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

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



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



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

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    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.

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    Article provided by World Scientific Publishing Co. Pte. Ltd. in its journal The Singapore Economic Review.

    Volume (Year): 53 (2008)
    Issue (Month): 01 ()
    Pages: 121-144

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    Handle: RePEc:wsi:serxxx:v:53:y:2008:i:01:p:121-144
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