日本 및 싱가포르 介護·돌봄 市場 動向
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Japan is pushing forward with reforms in lifelong support guidelines and care fee revisions for 2027, while Singapore is addressing nursing home bed shortages for aging baby boomers and updating long-term care cost structures.
Japan and Singapore Care Market News Briefing — 2026-10-07
Japan Care Market Trends
1. Lifetime Support Guidelines Evolving into Social Infrastructure According to a report by the Nihon Keizai Shimbun on October 3, 2026, elderly lifelong support is shifting beyond simple guarantor services to become vital social infrastructure supporting the final stages of life. Issues regarding guarantor services for private care and hospitalization among single seniors are becoming increasingly prominent.

2. Full-scale Discussions on the FY2027 Care Fee Revision Ahead of the 2027 care fee revision, strengthening the integration of medical care and nursing care has emerged as a core agenda. Driven by the rising population of older adults aged 85 and above, demand spanning both medical and nursing care is surging, with the 2026 skeletal guidelines incorporating measures directly linked to this revision.
3. Efforts to Raise Care Insurance Premiums and Ensure Sustainability Announcements by the Ministry of Health, Labour and Welfare show that care insurance premiums for Category 1 insured persons (aged 65 and older) continue to rise amid advancing population aging, a measure aimed at securing the long-term sustainability of the care insurance system. The national average premium fluctuations for 2024–2026 are a major concern for operators.
4. Improving Care Worker Treatment and Raising Base Salaries The Ministry of Health, Labour and Welfare released a draft proposal presenting 'base salary increases' as the preferred approach for improving care worker treatment. This represents a structural approach to securing a sustainable workforce, going beyond simple allowance payouts.
5. Recruitment of Demonstrations for Care Field DX and Productivity Enhancement As part of the 'Reiwa 8 (2026) Productivity Enhancement Initiatives through Care Technology' project, the Ministry of Health, Labour and Welfare is recruiting demonstration proposals from care providers and technology developers. This reflects a policy-driven trend to address labor shortages through technology.
Singapore Care Market Trends
1. Concerns Over Nursing Home Bed Shortages as Baby Boomers Reach 80 As the oldest cohort of baby boomers reaches the age of 80, concerns are growing over a shortage of nursing home spaces in the rapidly aging nation. Researchers expect the scarcity of nursing home beds to become severe.

2. 2026 Singapore Nursing Home Costs and Subsidy Structures As of 2026, nursing home costs in Singapore start at $3,900 per month before subsidies. The actual out-of-pocket expenses for families vary depending on various government support schemes such as MOH subsidy tiers, MediSave Care, and ElderFund.
3. Long-Term Care Statistics and CareShield Life Coverage Statistics regarding long-term care costs borne by Singaporean families in 2026 and the extent to which CareShield Life and subsidies actually cover them have been shared. This serves as a critical benchmark for family financial planning.
4. Home Care Service Cost Disparities Home care services in Singapore show significant cost variations depending on the provider, ranging from $4.80 per hour (subsidized) to $55.59 (private). Additionally, a $600 monthly grant scheme is in operation.
5. Changes to Application Procedures for the Seniors’ Mobility and Enabling Fund (SMF) The Agency for Integrated Care (AIC) announced that starting January 2026, new users applying for SMF subsidies must register via Singpass on the Vertis Health Marketplace. This aligns with the trend toward digital administrative efficiency.
Policy and Market Implications
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Differing Approaches to Infrastructure Deficits: Japan is focusing on 'qualitative growth' by strengthening medical-care integration and improving worker compensation through care fee revisions, whereas Singapore highlights physical infrastructure limits such as nursing home bed shortages and cost burdens, focusing on market-based solutions and subsidy optimization.
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Common Challenges in Technology (DX) Utilization: Japan is actively promoting productivity enhancement demonstrations for care technology led by the Ministry of Health, Labour and Welfare, while Singapore is expanding administrative convenience through assistive device purchases and digital platforms (integrated with Singpass) via the AIC. Both nations are accelerating technology adoption to alleviate labor shortages.
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Shifts in Social Awareness Regarding Solitary Deaths and Unconnected Seniors: In Japan, lifelong support for the elderly is being redefined as social infrastructure extending beyond mere 'guarantor' issues, calling for new institutional approaches to eliminate blind spots in care. While Singapore's discussions remain centered primarily on costs and infrastructure, similar social challenges are likely to emerge as the pace of aging accelerates.
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