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An Empirical Analysis of Patterns in the Japanese Long-Term Care Insurance System

Author

Listed:
  • Olivia S Mitchell

    (Wharton School, University of Pennsylvania)

  • John Piggott

    (School of Economics, University of New South Wales)

  • Satoshi Shimizutani

    (Institute for International Policy Studies (IIPS))

Abstract

The recently enacted Japanese long-term care (LTC) system was implemented to reduce the so-called “social hospitalization” or warehousing of the elderly in expensive medical facilities. This paper seeks to evaluate recent patterns in Japanese LTC use and examine the factors associated with LTC utilization patterns. We show that the use of LTC in Japan – particularly home care – is growing rapidly, as the elderly consumers find subsidized LTC care preferable to and more available than hospitalization. At the same time, regional disparities in terms of entitlement and care use persist and are likely to grow.

Suggested Citation

  • Olivia S Mitchell & John Piggott & Satoshi Shimizutani, 2008. "An Empirical Analysis of Patterns in the Japanese Long-Term Care Insurance System," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 33(4), pages 694-709, October.
    • Handle: RePEc:pal:gpprii:v:33:y:2008:i:4:d:10.1057_gpp.2008.25
    DOI: 10.1057/gpp.2008.25
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    References listed on IDEAS

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    1. SHIMIZUTANI Satoshi & NOGUCHI Haruko, 2002. "The Determinants of Nursing Home Exit and the Price Elasticity of Institutional Care: Evidence from Micro-level Data," ESRI Discussion paper series 024, Economic and Social Research Institute (ESRI).
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    Cited by:

    1. Matthew A. COLE & Robert J R ELLIOTT & Toshihiro OKUBO & Eric STROBL, 2013. "The Future of Long-term Care in Japan," Discussion papers 13064, Research Institute of Economy, Trade and Industry (RIETI).
    2. Kato, Ryuta Ray, 2018. "The future prospect of the long-term care insurance in Japan," Japan and the World Economy, Elsevier, vol. 47(C), pages 1-17.
    3. Yamada, Hiroyuki & Shimizutani, Satoshi, 2015. "Labor market outcomes of informal care provision in Japan," The Journal of the Economics of Ageing, Elsevier, vol. 6(C), pages 79-88.
    4. Shinya Sugawara, 2022. "What composes desirable formal at-home elder care? An analysis for multiple service combinations," The Japanese Economic Review, Springer, vol. 73(2), pages 373-402, April.
    5. repec:dau:papers:123456789/5054 is not listed on IDEAS
    6. Noguchi, Haruko & Shimizutani, Satoshi, 2011. "The determinants of exit from institutions and the price elasticity of institutional care: Evidence from Japanese micro-level data," Journal of the Japanese and International Economies, Elsevier, vol. 25(2), pages 131-142, June.
    7. Manuel L. Esquível & Gracinda R. Guerreiro & Matilde C. Oliveira & Pedro Corte Real, 2021. "Calibration of Transition Intensities for a Multistate Model: Application to Long-Term Care," Risks, MDPI, vol. 9(2), pages 1-17, February.

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    1. Olivia S. Mitchell & John Piggott & Satoshi Shimizutani, 2004. "Aged-Care Support in Japan: Perspectives and Challenges," NBER Working Papers 10882, National Bureau of Economic Research, Inc.

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