Abstract
In 2000, with the rapid progress of population aging after the high economic growth period, Japan introduced a long-term care insurance system in which nursing care services are provided through the social insurance system. Under the long-term care insurance system, private business operators were encouraged to enter a quasi-market environment. As a consequence, their service centers came to be located mainly in metropolitan areas. Such uneven distribution of the services to metropolitan areas led to regional differences and disparities in the services. That trend persists even in community-based long-term care services where the authority to establish the services was transferred to municipalities. In fact, some municipalities have no established services.KeywordsCommunity-based long-term care servicesHome-based care servicesInstitutional care servicesLong-term care insurance premiumLong-term care insurance system
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