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Sustainability of Long-term Care System: Roles of Family, Public Long-term Care Insurance, and Community

Research Project

Project/Area Number 16H06235
Research Category

Grant-in-Aid for Young Scientists (A)

Allocation TypeSingle-year Grants
Research Field Medical sociology
Research InstitutionTokyo Metropolitan Geriatric Hospital and Institute of Gerontology

Principal Investigator

WAKUI TOMOKO  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究員 (70725845)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥11,960,000 (Direct Cost: ¥9,200,000、Indirect Cost: ¥2,760,000)
Fiscal Year 2019: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2018: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2017: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2016: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Keywords高齢者ケア / 家族介護 / 仕事と介護の両立 / 日米比較 / 介護保険 / 介護 / 家族 / 多重介護 / 独居高齢者 / 介護保険制度 / 高齢者介護 / 地域社会 / 介護保険システム / 国際比較 / 介護トレンド / 福祉政策 / 地域役割 / 国民生活基礎調査 / 公的介護保険 / 持続可能性 / 介護保険サービス / 介護保険レセプト / 国際比較調査 / 医療行動学
Outline of Final Research Achievements

The purpose of this research is to study sustainability of a long-term care system by examining the roles of family, public Long-term care insurance, and community. We analyzed national data in Japan and the US to examine how family caregiving trends have changed, examined the relationships between the usage of in-home service and institutionalization among older adults with long-term care needs, and conducted a web-based questionnaire study among male working caregivers. This study shows the diversification of long-term care situation in Japan, which requires modification of public Long-term care insurance services. Also, the study suggests that companies in communities may be one of possibilities to sustain long-term care system.

Academic Significance and Societal Importance of the Research Achievements

従来、社会保障制度の持続可能性は社会における経済的継続性と人的資源の継続性において議論がなされてきた一方で、介護保険制度がどのように要介護高齢者や家族の介護や扶養に対する意識や行動、地域社会の在り方に影響を与えているかについて十分な検討がなされていない。本研究は、家族、公的介護保険制度、地域社会の相互関係を私的つながりにおける行動の側面から検討したことにあり、学術的な新規性が高い。また、介護の課題は、今後の多くの国々が抱える課題である。介護の状況を長期的視野で分析し、必要となる研究知見を蓄積することは、この分野におけるリーディングカントリーとして日本が担う役割の一助になることが期待される。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (59 results)

All 2020 2019 2018 2017 2016 Other

All Int'l Joint Research (6 results) Journal Article (14 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 5 results,  Open Access: 1 results) Presentation (32 results) (of which Int'l Joint Research: 23 results) Book (3 results) Funded Workshop (4 results)

  • [Int'l Joint Research] Johns Hopkins University(米国)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] University of Bergen(ノルウェー)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Johns Hopkins University(米国)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] Bergen University(ノルウェー)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] Johns Hopkins University(米国)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] Johns Hopkins University(米国)

    • Related Report
      2016 Annual Research Report
  • [Journal Article] The impact of support from medical professionals on families' decision-making during end-of-life care2020

    • Author(s)
      中里和弘, 涌井智子, 児玉寛子, 島田千穂
    • Journal Title

      Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics

      Volume: 57 Issue: 2 Pages: 163-172

    • DOI

      10.3143/geriatrics.57.163

    • NAID

      130007848972

    • ISSN
      0300-9173
    • Year and Date
      2020-04-25
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study2020

    • Author(s)
      Dupraz Julien、Andersen-Ranberg Karen、Fors Stefan、Herr Marie、Herrmann Francois R、Wakui Tomoko、Jeune Bernard、Robine Jean-Marie、Saito Yasuhiko、Santos-Eggimann Brigitte
    • Journal Title

      BMJ Open

      Volume: 10 Issue: 3 Pages: e034296-e034296

    • DOI

      10.1136/bmjopen-2019-034296

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 特集「一人暮らしの認知症高齢者」国民生活基礎調査からみる独居高齢者のケアの実態と今後への示唆2020

    • Author(s)
      涌井智子
    • Journal Title

      老年精神医学雑誌

      Volume: 31(5) Pages: 467-473

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 多様な老いと死を考える:第1回-多様な老いがもたらす老親介護の複雑さ-親の老いを受け入れることの重要性2019

    • Author(s)
      涌井智子
    • Journal Title

      看護のチカラ

      Volume: 512 Pages: 40-41

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 多様化する家族介護の現状と今後の介護を支えるシステムについて考える.2018

    • Author(s)
      涌井智子
    • Journal Title

      老年社会科学

      Volume: 40(3) Pages: 301-307

    • NAID

      40021719204

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 終末期ケアに関する親子間コミュニケーションの関連要因-高齢の親を持つ子世代を中心に-.2018

    • Author(s)
      中里和弘, 涌井智子, 平山亮, 島田千穂.
    • Journal Title

      日本老年医学会雑誌

      Volume: 55(3) Pages: 378-385

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association of care recipients' care-need level with family caregiver participation in health check-ups in Japan2018

    • Author(s)
      Sugiyama T, Tamiya N, Watanabe T, Wakui T, Shibayama T, Moriyama Y, Yamaoka Y, Noguchi H
    • Journal Title

      Geriatrics & Gerontology International.

      Volume: 18(1) Pages: 26-32

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 身体・認知機能が低下した人とその家族に看護師ができること:第11回-家族介護の負担を感じるとき2018

    • Author(s)
      涌井智子
    • Journal Title

      看護のチカラ

      Volume: 486 Pages: 50-51

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 多様化する家族介護と介護保険サービス2017

    • Author(s)
      涌井智子
    • Journal Title

      日本老年医学会雑誌

      Volume: 54(1) Pages: 35-40

    • Related Report
      2017 Annual Research Report 2016 Annual Research Report
  • [Journal Article] 身体・認知機能が低下した人とその家族に看護師ができること:第3回-高齢者が高齢者を支えるということ2017

    • Author(s)
      涌井智子
    • Journal Title

      看護のチカラ

      Volume: 472 Pages: 72-73

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 変わりゆく介護の姿:第12回-これからの介護を支える病院スタッフの役割-話し合いの支え手として2017

    • Author(s)
      涌井智子
    • Journal Title

      看護のチカラ

      Volume: 466 Pages: 58-60

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Disaster preparedness among older Japanese adults with long-term care needs and their family caregivers2016

    • Author(s)
      Wakui T, Agree EM, Saito T, Kai I
    • Journal Title

      Disaster Medicine and Public Health Preparedness

      Volume: 27 Pages: 1-8

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 変わる介護家族‐心と体の疲労の中で家族が親の介護をするということ2016

    • Author(s)
      涌井智子
    • Journal Title

      百歳万歳

      Volume: 8 Pages: 58-59

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 変わりゆく介護の姿:第1回-多様化する介護家族2016

    • Author(s)
      涌井智子
    • Journal Title

      看護のチカラ

      Volume: 446 Pages: 74-75

    • Related Report
      2016 Annual Research Report
  • [Presentation] Do the Presence of Adult Children and their Marital Status Matter for Access to the Public Long-term Care System?2019

    • Author(s)
      Tomoko Wakui, Suguru Okubo, Nanako Tamiya, Taeko Watanabe, Tatsuro Ishizaki, Ichiro Kai
    • Organizer
      Gerontological Society of America 2019 Annual Scientific Meeting. Austin, Texas, USA
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] “What Counts Is Not My Own But Siblings’ Circumstances”: Adult Children’s Perceived Responsibility for Parental Care in Japan.2019

    • Author(s)
      Ryo Hirayama, Tomoko Wakui
    • Organizer
      National Conference of Family Relations Annual Conference. Fort Worth, Texas, USA.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A New Feature of Japanese Caregiving? Compound Caregiving of Older Adults in an Aging Society with Fewer Children.2019

    • Author(s)
      Tomoko Wakui, Emily M Agree, Ichiro Kai.
    • Organizer
      Gerontological Society of America 2019 Annual Scientific Meeting. Austin, Texas, USA
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] What Shapes Adult Sons’ Incentive for Parent Care in Japan? Effects of Work and Family Circumstances.2019

    • Author(s)
      Tomoko Wakui, Ryo Hirayama, Emily M Agree, Ichiro Kai
    • Organizer
      Gerontological Society of America 2019 Annual Scientific Meeting. Austin, Texas, USA
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Nontraditional Views? How Siblings Matter for Perceived Parental Care Responsibility in Japan.2019

    • Author(s)
      Ryo Hirayama, Tomoko Wakui.
    • Organizer
      Gerontological Society of America 2019 Annual Scientific Meeting. Austin, Texas, USA
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Supporting Caregivers to Support Family Members with Dementia -Diversification of family care arrangements and new approach to support.2019

    • Author(s)
      Tomoko Wakui, Ryo Hirayama, Nanako Tamiya, Emily M Agree, Ichiro Kai.
    • Organizer
      The 11th IAGG Asia/Oceania Regional Congress. Taipei, Taiwan.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Delineating Daily Caregiving as Experienced: Analysis of Daily Data from Family Caregivers in Japan.2019

    • Author(s)
      Ichiro Kai, Tomoko Wakui, Ryo Hirayama, Emily M Agree.
    • Organizer
      The 11th IAGG Asia/Oceania Regional Congress. Taipei, Taiwan.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 家族介護のトレンド解析による家族の介護力の検討.2019

    • Author(s)
      涌井智子.
    • Organizer
      第29回日本家族社会学会大会, 神戸学院大学, 神戸.
    • Related Report
      2019 Annual Research Report
  • [Presentation] 在宅介護の見える化が明らかにする介護の日周変動と家族介護者の対処行動.2019

    • Author(s)
      涌井智子、平山亮、甲斐一郎.
    • Organizer
      第61回日本老年社会科学会大会, 東北福祉大学仙台駅東口キャンパス, 仙台.
    • Related Report
      2019 Annual Research Report
  • [Presentation] Japan’s Experiences in Integrating Technology and Long-term Care -Practical Challenges of Collecting Daily-data Using Tablets among Family Caregivers of Community-dwelling Older Adults with Long-term Care Needs.2019

    • Author(s)
      Tomoko Wakui, Ryo Hirayama, Emily M Agree, Ichiro Kai.
    • Organizer
      18th STS Conference 2019, Graz, Austria.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Supporting Caregivers to Support Family Members with Dementia -Diversification of family care arrangements and new approach to support.2019

    • Author(s)
      Tomoko Wakui, Ryo Hirayama, Nanako Tamiya, Emily M Agree, Ichiro Kai.
    • Organizer
      The 11th IAGG Asia/Oceania Regional Congress. Taipei, Taiwan. October. 23- 27, 2019.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Delineating Daily Caregiving as Experienced: Analysis of Daily Data from Family Caregivers in Japan.2019

    • Author(s)
      Tomoko Wakui, Ryo Hirayama, Emily M Agree, Ichiro Kai.
    • Organizer
      The 11th IAGG Asia/Oceania Regional Congress. Taipei, Taiwan. October. 23- 27, 2019.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 在宅介護の見える化が明らかにする介護の日周変動と家族介護者の対処行動.2019

    • Author(s)
      涌井智子、平山亮、甲斐一郎.
    • Organizer
      第61回日本老年社会科学会大会, 東北福祉大学仙台駅東口キャンパス, 仙台. 2019年6月7-8日.
    • Related Report
      2018 Annual Research Report
  • [Presentation] Japan’s Experiences in Integrating Technology and Long-term Care -Practical Challenges of Collecting Daily-data Using Tablets among Family Caregivers of Community-dwelling Older Adults with Long-term Care Needs.2019

    • Author(s)
      Tomoko Wakui, Ryo Hirayama, Emily M Agree, Ichiro Kai.
    • Organizer
      18th STS Conference 2019, Graz, Austria. May. 6-7, 2019.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Unmanageable Responsibility? Gendered Perceptions of Parent Care among Adult Children at Working Age in Japan.2018

    • Author(s)
      Ryo Hirayama, Tomoko Wakui.
    • Organizer
      The 71st Annual Scientific Meeting, Gerontological Society of America. Boston, Massachusetts, USA. Nov. 14- 18, 2018.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Informal Male Caregivers’ Work Productivity Loss: Absenteeism and Presenteeism.2018

    • Author(s)
      Tomoko Wakui, Ichiro Kai.
    • Organizer
      第77回日本公衆衛生学会総会, ビッグパレット福島, 福島. 2018年10月24-26日.
    • Related Report
      2018 Annual Research Report
  • [Presentation] he families’ verbalizing of gratitude and apology to patients at end of life - a questionnaire survey with bereaved family members-.2018

    • Author(s)
      Kazuhiro Nakazato, Chiho Shimada, Tomoko Wakui, Hiroko Kodama.
    • Organizer
      International Conference on Communication in Healthcare 2018. Porto, Portugal. Sep. 1-4, 2018.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Information Matters: Adult Children’s Attitudes Toward End-of-Life Discussions With Parents in Japan.2018

    • Author(s)
      Chiho Shimada, Tomoko Wakui, Ryo Hirayama, Kazuhiro Nakazato.
    • Organizer
      International Conference on Communication in Healthcare 2018. Porto, Portugal. Sep. 1-4, 2018.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Impacts of Changing Families on Public Long-Term Care Insurance Program in Japan2017

    • Author(s)
      Tomoko Wakui, Emily M Agree, Ichiro Kai
    • Organizer
      The 21st IAGG World Congress of Gerontology and Geriatrics.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Caregiving Networks and Benefits of Caregiving: Differences by Race and Ethnicity.2017

    • Author(s)
      Emily M Agree, Tomoko Wakui
    • Organizer
      The 21st IAGG World Congress of Gerontology and Geriatrics.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] What Encourages Japanese Adult Children to Initiate End-of-Life Discussion With Aging Parents?2017

    • Author(s)
      Chiho Shimada, Ryo Hirayama, Kazuhiro Nakazato, Tomoko Wakui
    • Organizer
      The 21st IAGG World Congress of Gerontology and Geriatrics.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The Relational Nature of Children’s Perceptions of Parental Aging: Findings From a Japanese Sample.2017

    • Author(s)
      Kazuhiro Nakazato, Ryo Hirayama, Tomoko Wakui & Chiho Shimada
    • Organizer
      The 21st IAGG World Congress of Gerontology and Geriatrics.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Intergenerational Solidarity and Parent-Child Discussion on End-of-Life Care in Japan.2017

    • Author(s)
      Ryo Hirayama, Chiho Shimada, Tomoko Wakui & Kazuhiro Nakazato.
    • Organizer
      The 21st IAGG World Congress of Gerontology and Geriatrics.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A Dyadic Approach to the Relational Context of Spousal Caregiving2017

    • Author(s)
      Ryo Hirayama, Madoka Ogawa, Tomoko Wakui
    • Organizer
      2017 National Conference of Family Relations Annual Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 家族介護者における介護経験の活用可能性に関する探索的研究2017

    • Author(s)
      児玉寛子、涌井智子、中里和弘、島田千穂
    • Organizer
      第20回日本老年行動科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 看取りを終えたポスト介護者の介護経験汎用に関する研究2017

    • Author(s)
      涌井智子,中里和弘、児玉寛子、島田千穂
    • Organizer
      第59回日本老年社会科学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 定年退職者が仕事をはじめたきっかけと生きがいとの関連-再就職した高齢者に対するインタビュー調査から-2017

    • Author(s)
      栗延孟、涌井智子、石崎達郎
    • Organizer
      第59回日本老年社会科学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Diversification of Japanese Family Caregiving Arrangements and the Emerging Self-Management Caregiver Support System2016

    • Author(s)
      Wakui T
    • Organizer
      HAT-MASH (Health Aging Tech mashup service, information technology and service engineering) at The 2nd international workshop
    • Place of Presentation
      Keio University, Kanagawa, Japan
    • Year and Date
      2016-11-14
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 日本の家族介護における介護タスク分担の可能性~米国の介護タスク分担の状況から~2016

    • Author(s)
      涌井智子
    • Organizer
      第26回日本家族社会学会大会
    • Place of Presentation
      早稲田大学, 東京
    • Year and Date
      2016-09-10
    • Related Report
      2016 Annual Research Report
  • [Presentation] Positioning families as the premise and vehicle for end-of-life care system in Japan2016

    • Author(s)
      Wakui T
    • Organizer
      The 23rd Nordic Congress of Gerontology (23NKG)
    • Place of Presentation
      Congress and Concert Centre, Tampere Hall, Tampere, Finland
    • Year and Date
      2016-06-19
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Do Parents’ Care Needs or Adult Children’s Caregiving Roles Matter for End-of-life Care Preparedness?2016

    • Author(s)
      Wakui T., Hirayama R., Nakazato K., & Shimada C
    • Organizer
      The 23rd Nordic Congress of Gerontology (23NKG)
    • Place of Presentation
      Congress and Concert Centre, Tampere Hall, Tampere, Finland
    • Year and Date
      2016-06-19
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 終末期ケアプランニングに向けた親子間コミュニケーションと親の介護ニーズとの関連2016

    • Author(s)
      涌井智子, 中里和弘, 平山亮, 島田千穂
    • Organizer
      第58回日本老年医学会学術集会
    • Place of Presentation
      石川県立音楽堂, 石川
    • Year and Date
      2016-06-08
    • Related Report
      2016 Annual Research Report
  • [Book] Eldreboken. Edited by Bettina S. Husebo., Chapter 39: What can we learn from Japan? Technological solutions in the field of elderly care. In a textbook in elderly care and nursing home medicine2019

    • Author(s)
      Wakui T, Ikeuchi T, Boe JB, Husebo B & Shinkai S
    • Total Pages
      454
    • Publisher
      Fagbokforlaget akademisk
    • ISBN
      9788245021783
    • Related Report
      2019 Annual Research Report
  • [Book] What can we learn from Japan? Technological solutions in the field of elderly care. In A textbook in elderly care and nursing home medicine.2019

    • Author(s)
      Ikeuchi T, Wakui T, Boe JB, Husebo B & Shinkai S.
    • Publisher
      Fagbokforlaget (Norway)
    • Related Report
      2018 Annual Research Report
  • [Book] Filial Responsibility. In Pachana, N.A., (Ed.) Encyclopedia of Geropsychology2017

    • Author(s)
      Wakui, T, & Cheng. ST
    • Total Pages
      2550
    • Publisher
      Springer
    • Related Report
      2016 Annual Research Report
  • [Funded Workshop] Integrating Robots in Elderly Care Services in Finland2018

    • Related Report
      2018 Annual Research Report
  • [Funded Workshop] Work-life balance in Norway2018

    • Related Report
      2018 Annual Research Report
  • [Funded Workshop] A Comparison Study of Balancing the Role of Family and Long-term Care Services in Japan and the US2016

    • Place of Presentation
      東京都健康長寿医療センター研究所
    • Year and Date
      2016-10-22
    • Related Report
      2016 Annual Research Report
  • [Funded Workshop] Blaming old age: representations of intergenerational unfairness in austerity discourses in the UK2016

    • Place of Presentation
      東京都健康長寿医療センター研究所
    • Related Report
      2016 Annual Research Report

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Published: 2016-04-21   Modified: 2021-02-19  

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