Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (8)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by TAMIYA, N.
Right arrow Articles by YANO, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by TAMIYA, N.
Right arrow Articles by YANO, E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

International Journal for Quality in Health Care 14:295-303 (2002)
© 2002 International Society for Quality in Health Care

Paper

Use of home health services covered by new public long-term care insurance in Japan: impact of the presence and kinship of family caregivers

NANAKO TAMIYA, KAZUE YAMAOKA and EIJI YANO

Department of Hygiene and Public Health, Teikyo University School of Medicine, Itabashi, Tokyo, Japan

Objective. In April 2000, the system for caring for the elderly in Japan was changed drastically with the launch of new long-term care insurance. Unlike the previous system, the maximum monthly amount of insured services is now decided solely by an applicant’s physical condition, regardless of family support. We investigated whether the presence and kinship of a family caregiver still affect service use under the new system.

Design. A cross-sectional, mailed, self-administered questionnaire survey and analysis using multiple logistic regression.

Setting. One month after the introduction of long-term care insurance in Japan.

Participants. The main family caregivers of 237 applicants for long-term care insurance with a caregiver and 33 applicants without a caregiver, living in the community in one city.

Outcome measures. The applicants’ sex, age, and eligible care level, existence of a family caregiver, family caregiver’s sex, age, and kinship, and service use for each service covered by long-term care insurance.

Results. Caregiver factors significantly affected use of the main services. The most popular service, nursing-home daycare, was utilized most when a wife was caring for her husband. As the level of care increased, this service was utilized less. Home help, the second most popular service, was most utilized when a wife was caring for her husband or when there was no caregiver.

Conclusion. The use of major services may be decided more by the needs of caregivers than by the care level of the applicant. To successfully implement the new system, consideration of the caregiver situation should be included in policy making.

Keywords: family caregiver, home health care, insurance, public long-term care, service use


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Soc Sci Jpn ResHome page
S. O. LONG, R. CAMPBELL, and N. Chie
Does It Matter Who Cares? A Comparison of Daughters versus Daughters-in-Law in Japanese Elder Care
Soc. Sci. Jpn. Res., June 1, 2009; 12(1): 1 - 21.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.