2023 Fiscal Year Final Research Report
Research on reducing the use of long-term care Insurance services after the changes in the co-payment rate for high-income elderly people
Project/Area Number |
20K13764
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Research Category |
Grant-in-Aid for Early-Career Scientists
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Allocation Type | Multi-year Fund |
Review Section |
Basic Section 08020:Social welfare-related
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Research Institution | Ibaraki Prefectural University of Health Science |
Principal Investigator |
Matsuda Tomoyuki 茨城県立医療大学, 保健医療学部, 准教授 (10523475)
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Project Period (FY) |
2020-04-01 – 2024-03-31
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Keywords | 介護保険制度 / サービス利用 / 経済的負担感 |
Outline of Final Research Achievements |
In 2018, the co-payment rate for users of Japan’s long-term care insurance (LTCI) services increased from 10% to 30%, depending on their income status. This study aimed to clarify the relationship between the economic burden of the elderly and the utilization of LTCI services following the change in the co-payment rate for high-income elderly people. The analysis was conducted using a questionnaire on the welfare plan for the elderly in City A in 2017 (before the co-payment rate change) and 2020(after the change). The results showed that there was no significant association between the use of LTCI services and the users’ economic burden after the system change. Furthermore, the percentage of LTCI services users increased regardless of their economic burden. It was suggested that LTCI services continue to be used even after the changes to the system regardless of their economic burden.
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Free Research Field |
介護保険制度
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Academic Significance and Societal Importance of the Research Achievements |
2018年に、日本の介護保険制度の自己負担割合は3割まで引き上げられた。そのため、経済的負担感の有無に関わらず介護保険サービスの利用を控えると考えたが、介護保険サービス利用と経済的な負担感との関連はなかった。また、経済的負担感に関わらず、介護保険サービスの利用者割合は増えていたため、経済的負担感の有無で介護保険サービスの利用を控えた可能性は低いと考えられる。また、介護保険サービス利用の自己負担割合の引き上げ後も、介護保険サービスの利用と生活機能および要介護度との関連があったことから、介護が必要な方が介護保険サービスを利用していた可能性が示唆された。
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