (Hosei Institute on Aging, Boissonade Tower 16F, 2-17-1 Fujimi, Chiyodaku Tokyo, Japan 102-8160, Japan)

  • NOBUYUKI IZUMIDA

    (National Institute of Population and Social Security Research, Hibiya-Kokusai-Building 6F, 2-2-3 Uchisaiwaicho, Chiyodaku Tokyo, Japan 100-0011, Japan)

Abstract

Long-Term Care Insurance (LTCI), introduced in Japan in 2000, is rapidly turning into a system of rationed benefits due to financial difficulty. Based on our survey of 2,530 family care-givers and the Zarit Care-Giver Burden Index, we have examined how LTCI is affecting their subjective burden. We have found that, as Kishida and Tanigaki (2004) had shown, (i) insufficient provision of short-term stays, day services and home-helper services, as well as (ii) disruptive or antisocial behaviors of the elderly, increase the care-giver's burden. We then argue that (iii) these results establish the positive contribution of LTCI in the well-being of family care-givers, (iv) short-term stay is the most efficient service, followed by home-helper service, and day service is the least efficient, and we show that (v) J-ZBIC-8 works well enough for many practical purposes.

Suggested Citation

  • Wataru Suzuki & Seiritsu Ogura & Nobuyuki Izumida, 2008. "Burden Of Family Care-Givers And The Rationing In The Long-Term Care Insurance Benefits Of Japan," The Singapore Economic Review (SER), World Scientific Publishing Co. Pte. Ltd., vol. 53(01), pages 121-144.
    • Handle: RePEc:wsi:serxxx:v:53:y:2008:i:01:n:s0217590808002872
    DOI: 10.1142/S0217590808002872
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    Cited by:

    1. Kim, Hoolda & Mitra, Sophie, 2022. "The Economic and Health Effects of Long-Term Care Insurance: New Evidence from Korea," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    2. Michio Yuda & Jinkook Lee, 2016. "Effects of Informal Caregivers' Health on Care Recipients," The Japanese Economic Review, Japanese Economic Association, vol. 67(2), pages 192-210, June.
    3. Hoolda Kim & Sophie Mitra, 2023. "The Economic and Health Effects of Long-term Care Insurance: New Evidence from Korea," Fordham Economics Discussion Paper Series dp2023-02er:dp2023-02, Fordham University, Department of Economics.

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