Abstract
The Japanese public long-term care insurance for the elderly is unequivocally a problem both for the health care system and as a social issue. The issues for the socially hospitalized and institutionalized are still unsolved due to a lack of family and community support. A central feature is to investigate the behavioral choices among elderly formalinformal home care and nursing home care. This study uses the General Survey on Actual Living Conditions of Elderly People as a natural experiment to analyze behavioral decision-making between the nursing home care and community-based formalinformal home care among the elderly. A logit model analysis that controls for socio-economic, demographic and physicalmental health influential factors was conducted. Developing community-based formalinformal home care would lead to economic gains. A provision of compensation to family health caregivers for their informal home care for the elderly is a key factor and a viable option.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 600-632 |
| Number of pages | 33 |
| Journal | Geneva Papers on Risk and Insurance: Issues and Practice |
| Volume | 31 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 2006 |
All Science Journal Classification (ASJC) codes
- Accounting
- General Business, Management and Accounting
- Finance
- Economics and Econometrics
Keywords
- Formal/informal home care
- Japan
- Nursing home care