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Supplier Density and At-home Care Use in Japan: Evidence from a Micro-level Survey on Long Term Care Receivers

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Listed:
  • Noguchi, Haruko
  • 野口, 晴子
  • ノグチ, ハルコ
  • Shimizutani, Satoshi
  • 清水谷, 諭
  • シミズタニ, サトシ

Abstract

Following the introduction of the long-term care insurance scheme and deregulation of the market for at-home care services, Japan experienced a substantial increase in expenditure on care for the elderly. Using household-level survey data, we empirically examine whether the increase in care expenditure is associated with supplier density springing from the rise in the number of care providers following deregulation. We provide weak evidence that supplier density in the at-home care market is positively correlated with probability to use care or expenditure on care. Moreover, we find no link between the share of for-profit providers and the demand for at-home care services.

Suggested Citation

  • Noguchi, Haruko & 野口, 晴子 & ノグチ, ハルコ & Shimizutani, Satoshi & 清水谷, 諭 & シミズタニ, サトシ, 2009. "Supplier Density and At-home Care Use in Japan: Evidence from a Micro-level Survey on Long Term Care Receivers," PIE/CIS Discussion Paper 434, Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University.
    • Handle: RePEc:hit:piecis:434
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    7. Louis F. Rossiter & Gail R. Wilensky, 1984. "Identification of Physician-Induced Demand," Journal of Human Resources, University of Wisconsin Press, vol. 19(2), pages 231-244.
    8. Haruko Noguchi & Satoshi Shimizutani & Yuichiro Masuda, 2008. "Regional variations in medical expenditure and hospitalization days for heart attack patients in Japan: evidence from the Tokai Acute Myocardial Study (TAMIS)," International Journal of Health Economics and Management, Springer, vol. 8(2), pages 123-144, June.
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    Cited by:

    1. Ayako Kondo, 2017. "Availability of Long-term Care Facilities and Middle-aged People's Labor Supply in Japan," Asian Economic Policy Review, Japan Center for Economic Research, vol. 12(1), pages 95-112, January.
    2. Matthew A. COLE & Robert J R ELLIOTT & OKUBO Toshihiro & Eric STROBL, 2013. "The Future of Long-term Care in Japan," Discussion papers 13064, Research Institute of Economy, Trade and Industry (RIETI).
    3. Shinya Sugawara & Jiro Nakamura, 2014. "Incentive for Gatekeepers and Their Demand Inducement: An Empirical Analysis of Care Managers in the Japanese Long-Term Care Insurance," CIRJE F-Series CIRJE-F-916, CIRJE, Faculty of Economics, University of Tokyo.
    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.

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    More about this item

    Keywords

    supplier density; at-home care; long-term care insurance;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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