As Japan's population ages rapidly, the need for nursing care is increasing. On the other hand, the nursing care labor market is experiencing a severe shortage of caregivers. Therefore, the purpose of this study is to clarify the effects of the impacts of the 2009 long-term care fees revision by focusing on the impacts on labor supply and demand of part-time visiting caregivers.
This study was conducted by the difference-in-differences (DID) model using individual data from the "Survey on Nursing Care Labor Conditions". The analysis was performed using the 23 wards of Tokyo as the treatment group. The control group consisted of establishments in Tokyo, Saitama, Chiba, Kanagawa, Aichi, Kyoto, Osaka, Hyogo, and Fukuoka prefectures other than the 23 wards. The subjects of the analysis were non-regular part-time home care workers, and relative real wages, number of workers, and number of hours worked were explained variables. The results of the estimation are as follows. Firstly, there was a significant increase in relative real wages after the revision of the nursing care fee increase. Positive and significant growth was obtained for the number of workers, indicating that the increase in nursing care fees increased the number of short-time workers for home care workers at nursing care facilities in special wards. On the other hand, no significant change was estimated for working hours. This suggests that the policy effect may have been offset by workers’ suppression of working hours by workers affected by the so-called "1.03-million-yen and 1.3-million-yen barriers.

Authors:
Xinfang Zhang, Tohoku University, Japan

About the Presenter(s)
Ms XINFANG ZHANG is a University Doctoral Student at Tohoku University in Japan

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