Heidt Two Worlds of Aging

Institutional Shifts, Social Risks, and the Livelihood of the Japanese Elderly
1. Auflage 2017
ISBN: 978-3-8452-8594-8
Verlag: Nomos
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, Band 2, 284 Seiten, Format (B × H): 153 mm x 227 mm

Reihe: Ethnosoziologie | Social Anthropology

This book illustrates why and to what extent societal aging has triggered a change in our social security systems – which has simultaneously led to the emergence of new social risks in Japan. The regional context thus forms a crucial factor in welfare creation. As the foundation for a coherent and comprehensive representation of this complex matter, a mixed methods approach, consisting of ethnograpic fieldwork and analysis of both sociopolitical measures and aggregate data, was utilised in this book. The results indicate that the institutional framework has positive effects on the social economy and local communities. But innovative strategies of local problem-solving for social capital activation are fostered as well. This book is intended for scholars in the fields of welfare, social and regional research. But it also provides new input for both the social economy and social policy.

Autoren/Hrsg.

Heidt, Vitali

Fachgebiete

• Sozialwissenschaften Soziologie | Soziale Arbeit Altersgruppen Alterssoziologie
• Wirtschaftswissenschaften Volkswirtschaftslehre Wohlfahrtsökonomie
• Sozialwissenschaften Politikwissenschaft Regierungspolitik Sozialpolitik

Inhaltsverzeichnis

1;Cover;1
2; 1 Institutional change and the emergence of social risks;23
2.1; 1.1 Inequality in ageing Japan;24
2.2; 1.2 Gaps in the social security system;28
2.2.1; 1.2.1 Dysfunctional elements of social security;28
2.2.2; 1.2.2 Things are not so bad after all;34
2.2.3; 1.2.3 Changes in family structures;37
2.2.4; 1.2.4 Subjective dimensions of ageing;42
2.2.5; 1.2.5 Periphery and urbanity;45
2.3; 1.3 Hypotheses and research question;48
2.4; 1.4 Research design: mixed methods approach;51
2.4.1; 1.4.1 Case studies;56
2.4.1.1; 1.4.1.1 T?ky?-to: shitamachi and yamanote;57
2.4.1.2; 1.4.1.2 Nagano prefecture: Komagane-shi;58
2.5; 1.5 Theoretical foundation: welfare mix in an ageing society;59
2.5.1; 1.5.1 Individualisation of risks and the emergence of social risks;60
2.5.2; 1.5.2 The welfare mix in transition;63
2.5.3; 1.5.3 Communities as an institutional buffer;66
3; 2 The old, the frail and the demented: aspects of care for the elderly in Japan;70
3.1; 2.1 Demographic change—increasing need for care for the elderly;71
3.2; 2.2 Welcome to Japan: Long-Term Care Insurance;75
3.2.1; 2.2.1 Historical developments of care for the elderly;76
3.2.2; 2.2.2 Need for a change in elderly welfare: the LTCI is coming to Japan;80
3.3; 2.3 The structure of the LTCI;83
3.3.1; 2.3.1 Administrational foundations: insurers and financing;83
3.3.2; 2.3.2 Eligibility and benefits;86
3.4; 2.4 Live long and prosper: the institution of day care;88
3.4.1; 2.4.1 Scheduling day care;91
3.5; 2.5 Reforms of the LTCI: curtailing expenses, fostering civic engagement;94
3.5.1; 2.5.1 Surprised by popularity: unscheduled reform in 2003;94
3.5.2; 2.5.2 On-time prevention: reform of 2006;95
3.5.3; 2.5.3 Care and community: reform of 2012;97
3.6; 2.6 Consequences of the LTCI and the effects of day care;100
4; 3 Ageing in peripheral Japan: flowers, care and social meshes;106
4.1; 3.1 The city between the two Alps: Welcome to Komagane;106
4.1.1; 3.1.1 Getting older: demographics of Komagane;109
4.1.2; 3.1.2 Still in the field: working seniors;113
4.1.3; 3.1.3 Well distributed: infrastructure of care for the elderly;114
4.2; 3.2 Inclusionary meshing: the institutional set-up for rural elderly welfare;117
4.2.1; 3.2.1 Centralised: organisation of care;119
4.2.2; 3.2.2 ... but outsourced: the interlocking of Shakyo and the city's Welfare Office;125
4.3; 3.3 Let's have fun together: community projects, preventive measures and day care;127
4.3.1; 3.3.1 Drinking tea: saron & ochanomikai;127
4.3.2; 3.3.2 Moped grannies: elderly widows in rural Japan;131
4.3.3; 3.3.3 "Uchi de warau koto nai sa"—social isolation of the elderly;134
4.4; 3.4 Where it's at: an interim conclusion;138
5; 4 A tale of two cities: diversity in a metropolis;140
5.1; 4.1 Young with older spots: demography of T?ky?-to;142
5.1.1; 4.1.1 Modern yamanote: Minato ward;145
5.1.2; 4.1.2 Traditional shitamachi: Tait? ward & Katsushika ward;147
5.2; 4.2 Urban care institutions;148
5.2.1; 4.2.1 Showpiece of urban care for the elderly: all-in-one care facilities;150
5.2.2; 4.2.2 Hand in hand: synergy effects and internal organisation of labour;152
5.3; 4.3 Still to do: meshing of public and social institutions;156
5.3.1; 4.3.1 Betsubetsu: the organisation of care for the elderly;161
5.3.2; 4.3.2 Dichotomy of scales: long-term care usage;165
5.4; 4.4 Less is more: preventive measures, day care and initiative taking;172
5.4.1; 4.4.1 Ride my bicycle: patchwork of care for the elderly measures;173
5.4.2; 4.4.2 Getting old, getting poor: increasing poverty among the elderly;177
5.4.3; 4.4.3 "Yappari kazoku ni mend? wo shitaku n?": women as actors in day care;181
5.4.4; 4.4.4 Captives of mind, body and family relationships: seniors in institutional care;185
5.5; 4.5 State of affairs: an interim conclusion;187
6; 5 Diversity in care for the elderly;191
6.1; 5.1 Multiplicity in care facilities for the elderly;192
6.1.1; 5.1.1 Ii fun'iki: enjoyable settings for day care users;194
6.1.1.1; 5.1.1.1 Minato ward: San San Akasaka;197
6.1.1.2; 5.1.1.2 Tait? ward: Asatoku;198
6.1.1.3; 5.1.1.3 Katsushika ward: Shinkatsushika Royal Care Center;200
6.1.2; 5.1.2 Human resources management and organisation of care;201
6.1.3; 5.1.3 The price of functional effectiveness;203
6.2; 5.2 Gender as a differentiator in care for the elderly;205
6.2.1; 5.2.1 Talk, talk, talk: activities in care facilities for the elderly;207
6.2.2; 5.2.2 Aspects of social interaction in care for the elderly;209
6.2.3; 5.2.3 Amplifying social networks through care for the elderly;213
6.2.4; 5.2.4 Volunteering: an essential pillar in care for the elderly;215
6.3; 5.3 Pinpinkorori: local normative ethics manifested in an ideal death;218
7; 6 Summarising social risks and the dual character of welfare;221
7.1; 6.1 Risk of seclusion;223
7.2; 6.2 Rebalancing responsibilities in care for the elderly;227
7.3; 6.3 Care institutions for the elderly as resources;233
7.4; 6.4 Duality of welfare regimes;236
7.4.1; 6.4.1 Urban duality;237
7.4.2; 6.4.2 Rural duality;242
7.4.3; 6.4.3 The duality of the welfare mix;245
8; 7 Conclusion;248
9; Appendix;253
9.1; A Interview guide: care personnel;253
9.2; B Interview guide: patient interviews;254
9.3; C Interview guide: expert interviews;254
9.4; D Overview of patients and sociodemographic data;255
9.5; E Municipal discretion in premium settings of the LTCI;258
9.6; F LTCI application process;259
9.7; G Overview of all care facilities for the elderly in Komagane;260
10; References;265