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Social change and caregiving of the elderly

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Chapter Summary

This chapter describes the changes that have taken place in the environment of home care preceding and subsequent to the introduction of the public long-term care insurance programme. These changes have led to an early 21st century family care giving situation characterized by the breakdown of prior generational and gender roles and the commercialization of care as strangers become caregivers for pay. The vast majority of elder care continues to be homebased, and it is this type of care that is the focus of the chapter. For both caregiver and care recipient, the meaning of elder care in Japan is undergoing rapid change due to the demographic shifts and technological developments of the last century and the policies of the 21st century. Care giving requires more expertise and new skills. Non-family members provide services both in and outside of the home.

Keywords: caregivers; elder care; home care



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