Waseda University, Faculty of Political Science and Economics, Japan.
Waseda University, Faculty of Political Science and Economics, Japan.
J Health Econ. 2017 Dec;56:103-112. doi: 10.1016/j.jhealeco.2017.09.011. Epub 2017 Sep 28.
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.
我们评估了日本公共长期护理保险 (LTCI) 的溢出效应，将其作为刺激家庭护工劳动力参与的政策。利用 1995 年至 2013 年的全国代表性数据，我们采用差分倾向得分匹配法，在两个时期考察了溢出效应：LTCI 于 2000 年引入前后，以及 2006 年重大修订前后。研究结果表明，LTCI 的引入对家庭护工的劳动力参与有显著的正向溢出效应，且效应因性别和年龄而异。相比之下，LTCI 的修订对其劳动力参与普遍产生了负面的溢出效应。我们提请注意这些溢出效应，因为在未来几十年，扩大劳动力市场供应以维持经济将是日本和其他快速老龄化国家的首要任务。
