| Project/Area Number |
20530561
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Social welfare and social work studies
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| Research Institution | Tokyo Metropolitan Institute of Gerontology |
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Principal Investigator |
SHIMMEI Masaya Tokyo Metropolitan Institute of Gerontology, 東京都健康長寿医療センター研究所, 助手 (70312288)
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| Co-Investigator(Kenkyū-buntansha) |
TAKAHASHI Ryutaro 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, 副所長 (20150881)
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| Co-Investigator(Renkei-kenkyūsha) |
SUDA Yuko 東洋大学, 社会学部, 教授 (60339207)
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| Research Collaborator |
CREIGHTON CAMPBELL John ミシガン大学, 名誉教授
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| Project Period (FY) |
2008 – 2010
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| Project Status |
Completed (Fiscal Year 2010)
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| Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2009: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2008: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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| Keywords | 介護保険制度 / 自治体 / 差異 / 介護保険料 / 介護保険事業計画策定委員会 / 事業 / 者指導 / 居宅介護支援専門員 / 地域福祉 / 社会福祉政策 / 政策過程 / 政策執行 / 官僚制 |
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| Research Abstract |
Local level administration of the Long Term Care Insurance program (LTCI) in Japan was examined to assess variances in program outcomes, based on official statistics and interviews with city officials and care managers. Data were analyzed focusing on endogenous and exogenous factors to the municipalities. There were three key findings. First, because the structure of LTCI is centralized, local authorities are highly regulated. Second, relationships between providers and local authorities were an important source of variances in LTCI implementation. These relationships are determined by the path-dependent nature of service provision in rural areas and the quantity of providers in urban area. Third, variation in implementation was greater when clear central policies were lacking. These results suggest that if local authorities are to play central roles in LTC policy, it is necessary to consider the limitations of highly centralized institutional structure, and the path dependent nature of service development in the community.
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