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Aged-Care Support in Japan: Perspectives and Challenges

  • Olivia S. Mitchell
  • John Piggott
  • Satoshi Shimizutani

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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File URL: http://www.nber.org/papers/w10882.pdf
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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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Publication status: published as Mitchell, Olivia S., John Piggott & Satoshi Shimizutani. “Aged-Care Support in Japan: Perspectives and Challenges.” Benefits Quarterly. 1st Quarter 2006 22(1):7-18.
Handle: RePEc:nbr:nberwo:10882
Note: AG LS
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  1. Helen I. Doerpinghaus & Sandra G. Gustavson, 2002. "Long-Term Care Insurance Purchase Patterns," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 5(1), pages 31-43, 09.
  2. 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.
  3. 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.
  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.
  5. SHIMIZUTANI Satoshi & SUZUKI Wataru & NOGUCHI Haruko, 2004. "Outsourcing At-home Elderly Care and Female Labor Supply: Micro-level Evidence from Japan's Unique Experience," ESRI Discussion paper series 93, Economic and Social Research Institute (ESRI).
  6. 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.
  7. Olivia S. Mitchell & John Piggott, 2004. "Unlocking Housing Equity in Japan," NBER Working Papers 10340, National Bureau of Economic Research, Inc.
  8. Darius Lakdawalla & Tomas Philipson, 1998. "The Rise in Old Age Longevity and the Market for Long-Term Care," NBER Working Papers 6547, National Bureau of Economic Research, Inc.
  9. 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.
  10. Alan M Garber, 2001. "Health Care," Levine's Working Paper Archive 391749000000000153, David K. Levine.
  11. Pauly, Mark V, 1990. "The Rational Nonpurchase of Long-term-Care Insurance," Journal of Political Economy, University of Chicago Press, vol. 98(1), pages 153-68, February.
  12. Alvin E. Headen Jr., 1993. "Economic Disability and Health Determinants of the Hazard of Nursing Home Entry," Journal of Human Resources, University of Wisconsin Press, vol. 28(1), pages 80-110.
  13. 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.
  14. 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.
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