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Social Sciences - Population Studies | Trends and Factors in Japan's Long-Term Care Insurance System - Japan's 10-year Experience

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

Japan's 10-year Experience

Olivares-Tirado, Pedro, Tamiya, Nanako

2014, IX, 138 p. 15 illus.

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  • Discusses the financial consequences of ageing populations
  • Chronicles Japan’s experience with the world’s highest ageing population
  • Offers empirical and critical economical perspectives

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.

Content Level » Research

Keywords » 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

Related subjects » Family & Geriatric Medicine - Population Economics - Population Studies

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