Behavioral analysis of the choice of community-based formal home care, informal home care and nursing home care in Japan
Behavioral analysis of the choice of community-based formal home care, informal home care and nursing home care in Japan
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DOI：
10.1057/palgrave.gpp.2510101
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发表时间：
2006-10-01
影响因子：
1.6
通讯作者：
Fukawa, Tetsuo
中科院分区：
文献类型：
--
作者：
Yamada, Tetsuji;Chen, Chia-Ching;Fukawa, Tetsuo
日本的老年人公共长期护理保险无疑是医疗保健系统和社会问题的一个问题。由于缺乏家庭和社区的支持，社会住院和机构的问题仍然没有得到解决。一个中心特征是调查老年人正式/非正式家庭护理和养老院护理的行为选择。本研究采用《老年人实际生活状况普查》作为自然实验，分析老年人在疗养院护理与社区正规/非正规居家护理之间的行为决策。进行了控制社会经济、人口和身心健康影响因素的logit模型分析。发展以社区为基础的正式/非正式家庭护理将带来经济收益。为家庭保健照顾者在家中对老年人的非正式照顾提供补偿是一个关键因素，也是一个可行的选择。
The Japanese public long-term care insurance for the elderly is unequivocally a problem both for the health care system and as a social issue. The issues for the socially hospitalized and institutionalized are still unsolved due to a lack of family and community support. A central feature is to investigate the behavioral choices among elderly formal/informal home care and nursing home care. This study uses the General Survey on Actual Living Conditions of Elderly People as a natural experiment to analyze behavioral decision-making between the nursing home care and community-based formal/informal home care among the elderly. A logit model analysis that controls for socio-economic, demographic and physical/mental health influential factors was conducted. Developing community-based formal/informal home care would lead to economic gains. A provision of compensation to family health caregivers for their informal home care for the elderly is a key factor and a viable option.