Spillover effect of Japanese long-term care insurance as an employment promotion policy for family caregivers

We evaluate a spillover effect of the Japanese public long-term care insurance (LTCI) as a policy to stimulate family caregivers’ labor force participation. Using nationally representative data from 1995 to 2013, we apply difference-in-difference propensity score matching to investigate the spillove...

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Bibliographic Details
Published in:Journal of health economics 2017-12, Vol.56, p.103-112
Main Authors: Fu, Rong, Noguchi, Haruko, Kawamura, Akira, Takahashi, Hideto, Tamiya, Nanako
Format: Article
Language:English
Subjects:
Adult
Aged
Aging
Career Mobility
Caregivers
Difference-in-difference
Employee promotions
Employment
Employment policies
Female
Health administration
Health economics
Health insurance
Humans
Insurance
Insurance, Long-Term Care
Japan
Labor
Labor force
Labor force participation
Labor market
Long term care insurance
Long term health care
Long-term care
Male
Middle Aged
Propensity
Propensity score matching
Public Sector
Spillover effect
Surveys and Questionnaires
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Summary:We evaluate a spillover effect of the Japanese public long-term care insurance (LTCI) as a policy to stimulate family caregivers’ labor force participation. Using nationally representative data from 1995 to 2013, we apply difference-in-difference propensity score matching to investigate the spillover effect in two periods: before and after the introduction of the LTCI in 2000 and before and after its major amendment in 2006. Our results show that the LTCI introduction has significant and positive spillover effects on family caregivers’ labor force participation and the effects vary by gender and age. In contrast, the LTCI amendment is found to have generally negative spillover effects on their labor force participation. We draw attention to these spillover effects, as expanding labor market supply to sustain the economy would be a priority for Japan and other rapidly aging countries in the coming decades.
ISSN:0167-6296
1879-1646
DOI:10.1016/j.jhealeco.2017.09.011