Micro Data Analysis of Medical and Long-Term Care Utilization Among the Elderly in Japan

Hideki Hashimoto, Hiromasa Horiguchi and Shinya Matsuda
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Hideki Hashimoto: Department of Health Economics and Epidemiology Research, The University of Tokyo School of Public Health, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan
Hiromasa Horiguchi: Department of Health Management and Policy, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan
Shinya Matsuda: Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka 807-8555, Japan

IJERPH, 2010, vol. 7, issue 8, 1-16

Abstract: Japan is currently experiencing the most rapid population aging among all OECD countries. Increasing expenditures on medical care in Japan have been attributed to the aging of the population. Authors in the recent debate on end-of-life care and long-term care (LTC) cost in the United States and Europe have attributed time to death and non-medical care cost for the aged as a source of rising expenditures. In this study, we analyzed a large sample of local public insurance claim data to investigate medical and LTC expenditures in Japan. We examined the impact of aging, time to death, survivorship, and use of LTC on medical care expenditure for people aged 65 and above. On the basis of these findings, we conclude that age is a contributing factor to the rising expenditures on LTC, and that the contribution of aging to rising medical care expenditures should be distinguished according to survivorship.

Keywords: end-of-life medical cost; long-term care; aging; survivorship; Japan (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2010
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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