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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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  • Emi Sato
  • Kiyohide Fushimi

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.

Suggested Citation

  • Emi Sato & Kiyohide Fushimi, 2009. "What has influenced patient health‐care expenditures in Japan?: variables of age, death, length of stay, and medical care," Health Economics, John Wiley & Sons, Ltd., vol. 18(7), pages 843-853, July.
    • Handle: RePEc:wly:hlthec:v:18:y:2009:i:7:p:843-853
    DOI: 10.1002/hec.1410
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    Cited by:

    1. Nisha C. Hazra & Caroline Rudisill & Martin C. Gulliford, 2018. "Determinants of health care costs in the senior elderly: age, comorbidity, impairment, or proximity to death?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 831-842, July.
    2. Anne Vinkel Hansen & Laust Hvas Mortensen & Stella Trompet & Rudi Westendorp, 2020. "Health care expenditure in the last five years of life is driven by morbidity, not age: A national study of spending trajectories in Danish decedents over age 65," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-11, December.
    3. Michio Yuda, 2018. "The medical assistance system and inpatient health care provision: Empirical evidence from short-term hospitalizations in Japan," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-14, October.
    4. Norton, E.C., 2016. "Health and Long-Term Care," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 951-989, Elsevier.
    5. 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.
    6. Małgorzata Cygańska & Magdalena Kludacz-Alessandri & Chris Pyke, 2023. "Healthcare Costs and Health Status: Insights from the SHARE Survey," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    7. Xing, Zhang & Oyama, Tatsuo, 2016. "Measuring the impact of Japanese local public hospital reform on national medical expenditure via panel data regression," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 460-467.
    8. Anne Mason & Idaira Rodriguez Santana & María José Aragón & Nigel Rice & Martin Chalkley & Raphael Wittenberg & Jose-Luis Fernandez, 2019. "Drivers of health care expenditure: Final report," Working Papers 169cherp, Centre for Health Economics, University of York.

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