Legislating for Care: A Comparative Analysis of Long-term Care Insurance Laws in Japan and Germany

Philippa, Webb

doi:10.1093/ssjj/6.1.39

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…However, whilst the Japanese long-term care system operates mainly on social insurance principles, half of the revenue for the programme comes from general taxation – 25 per cent national and 12.5 per cent each from prefectures and municipalities. Another half of the revenue comes from premiums from people aged 65 and over, which make up 17 per cent of the funding; this is collected by the municipalities in the form of deductions from pensions, and also premiums from people between the ages of 40 and 64, which make up 33 per cent of the funding (Campbell and Ikegami 2000: 31; Webb 2003: 41). At the point of service use, beneficiaries (older people and/or often their families) pay a 10 per cent co-payment.…”

Section: Findings and Discussionmentioning

confidence: 99%

Older people's exercising of choice in long-term care: a comparative analysis of England and Japan

Wada

2015

Ageing and Society

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There has been an increasing emphasis on choice for older people in long-term care in both England and Japan. However, despite the emphasis on the importance of choice, the perspectives of older people have been given little attention. Considering national and local policies in Bristol, England and Kyoto, Japan, the article explores how older people are exercising (and not exercising) choice in care practice through examining the perspectives of the older people themselves, as well as key informants in the field. Empirical data were collected from interviews with older people and key informants in the two countries, and were analysed using qualitative and comparative approaches. Choice in policy is regarded as a mechanism of the market with an assumption of the independent autonomous individual who can exercise ‘rational choice’. However, the findings have reflected older people's relational decision-making, which does not conform to the rational model of decision-making, and illustrates the value of ‘interdependence’. The findings from care practice have shown that choice was considered an important value in involving older people's views and ensuring their needs are met sensitively and respectfully. The findings also suggested that consideration of the psychological aspects of choice is an important aspect of ‘care’, facilitating the inclusion of older people's views in the process of making judgements, in order to meet their needs.

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Section: Findings and Discussionmentioning

confidence: 99%

Older people's exercising of choice in long-term care: a comparative analysis of England and Japan

Wada

2015

Ageing and Society

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“…Against this backdrop, a social‐insurance‐based long‐term care was proposed in 1994 to finance long‐term care services and to promote the expansion of service infrastructure. In designing the system, the German LTCI was reported to have a substantial influence (Webb, 2003, p. 41)2. After 4 years of preparation, an LTCI act was legislated in December 1997.…”

Section: Japanese and Korean Ltci And Their Achievements And Challengesmentioning

confidence: 99%

“…However, Korean policymakers sought to refrain from granting cash benefits, because they were concerned that cash benefits could prevent service demands from expanding, and impede the service market's development. Japanese bureaucrats also opposed a cash benefit for the same reason (Webb, 2003, p. 5). The LTCIs of both countries also showed a similarity in service delivery systems.…”

Section: Japanese and Korean Ltci And Their Achievements And Challengesmentioning

confidence: 99%

Building a welfare system through bounded learning: A case of Korean long‐term care insurance

Yun,

Kim

2023

Asian Politics and Policy

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This article verifies three conditions in its aim to confirm the influence of Japan's experience on the introduction timing and policy model of South Korean long-term care insurance (LTCI). First, the LTCI systems in Korea and Japan agree in terms of their core principles. Both are based on a separate social insurance system and ensure financial sustainability at the expense of service quality in response to the need to elevate expenditure. Second, the policymaking process reveals the reference relationship between the two systems. The advocacy coalition for LTCI suggested introducing an LTCI based on Japan's experience. However, their rationale was constrained due to the bounded rationality of policy learning. Finally, this article demonstrates that the rival arguments cannot completely explain the introduction of the Korean LTCI without considering the bounded learning argument. Consequently, the results of this study indicate that policy learning is critical to welfare development in latecomer welfare states.

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“…The evaluation is primarily done by trained geriatric nurses and physicians who assess the limitations a person has in performing activities of daily living or instrumental activities. The examination is based on a number of routine activities in the fields of personal hygiene, feeding, mobility, and housekeeping (Geraedts et al 2000;Wilbers 2000in Webb 2003. Three criteria are applied when developing an indicator for care needs: the number of necessary care activities, frequency of activities, and time needed for care provision (for more details see Theobald 2011).…”

Section: Overview Of the Statutory Long-term Care System In Germanymentioning

confidence: 99%

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

Doblhammer¹

2014

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Legislating for Care: A Comparative Analysis of Long-term Care Insurance Laws in Japan and Germany

Cited by 7 publications

References 13 publications

Older people's exercising of choice in long-term care: a comparative analysis of England and Japan

Older people's exercising of choice in long-term care: a comparative analysis of England and Japan

Building a welfare system through bounded learning: A case of Korean long‐term care insurance

Health Among the Elderly in Germany. New Evidence on Disease, Disability and Care Need

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