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What has influenced patient health-care expenditures in Japan?: variables of age, death, length of stay, and medical care

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Author Info

  • Emi Sato

    (Medical Informatics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan)

  • Kiyohide Fushimi

    (Medical Informatics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan)

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    Abstract

    This study considers variables related to health-care expenditures associated with aging and long-term hospitalization in Japan. We focused on daily per capita inpatient health-care expenditures, and examined the impact of inpatient characteristics such as sex, age, survived or deceased, length of stay, adult disease, and type of medical care received during the duration of each stay. We analyzed data from the Survey of Medical-Care Activities in Public Health Insurance by multinomial logistic regression analyses. Age of patient had little impact on per capita inpatient health-care expenditures per day. As regards length of stay, inpatient stays of 8-14 days had a little impact on health-care expenditures. This study suggested that these results might be due to the kind of medical care received. More research is needed to determine the appropriate medical services to reduce long-term hospitalization. In the last month of care for patients who died, medical examinations had a great influence on health-care expenditures. This study showed that increasing medical examinations in the end-of-life care needs further investigation. Copyright © 2008 John Wiley & Sons, Ltd.

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    File URL: http://hdl.handle.net/10.1002/hec.1410
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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

    Volume (Year): 18 (2009)
    Issue (Month): 7 ()
    Pages: 843-853

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    Handle: RePEc:wly:hlthec:v:18:y:2009:i:7:p:843-853

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    Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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    1. Breyer, Friedrich & Felder, Stefan, 2006. "Life expectancy and health care expenditures: A new calculation for Germany using the costs of dying," Health Policy, Elsevier, vol. 75(2), pages 178-186, January.
    2. Gabriel Picone & R. Mark Wilson & Shin-Yi Chou, 2003. "Analysis of hospital length of stay and discharge destination using hazard functions with unmeasured heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 12(12), pages 1021-1034.
    3. Meena Seshamani & Alastair Gray, 2004. "Ageing and health-care expenditure: the red herring argument revisited," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 303-314.
    4. Gandjour, Afschin & Lauterbach, Karl Wilhelm, 2005. "Does prevention save costs?: Considering deferral of the expensive last year of life," Journal of Health Economics, Elsevier, vol. 24(4), pages 715-724, July.
    5. Felder, Stefan & Meier, Markus & Schmitt, Horst, 2000. "Health care expenditure in the last months of life," Journal of Health Economics, Elsevier, vol. 19(5), pages 679-695, September.
    6. Elena Polverejan & Joseph C. Gardiner & Cathy J. Bradley & Margaret Holmes-Rovner & David Rovner, 2003. "Estimating mean hospital cost as a function of length of stay and patient characteristics," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 935-947.
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    Cited by:
    1. Nishikitani, Mariko & Tsurugano, Shinobu & Inoue, Mariko & Yano, Eiji, 2012. "Effect of unequal employment status on workers’ health: Results from a Japanese national survey," Social Science & Medicine, Elsevier, vol. 75(3), pages 439-451.

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