University of Tokyo

Survey Number 0991
Survey Title Fact-Finding Survey on Long-term Care Work, 2013
Depositor Care Work Foundation
Restriction of Use For detailed information, please refer to 'For Data Users' at SSJDA website.

- Apply to SSJDA. SSJDA's approval required.
Educational Purpose Available for both research and instructional purposes.
Period of Data Use Permission One year
Access to Datasets Download
Nesstar Not available
Summary This survey is comprised of two surveys: the “Fact-finding Survey on Long-term Care Work in Workplaces” (hereinafter, [Workplace Survey]) and the “Survey of Long-term Care Workers’ Employment Situation and Employment Attitudes” (hereinafter [Worker Survey]).

The [Workplace Survey] was carried out for the purpose of delineating issues regarding the work environments of workers in the long-term care industry, through the investigation and analysis of aspects such as the state of care worker employment, wages and wage systems, and the state of human resources recruitment/retention in long-term care facilities to produce basic materials for use in improving employment management in such facilities.

The [Worker Survey] targeted care workers working in the long-term care industry and was carried out for the purpose of clarifying the state of employment and work systems and their views on issues relating to their work and working conditions to produce basic information for use in recruiting/retaining care workers and improving their working conditions.

The [Workplace Survey] has been implemented since 2002 (Heisei 14) and the [Worker Survey] since 2003 (Heisei 15). In 2013 (Heisei 25), survey was carried out after the establishment of an expert survey review committee, which reviewed aspects such as survey method, survey items, and contents.

The following items have been added for 2013: for the [Workplace Survey], “number of new graduates among new hires,” “implementation of work-life balance support system,” and “use of public subsidy system.” For the [Worker Survey], “care worker certification method and certification year,” “effectiveness of certification process, whether it is useful in work,” “work-life balance support system,” “work experience in previous workplaces,” and “care for family members” were added.
Data Type quantitative research
quantitative research: micro data
Universe [Workplace Survey]
Workplaces that carry out long-term care services designated by long-term care insurance

[Worker Survey]
Employees of the above workplaces, who carry out long-term care work
Unit of Observation Individual,Organization
Sample Size [Workplace Survey]
Number of valid target workplaces: 17,065, number of valid responses: 7,808 (response rate: 45.8%)

*In the [Workplace Survey], a question requesting information on aspects such as the attributes, wages, and years of employment, etc., of the facility manager (Question 28) for the month of September in 2016 was added. As a result, information on the attributes and wages of 6,560 workplace managers (hereinafter, “managers”) was acquired.

Additionally, a question requesting information on aspects such as the individual attributes, wages, and years of employment, etc., of up to 20 care workers in each facility (Question 28) was added. As a result, information on the attributes, wages, etc., of 76,886 long-term care workers in 7,808 workplaces was acquired, which was aggregated separately.

[Worker Survey]
Number of valid target workers: 51,195 people, number of valid responses: 18,881 people (Response rate: 36.9%)
Date of Collection 2013-10-01 ~ 2013-10-31
Survey reference date: As of October 1, 2013
Survey period:2013/10/1 – 10/31
Time Period 2013 ~ 2013
Spatial Unit Japan
Sampling Procedure Probability: Simple random
[Workplace Survey]
A total of 17,500 workplaces were randomly sampled from “the list of facilities carrying out insurance-designated long-term care services” in WAMNET run by Welfare and Medical Service Agency, an independent administrative corporation.

[Worker Survey]
The facility managers of the above workplaces were requested to distribute the survey questionnaire to a maximum of 3 employees who met the target criteria. Managers were instructed that the 3 employees selected should be working in the main care-related services that the company was involved in and cover different occupational or employment types.
Mode of Data Collection Self-administered questionnaire: Paper
[Workplace Survey]
“Workplace Questionnaire” for sampled workplaces were distributed and collected by mail.

[Worker Survey]
The survey was implemented using paper-based questionnaire (self-administered).
Three “Worker Questionnaires” were sent in the same package to target workplaces, which were then completed and returned directly by mail by the respondents.

*Note that the aggregation of both the “Workplace Survey” and “Worker Survey” was performed by the Care Work Foundation.
Investigator Care Work Foundation
DOI 10.34500/SSJDA.0991
Sponsors (Funds) Ministry of Health, Labour and Welfare
Related Publications (by the Investigator) Please refer to the abstract in Japanese.
Related Publications (based on Secondary Analysis) List of related publications (based on Secondary Analysis)
Documentation Workplace Survey Questionnaire】 【Worker Survey Questionnaire
Major Survey Items [Workplace Survey]

(1) General overview of organization and workplace
- Corporate status/management entity
- Operations other than long-term care services
- Existence of multiple workplaces
- Location of workplace (municipality), regional classification for calculation of long-term care fees
- Establishment of workplace, year when long-term care services started
- Acceptance of dispatched (haken) workers
- Types of care services offered (capacity/users per month)
- Type of main long-term care services (care level)
- Employment status of Employees and number of employees
- Number of employees by occupation type
- Home-visit care workers and care workers hired and left in a year
- Number of “new graduates” and “certified care workers” among new hires

(2) State of employment management
- Excess or shortage of employees
- Level of employee retention,
- Creation of employment rules/clarification of working conditions
- Appointment of employment managers
- Implementation of work-life balance support system

(3) Management challenges
- Issues with management of care services
- Management response to addition of measures to improve treatment of care workers
- Future direction of long-term care service business
- Management situation (business revenue index in September 2013 with September of the previous year as 100)
- Proportion of business revenues taken up by personnel costs
- Introduction of long-term care and welfare equipment/effects on employees
- Use of public subsidy system

(4) Questions for home-visit care workers and care workers 
- Regular hiring of workers
- Number and quality assessment of newly-hired employees
- Prevention of quick turnover/measures to promote retention
- Efforts for human resource development (compared to other companies in the same sector)
- Human resource development initiatives
- Education/training at hiring, OJT method, implementation of education/training in a year
- Management method of home visit care workers

(5) Individual situation of workers
Gender, age, occupation type, employment status/mode of work, qualifications held, hiring, years of employment, method of wage payment/basic wages/real wages/number of hours/days worked

(6) Individual situation of workplace managers
Gender, age, qualifications held, years of employment, method of wage payment, basic wages/real wages

[Worker Survey]
(1) Regarding current job
- Current work, main tasks, length of experience, rank at work
- Years of employment
- Preference for employment status/mode of work and non-regular employee’s desire to be employed
- Qualifications (currently held/desired)
- Plan to take the exam to become a certified care worker, method of certification/certification year, effectiveness of certification process, whether it is useful in work

(2) Regarding terms of work and days/hours of work
- Explanation of working conditions at time of employment
- Weekly hours/days of work, number of hours of overtime work
- Work at other workplaces
- Existence of night work
- Work-life balance support system

(3) Regarding pay
- Form of payment of wages (hourly rate, daily rate)
- Usual monthly income before tax
- Annual income for previous year
- desired wages, allowances, etc.

(4) Regarding development of skills
- Existence of training at time of employment, existence of training in health and safety
- Existence of supervisor
- State of guidance from superiors, etc.
- Amount of training in previous year
- Whether or not attended practical training, attendance method, training agencies

(5) Thoughts on job
- Reasons for choosing current job
- Thoughts on current job and workplace
- Level of satisfaction with current job
- Current work, intention to continue working at current workplace
- workplace characteristics

(6) Worries, anxiety, dissatisfaction, etc. regarding work
- Worries, anxiety, dissatisfaction, etc. with working conditions
- Troubles, anxiety, dissatisfaction, etc. with workplace interpersonal relationships
- Troubles, anxiety, dissatisfaction, etc. with users and their families
- State of measures taken at workplace and resolution of worries, anxiety, and dissatisfaction, etc. related to work

(7) Regarding organization and workplace
- Location (prefecture/municipality)
- Corporate status
- Number of employees in workplace, existence of multiple workplaces, number of employees in entire organization
- Type of main long-term care services in workplace

(8) Regarding respondent him/herself
Reasons/impetus for getting a job at current organization, whether or not received vocational training, presence of a previous job, work experience at previous workplaces, experience with work other than care/welfare/medical-related work, nature of previous work/employment status/years of employment, reasons for leaving previous care work, gender, age, highest level of educational attainment, etc., marital status, primary household earner, long-term care for family members
Date of Release
Topics in CESSDA Click here for details

Employee training
Working conditions
Social welfare systems/structures
Topics in SSJDA Social Security/Welfare
Version 1 : 2016-04-20
Notes for Users