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Aged-Care Support in Japan: Perspectives and Challenges

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Author Info
Olivia S. Mitchell
John Piggott
Satoshi Shimizutani

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Abstract

This study explores economic aspects of the market for long term care (LTC) with a special focus on Japan. First, we describe the LTC system in Japan as presently implemented, and we highlight some aspects of the program that are novel and potentially of interest to other countries seeking models for long-term care provision. Next, we discuss alternative projections of Japanese LTC utilization and costs. Finally, since Japan appears likely to experience important shortfalls in LTC in the future, we discuss whether such services might be more efficiently organized and financed under alternate forms of provision.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 10882.

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Date of creation: Nov 2004
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Handle: RePEc:nbr:nberwo:10882

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Find related papers by JEL classification:
H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Norton, Edward C., 2000. "Long-term care," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 17, pages 955-994 Elsevier. [Downloadable!] (restricted)
  2. Darius Lakdawalla & Tomas Philipson, 2002. "The Rise in Old-Age Longevity and the Market for Long-Term Care," American Economic Review, American Economic Association, vol. 92(1), pages 295-306, March. [Downloadable!]
    Other versions:
  3. Mitchell, Olivia S. & Piggott, John, 2004. "Unlocking housing equity in Japan," Journal of the Japanese and International Economies, Elsevier, vol. 18(4), pages 466-505, December. [Downloadable!] (restricted)
    Other versions:
  4. Andrew Dick & Alan M. Garber & Thomas E. MaCurdy, 1994. "Forecasting Nursing Home Utilization of Elderly Americans," NBER Chapters, in: Studies in the Economics of Aging, pages 365-394 National Bureau of Economic Research, Inc. [Downloadable!]
  5. Shimizutani, Satoshi & Suzuki, Wataru, 2007. "Quality and efficiency of home help elderly care in Japan: Evidence from micro-level data," Journal of the Japanese and International Economies, Elsevier, vol. 21(2), pages 287-301, June. [Downloadable!] (restricted)
  6. Amy Finkelstein & Kathleen McGarry, 2003. "Private Information and its Effect on Market Equilibrium: New Evidence from Long-Term Care Insurance," NBER Working Papers 9957, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  7. Alan M. Garber & Thomas E. MaCurdy, 1990. "Predicting Nursing Home Utilization among the High-Risk Elderly," NBER Chapters, in: Issues in the Economics of Aging, pages 173-204 National Bureau of Economic Research, Inc. [Downloadable!]
  8. Komamura, Kohei & Yamada, Atsuhiro, 2004. "Who bears the burden of social insurance? Evidence from Japanese health and long-term care insurance data," Journal of the Japanese and International Economies, Elsevier, vol. 18(4), pages 565-581, December. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Tadashi Fukui & Yasushi Iwamoto, 2006. "Policy Options for Financing the Future Health and Long-term Care Costs in Japan," CIRJE F-Series CIRJE-F-432, CIRJE, Faculty of Economics, University of Tokyo. [Downloadable!]
    Other versions:
  2. Howard Gleckman, 2007. "Financing Long-Term Care: Lessons from Abroad," Issues in Brief ib2007-7-8, Center for Retirement Research, revised Jun 2007. [Downloadable!]
  3. Satoshi Shimizutani, 2006. "The Expansion in Long-term Care Use in Japan: A Case of Supplier-Induced Demand?," Swiss Journal of Economics and Statistics (SJES), Special Issues, Swiss Society of Economics and Statistics (SSES), vol. 142(S (specia), pages 91-95. [Downloadable!]
  4. Haruko Noguchi & Satoshi Shimizutani, 2005. "The Determinants of Exit from Nursing Homes and the Price Elasticity of Nursing Home Care: Evidence from Japanese Micro-level Data," Hi-Stat Discussion Paper Series d04-67, Institute of Economic Research, Hitotsubashi University. [Downloadable!]
  5. Haruko Noguchi & Satoshi Shimizutani, 2005. "Nonprofit and for-profit providers in Japanfs at-home care industry: evidence on quality of service and household choice," Economics Bulletin, Economics Bulletin, vol. 9(3), pages 1-13. [Downloadable!]
    Other versions:
  6. Yasushi Iwamoto & Miki Kohara & Makoto Saito, 2006. "On the Consumption Insurance Effects of Long-term Care Insurance In Japan: Evidence from Micro Household Data," CIRJE F-Series CIRJE-F-443, CIRJE, Faculty of Economics, University of Tokyo. [Downloadable!]
  7. Haruko Noguchi & Satoshi Shimizutani, 2005. "Nonprofit/For-Profit Status and Earning Differentials in the Japanese At-home Elderly Care Industry: Evidence from Micro-level Data on Home Helpers and Staff Nurses," Hi-Stat Discussion Paper Series d04-76, Institute of Economic Research, Hitotsubashi University. [Downloadable!]
    Other versions:
  8. Satoshi Shimizutani, 2006. "Japan's Long-term Care Insurance Program: An Overview," Swiss Journal of Economics and Statistics (SJES), Special Issues, Swiss Society of Economics and Statistics (SSES), vol. 142(S (specia), pages 23-28. [Downloadable!]
  9. Olivia S. Mitchell & John Piggott & Michael Sherris & Shaun Yow, 2006. "Financial Innovation for an Aging World," NBER Working Papers 12444, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
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