Japanese Journal of Social Welfare

The Impact Analysis of the Marketization of Welfare : A Case Study of the Long-term Care Insurance Providers in Korea

Seonhee CHOI

Article type: Article
2013 Volume 54 Issue 2 Pages 3-18
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_3

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This study empirically investigates the efficacy of marketization in welfare. Marketization was introduced to the field of welfare by enforcing the long-term care insurance scheme in Korea. By conducting semi-structured interviews with the eight long-term care service providers, this study analyzes effects experienced by different types of providers, including profit and non-profit, as well as institutional and in-home service providers. The study employs five indicators to systematically evaluate impact, including efficiency, responsiveness, choice, equity, and service quality. Results show that: (1) efficiency was improved in both public and private providers; (2) in case of the public providers, responsiveness was reduced due to equity collateral, whilst on the other hand, both institutional and in-home services from private providers were improved; (3) the range of choice was reduced in the case of institutional service providers; (4) equity was improved in both the public and private providers by income, although legitimate competition was not stimulated among institutional service providers; and (5) service quality was improved or maintained among all providers. In conclusion, this study indicates that marketization of welfare led to different effects among various types of service providers. More detailed investigation is required to verify its efficacy.

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Changing Attitudes toward Promotion of Employment Over Advancement to High School Education of Junior High School Graduates Who Lived in Children's Homes during the Time of Rapid Economic Growth in Japan

Shiho KATAOKA

Article type: Article
2013 Volume 54 Issue 2 Pages 19-31
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_19

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This paper aims to show how the changes in thinking and action of children's home workers helped effect a change in the government policy of promoting employment over advancement to high school education among junior high school graduates of children's homes during the time of high economic growth. Records from the period show that junior high school graduates of children's homes were encouraged to work rather than advance to high school. The government was also concerned with the promotion of employment of junior high school graduates because of labor supply shortages. However, children's home workers realized that incomes were low and young people were being excluded from further education. The introduction of the Special Education Allowance for high schools also encouraged policy change after it was recognized that the gap had widened between the number of junior high school graduates and the rate of advancement to high school. Society is now more aware of the issue due to the difference in rates of advancement to high school among students from children's homes compared to the national average. The social action of children's home workers has also affected government policy. Finally, even with its limitations, the Special Education Allowance has caused a change in the choices made by junior high school graduates.

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The Basic Policy Structures of the Prevention of Child Abuse and Neglect and its Meaning : Introduction to the Analytical Model Based on Autonomy of Parents and Children

Yumi NEGISHI

Article type: Article
2013 Volume 54 Issue 2 Pages 32-43
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_32

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We have recognized that policies of intervention against child abuse and neglect vary among countries. However these differences have not been organized with theoretically consistent frameworks, so that it has been difficult to evaluate the differences properly. To solve these problems and to clarify the future direction of the intervention policies, this paper aims to make a theoretical typification model to grasp the variety of policies among countries. Theoretically "Intervention against child abuse and neglect" is constructed by two opposite concepts; intervention versus autonomy and parent versus child. Combining these concepts, the Model of Structure Analysis of Preventive Policies against Child Abuse and Neglect is constructed. I applied this model to four countries' preventive policies, including Japan, and found that three countries other than Japan were characterized as parent-child autonomous systems. As previous studies focused only on the way of intervention, the typification model has inconsistencies among types and it is difficult to understand the transitional pattern among types. This model, however, is able to resolve these problems by adopting two opposite concepts for the basic elements for modeling.

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Structure of Complaints in Long-Term Care Insurance Service : Through an Analysis of Interviews with Complainants at the Federation of National Health Insurance Associations

Yasumichi KURATA

Article type: Article
2013 Volume 54 Issue 2 Pages 44-55
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_44

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This study aims to discuss complaints made by those who receive Long-Term Care Insurance Service, through an examination of their awareness. I conducted a survey by interviewing thirteen people who have previously filed complaints, and analyzed them. The number of factors extracted from this survey amounted to forty eight items and fifteen sub categories; five categories were generated when the results were categorized. Factors that lead to complaint filing arose not only after services were provided, but also in the situation before the services were provided, and accumulated. It was also recognized that complaint filing has two aspects: one is a negative manifestation that service recipients are not satisfied with service providers; the other is a positive manifestation that they are not satisfied but at the same time expect that it would contribute to resolution of the problem.

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The Relationship between the Rate of Certification of Needed Support or Long-Term Care and Community Organization Participation Rate as an Index of Social Capital : Analysis by Long-Term Care Insurer in JAGES

Daisuke ITO, Katsunori KONDO

Article type: Article
2013 Volume 54 Issue 2 Pages 56-69
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_56

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We examined the relationship between rate of certification of needed long term care ("certification rate") and community organization participation rate ("participation rate") as one index of social capital, and the usefulness of participation rate as an index for monitoring care prevention through regional development. Subjects were 24 long-term care insurers in the Japan Gerontological Evaluation Study (JAGES). We used 18 indicators from 6 types of community organizations and 3 levels of participation frequency (a few times a year to once a week). With certification rate as the objective variable, we performed multiple regression analysis on the young-old versus the old-old, with simultaneous injection of community factors such as the proportion of people living alone and the occupation rate. Certification rate and participation rate were correlated negatively in many models (β = -0.42 to -1.05) and positively in some models (β = 0.53 to 0.58). The relationship was stronger for the young-old than the old-old, for horizontal (e.g. hobbies and sports) than vertical organizations, and for moderate or low rather than high participation. Participation rate may be a useful index for monitoring care prevention by regional development.

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Empirical Analysis on Nursing Service Demand Behaviors : For Future Nursing Insurance System Reforms

Shigeyuki KUBOTERA

Article type: Article
2013 Volume 54 Issue 2 Pages 70-82
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_70

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The Japanese government has been considering the control measures of care costs and nursing care payment in the nursing insurance system reforms. However, in order to predict the trends of care costs, there is a need for information on nursing service user demand. This study intends to indicate the scientific basis to discuss the nursing insurance system reforms by analyzing two nursing service demand behaviors of "service category selection" and "service usage level", using cross-section data for each local government. The analysis indicates the following three things: 1. The increase of service user burden ratio does not control care costs because the care service demands are not price elastic in all the services. 2. The increase of service user burden ratio is reasonable for high-income service users above a certain level because In-Home Service demand increases with the increasing income level and this is what is called income effect. 3. In-Home Service use is promoted by the efforts to implement Long-Term Care Prevention Project.

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The Possibility of Participatory Social Work in Supporting the Elderly Living Alone : Promotion of Collaboration and Cooperation in Application of the Solution Focused Approach

Eiko ADACHI

Article type: Article
2013 Volume 54 Issue 2 Pages 83-93
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_83

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In this quarter of a century, constructive social work has been influenced by social constructionism, strongly emphasizing strength and coping, and has developed collaborative participation. In this study, we report a participatory social work practice, which is based on a solution-focused approach (SFA) for the support of elderly living alone. Through a consideration of this case process, it was clarified that SFA should not focus on dealing with "the problem" but pay attention to strength, which realizes solution-building through the promotion of relationship, clarification of views and goals, reinforcement of self-direction and activation. Furthermore it was made clear that practice centered on the person and their goals promotes partnership and teamwork. In connection with this point, we also show the importance of application of the tools Solution Map/Goal Map for easy access of participation.

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Problems Facing Care Managers Regarding Their Detection of Signs of Elderly Abuse : The Present Condition and Consciousness of Care Managers in Fukuoka and Kitakyushu

Hidekazu HONGO

Article type: Article
2013 Volume 54 Issue 2 Pages 94-107
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_94

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The purpose of this study is to investigate problems facing Care Managers regarding their detection of elderly abuse. Firstly, with reference mainly to a precedent study, this paper emphasizes the importance of recognizing signs of elderly abuse by Care Managers. Secondly, we examined the ability to recognize signs of elderly abuse by Care Managers in the Fukuoka and Kitakyushu municipalities. The results of this investigation also enabled conclusions to be drawn regarding the attitudes of the Care Managers. It was clear that most of the Care Managers surveyed had encountered elderly abuse. Furthermore, the following issues were furthermore highlighted by this investigation: (1) A need for improvement in the recognition of the signs of elderly abuse. (2) Differences of opinion regarding the merit of the basic license. (3) A need for improvement in the maintenance of training organizations and study support.

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 108-111
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_108

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 112-113
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_112

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 114-116
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_114

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 117-119
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_117

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 120-122
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_120

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 123-125
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_123

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 126-128
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_126

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 129-131
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_129

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 132-
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_132

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 133-
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_133

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[title in Japanese]

[in Japanese]

Article type: Article
2013 Volume 54 Issue 2 Pages 134-
Published: August 31, 2013
Released on J-STAGE: July 20, 2018

DOIhttps://doi.org/10.24469/jssw.54.2_134

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