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

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.

Discusses the financial consequences of ageing populations Chronicles Japan's experience with the world's highest ageing population Offers empirical and critical economical perspectives Includes supplementary material: sn.pub/extras

Contenu
Chapter 1: The Aging Population in Japan.- Chapter 2: Development of the Long-Term Care Insurance System in Japan.- Chapter 3: Long-Term Care Expenditures in Japan.- Chapter 4: Effect on the New Preventive Policy on Long-Term Care Expenditures in Japan.- Chapter 5: Measuring Efficiency in Special Nursing Home: an Application of Data Envelopment Analysis (DEA).- Chapter 6: Institutional long-Term Care Expenditures and Proximity to Death in Japan.- Chapter 7: Future Challenges Towards Establishment of a Sustainable Long-Term Care Insurance System in Japan.- References.