BURDEN OF FAMILY CARE-GIVERS AND THE RATIONING IN THE LONG-TERM CARE INSURANCE BENEFITS OF JAPAN

Wataru Suzuki (), Seiritsu Ogura () and Nobuyuki Izumida ()
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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

The Singapore Economic Review (SER), 2008, vol. 53, issue 01, 121-144

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.

Keywords: Long-Term Care Insurance; Burden Index of Care-Givers; rationing (search for similar items in EconPapers)
Date: 2008
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Citations: View citations in EconPapers (4)

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DOI: 10.1142/S0217590808002872

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