2009 Fiscal Year Final Research Report
Differences in characteristics of Long-term Care Insurance among municipalities under recent municipal mergers and problem of validity of joint administration by extended insurer in Japan : From geographical perspective
Project/Area Number |
19720221
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Research Category |
Grant-in-Aid for Young Scientists (B)
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Allocation Type | Single-year Grants |
Research Field |
Human geography
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Research Institution | Meijo University |
Principal Investigator |
SUGIURA Shinichiro Meijo University, 都市情報学部, 准教授 (50324059)
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Project Period (FY) |
2007 – 2009
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Keywords | 介護保険 / 高齢者福祉 / 広域連合 / 一部事務組合 / 市町村合併 / 地域福祉 |
Research Abstract |
A Long-term Care Insurance System has been operating in Japan since April 2000. Municipal mergers have also affected territorial justice concerning long-term care insurance because, although a flat premium for Category 1 insured persons (senior citizens 65 and over) is applied throughout the each newly merged municipality, differences remain in the characteristics of long-term care insurance services among the former municipalities. While in principle each municipality is considered a separate insurer, the government also permits joint administration of the system by several municipalities, mainly out of consideration for small-sized municipalities that often have fiscal and personnel problems. From a geographical viewpoint, joint administration of the system is important because there are inconsistent relationships between insurance benefits and burdens, premiums for Category 1 insured persons, among each constituent municipality of extended insurers.
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