Anew trend ofsocial security - health care and long-term care insurance as a income redistribution system

社会保障新趋势——医疗和长期护理保险作为收入再分配制度

• 批准号: 17530248
• 负责人: ABE Masahito
• 金额: $ 1.75万
• 依托单位: Hokusei Gakuen University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2007
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-17530248/
• 关键词: social security; health care insurance; long-term care insurance; income redistribution; region (local region); aging (aging society); local allocation tax; public utilities; 高齢化・少子化

The main purpose of this study is to investigate and consider about a new trend of social security, especially health care and long-term care insurance under aging society in Japan. I have been investigated and considered five regions (Sapporo city, Sendai city, Yokohama city, Kochi city and Kitakyushu city) about these themes.The conditions of economy and public finances of local government in many regions have been getting worse by the restraining of local allocation taxes and public utilities after the latter half of 1990's. On the other hand, health care and long-term care insurance become one of the most important income redistribution systems instead of usual local allocation taxes and public utilities for the declining areas or communities.These new income redistribution system are indispensable, especially for the Kochi city and Kitakyushu city in where have been declining regional economies and public finances compared with other areas or communities.One of the reasons is that supply conditions of health care and long-term care are well arranged, average hospital days are longer and utilization rates of institutional long-term care are higher than the Sendai city and Yokohama city. As a result, a large amount of revenue sources have been redistributed for Kochi city and Kitakyushu city

本研究的主要目的是调查和思考日本老龄化社会下社会保障的新趋势，特别是健康护理和长期护理保险。笔者以札幌市、仙台市、横滨市、高知市、北九州市等5个地区为对象进行了调查和思考。90年代后半期以来，由于地方分配税和公共事业的抑制，许多地区的地方政府的经济和财政状况都在恶化。另一方面，医疗和长期护理保险取代了通常的地方分配税和公共事业，成为衰退地区或社区最重要的收入再分配制度之一，这些新的收入再分配制度是不可或缺的，特别是高知市和北九州市，与其他地区或社区相比，地区经济和公共财政一直在下降。原因之一是，卫生保健和长期护理的供给条件安排得较好，平均住院日较长，机构长期护理的利用率高于仙台市和横滨市。因此，大量的收入来源已重新分配为高知市和北九州市

项目成果

地域と福祉と財政(増補版)

地区、福利和金融（扩展版）

• 发表时间: 2006
• 作者: 渋谷 博史;安部 雅仁;櫻井 潤 編
• 通讯作者: 櫻井 潤 編