title: Burden reduction of caregivers for users of care services provided by the public long-term care insurance system in Japan.
abstract: We surveyed the care burden of family caregivers, their satisfaction with the services, and whether their care burden was reduced by the introduction of the LTCI care services. We randomly enrolled 3000 of 43,250 residents of Nagoya City aged 65 and over who had been certified as requiring long-term care and who used at least one type of service provided by the public LTCI; 1835 (61.2%) subjects returned the survey. A total of 1015 subjects for whom complete sets of data were available were employed for statistical analysis. Analysis of variance for the continuous variables and χ(2) analysis for that categorical variance were performed. Multiple logistic analysis was performed with the factors with p values of <0.2 in the χ(2) analysis of burden reduction. A total of 68.8% of the caregivers indicated that the care burden was reduced by the introduction of the LTCI care services, and 86.8% of the caregivers were satisfied with the LTCI care services. A lower age of caregivers, a more advanced need classification level, and more satisfaction with the services were independently associated with a reduction of the care burden. In Japanese LTCI, the overall satisfaction of the caregivers appears to be relatively high and is associated with the reduction of the care burden.
authors.affiliation: Nagoya University Graduate School of Medicine, Department of Community Healthcare & Geriatrics, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan. Electronic address: umegaki@med.nagoya-u.ac.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Umegaki
authors.forename: Madoka
authors.initials: M
authors.lastname: Yanagawa
authors.forename: Zen
authors.initials: Z
authors.lastname: Nonogaki
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Nakashima
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kuzuya
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Endo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000191:economics / Q000523:psychology*; D017281:Cost of Illness; D005260:Female; D016330:Frail Elderly; D006301:Health Services Needs and Demand / Q000191:economics*; D006699:Home Care Services / Q000191:economics; D006801:Humans; D007353:Insurance, Long-Term Care / Q000191:economics*; D007564:Japan; D008134:Long-Term Care / Q000191:economics*; D008297:Male; D012189:Retrospective Studies; D013315:Stress, Psychological
keywords: Care burden; Caregivers; Long-term care insurance