Has the long-term care insurance contributed to de-familialization?

Familialization and marketization of eldercare in Japan

Authored by: Yayoi Saito

The Routledge Handbook of Social Care Work Around the World

Print publication date:  January  2018
Online publication date:  December  2017

Print ISBN: 9781472479457
eBook ISBN: 9781315612805
Adobe ISBN:


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The implementation of long-term care insurance (LTCI) (Kaigo hoken) for eldercare in 2000 in Japan was expected to promote independence for elderly people, choice and a high quality of care service for individuals. The state manages the insurance system but allows the market to establish a network of care providers that are paid for by insurance premiums, which are mandatory for all citizens aged 40 years old and over. People can start to use the LTCI services at 65, and at younger ages if they have age-related disabilities.

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