Empirical research on the discretion of municipalities and public finance in public long-term care insurance

2015 Fiscal Year Final Research Report

• Project/Area Number: 25380378
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Public finance/Public economy
• Research Institution: Kyoto Sangyo University
• Principal Investigator: SUGAHARA Kota 京都産業大学, 経済学部, 教授 (90367946)
• Co-Investigator(Kenkyū-buntansha): NAKAZAWA Katsuyoshi 東洋大学, 経済学部, 准教授 (20453855) ; KUNIZAKI Minoru 愛知大学, 経済学部, 教授 (70254464)
• Co-Investigator(Renkei-kenkyūsha): SAITO Yurie 椙山女学園大学, 現代マネジメント学部, 准教授 (60552502) ; SHIOZU Yurika 愛知大学, 経済学部, 准教授 (60599182)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Keywords: 介護保険事業 / 保険料設定 / 要介護認定率 / 地域間格差 / 訪問介護事業者 / 相互参照行動

Outline of Final Research Achievements

We empirically researched the discretion of municipalities and public finance mainly in a public long-term care insurance measure. More specifically, we first examined an interaction on the setting of an insurance premium and the deciding the level of care needs. Secondly, an interregional disparity of the premium burden, its convergence, and the effect of equalization measures of the central government on the convergence were investigated. Thirdly, we considered what is the influence of the behavior of private long-term care service providers on the municipal decision-making. In addition, we complemented these considerations about the public long-term care insurance measure by analyses of other examples of inter-municipal or inter-governmental interaction, e.g. the formation of the self-support settlement regional network, the timing of municipal amalgamation, and vertical fiscal externalities.

Free Research Field

地方財政学