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

Japan's 10-year Experience

  • Pedro Olivares-Tirado
  • Nanako Tamiya

Part of the SpringerBriefs in Aging book series (BRIEFSAGING)

Table of contents

  1. Front Matter
    Pages i-ix
  2. Pedro Olivares-Tirado, Nanako Tamiya
    Pages 1-14
  3. Pedro Olivares-Tirado, Nanako Tamiya
    Pages 15-42
  4. Pedro Olivares-Tirado, Nanako Tamiya
    Pages 43-68
  5. Pedro Olivares-Tirado, Nanako Tamiya
    Pages 69-80
  6. Pedro Olivares-Tirado, Nanako Tamiya
    Pages 103-117

About this book


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.


Aging population Caring of elderly people Health service research Japan Kaigo Hoken Long-term care expenditures New preventive policy Proximity to death Public long-term care insurance Special nursing home Welfare Policies for the elderly

Authors and affiliations

  • Pedro Olivares-Tirado
    • 1
  • Nanako Tamiya
    • 2
  1. 1.Research and DevelopmentGovernment of ChileSantiagoChile
  2. 2.Dept of Health Services Research Fact of MedicineUniversity of TsukubaTsukubaJapan

Bibliographic information