Burden of Family Care-Givers and the Rationing in the Long Term Care Insurance Benefits of Japan

Long Term Care Insurance introduced in Japan in 2000 is rapidly turning into a system of rationed benefits due to financial difficulty. Based on our survey of 2500 family care-givers and the Zarit Care-Giver Burden Index, we have examined how these changes are affecting their subjective burden, following Kishida's seminary work. We have found evidence that (a)rationings in short-term-stays, day-services, or home-helper services, (b)disruptive or anti-social behaviors of the elderly, and (c)care-giver's own sleeping disorders are substantially adding to their burden. We have also found (d)a causal relationship where a higher burden is resulting in poor self-reported health.