Evaluating the Impact of Japan’s Long-Term Care Insurance System on Older Adults: A Literature Review

Japan’s long-term care insurance (LTCI) system has been pivotal in addressing the challenges of a rapidly ageing population by providing comprehensive care and financial relief to older adults and their families since 2000. This review examines the system’s role in enhancing health equity and accessibility while identifying areas requiring policy adjustments. Stakeholder analysis reveals the interplay between the government, healthcare providers, elderly institutions, and family caregivers in implementing LTCI. Despite improvements in care accessibility and reduced income disparities, the system faces issues of financial sustainability and service disparities, particularly affecting low-income groups. Recommendations include enhancing community-based care, preventive measures, and equitable cost-sharing mechanisms to ensure the system’s effectiveness and sustainability.