In the 1960s, when Japan’s Social Welfare for the Elderly was said to have begun, Japan’s population aging rate, the share of the population aged 65 years and over, was 5.7%. In the 1970s, free medical care for senior citizens was implemented. However, by the 1980s, the population aging rate had reached 9.1%, and the number of long-term hospitalizations for supporting ADL or IADL that did not require medical treatment increased. By the 1990s, the aging rate had reached 12%. In 2000, the Japanese government introduced the national Long-Term Care Insurance System to shift care from institutional settings to home-based care, thereby alleviating the excessive burden of care on families, particularly those with parents and children (nuclear families). In other words, Long-Term Care Insurance in Japan can be described as a system that supports the care of senior citizens through societal efforts. In 2024, the total budget for long-term care insurance is approximately 14.2 trillion JPY, with 35,880,000 insured people aged 65 and older and 7,067,000 people (20%) requiring assistance or long-term care [1].

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Long-Term Care Insurance

  • Jiro Ezaki,
  • Takashi Yamashita,
  • Shoichi Maeda,
  • Taisuke Izumi

摘要

In the 1960s, when Japan’s Social Welfare for the Elderly was said to have begun, Japan’s population aging rate, the share of the population aged 65 years and over, was 5.7%. In the 1970s, free medical care for senior citizens was implemented. However, by the 1980s, the population aging rate had reached 9.1%, and the number of long-term hospitalizations for supporting ADL or IADL that did not require medical treatment increased. By the 1990s, the aging rate had reached 12%. In 2000, the Japanese government introduced the national Long-Term Care Insurance System to shift care from institutional settings to home-based care, thereby alleviating the excessive burden of care on families, particularly those with parents and children (nuclear families). In other words, Long-Term Care Insurance in Japan can be described as a system that supports the care of senior citizens through societal efforts. In 2024, the total budget for long-term care insurance is approximately 14.2 trillion JPY, with 35,880,000 insured people aged 65 and older and 7,067,000 people (20%) requiring assistance or long-term care [1].