Scholar

A Study on Disparity of Elderly Care in Japan

By: Nobuko Nishina  

The Japanese Elderly Care Insurance system was started twenty years ago by the Japanese government. It aimed to support the elderly to stay at home when they were no longer able to provide their own transportation. It also made it possible for them to choose their own services instead of services being assigned. The insurance system is run by each municipal government and services are provided by private for-profit and non-profit organizations. This study found that there is a discrepancy in the amount and quality of care resources provided between large cities and small villages. According to this study, the services supplied in any given geographical area is largely dependent on population density, which also determines whether elderly can receive home care. The cause is market-oriented supplier behavior, resulting in elderly living in low-density areas having less choice in care services provided.

Disparity, System Dilemma, Elderly Care Insurance system, Japan
2019 Special Focus - Aging in Times of New Nationalisms: Inequalities, Participation, and Policies
Paper Presentation in a Themed Session



Dr. Nobuko Nishina

Professor, Faculty of Social Welfare Studies, Kumamotogakuen University, Japan
Kumamoto-ken, Japan

She has been studying about community welfare. Her first study was about public housing area in Japan and then she extended her study in Japanese coutry communities which are loosing population and Comprehensive Community Development in Chicago. She has been researching in Chicago community more than 10 years now. In her Japanese study she found large dispality between cites and rural areas has created after 18 years of market based community care system was brought out in Japan. Despite the fact that market did not grow in the rurarl area, there is a new system has grown in out of the marcket. Her presentation 2018 will be about the sevices created by non profit organizations.