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Aged-Care Support in Japan: Perspectives and Challenges

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  • Olivia S. Mitchell
  • John Piggott
  • Satoshi Shimizutani

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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  • 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.
    • Handle: RePEc:nbr:nberwo:10882
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    Cited by:

    1. Yuka Minagawa Sugawara & Yasuhiko Saito, 2016. "Changes in disability-free life expectancy (DFLE) at birth between 2000 and 2010 across Japanese prefectures," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 739-749, September.
    2. Shinya Sugawara, 2017. "Firm‐Driven Management of Longevity Risk: Analysis of Lump‐Sum Forward Payments in Japanese Nursing Homes," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 26(1), pages 169-204, February.
    3. Tadashi Fukui & Yasushi Iwamoto, 2007. "Policy Options for Financing Future Health and Long-Term Care Costs in Japan," NBER Chapters, in: Fiscal Policy and Management in East Asia, pages 415-442, National Bureau of Economic Research, Inc.
    4. 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.
    5. 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.
    6. Katsuyoshi Nakazawa, 2013. "Municipality amalgamation and free-ride behavior: Eligibility assessments for long-term care insurance in Japan," MAGKS Papers on Economics 201340, Philipps-Universität Marburg, Faculty of Business Administration and Economics, Department of Economics (Volkswirtschaftliche Abteilung).
    7. Iwamoto, Yasushi & Kohara, Miki & Saito, Makoto, 2010. "On the consumption insurance effects of long-term care insurance in Japan: Evidence from micro-level household data," Journal of the Japanese and International Economies, Elsevier, vol. 24(1), pages 99-115, March.
    8. Katsuyoshi Nakazawa & Kota Sugahara & Minoru Kunizaki, 2013. "Linkage between Benefit Expenditure and Premium Burden: Long-Term Care Insurance in Japan," MAGKS Papers on Economics 201305, Philipps-Universität Marburg, Faculty of Business Administration and Economics, Department of Economics (Volkswirtschaftliche Abteilung).
    9. Tadashi Fukui & Yasushi Iwamoto, 2006. "Policy Options for Financing the Future Health and Long-term Care Costs in Japan (Subsequently published in "Fiscal Policy and Management in East Asia", Takatoshi Ito and Andrew Rose eds., U," CARF F-Series CARF-F-071, Center for Advanced Research in Finance, Faculty of Economics, The University of Tokyo.
    10. 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).
    11. NOGUCHI Haruko & SATOSHI Shimizutani, 2005. "Supplier-Induced Demand in Japan's At-home Care Industry: Evidence from Micro-level Survey on Care Receivers," ESRI Discussion paper series 148, Economic and Social Research Institute (ESRI).
    12. Noguchi, Haruko & Shimizutani, Satoshi, 2009. "Supplier density and at-home care use in Japan: Evidence from a micro-level survey on long-term care receivers," Japan and the World Economy, Elsevier, vol. 21(4), pages 365-372, December.
    13. Shimizutani, Satoshi & Suzuki, Wataru & Noguchi, Haruko, 2008. "The socialization of at-home elderly care and female labor market participation: Micro-level evidence from Japan," Japan and the World Economy, Elsevier, vol. 20(1), pages 82-96, January.
    14. Nakazawa, Kasuyoshi, 2016. "Identifying Discretion of Municipalities to Undertake Eligibility Assessments for Japan’s Long-Term Care Insurance Program," MPRA Paper 75565, University Library of Munich, Germany.
    15. 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), Swiss Society of Economics and Statistics (SSES), vol. 142(V), pages 91-95.
    16. repec:ebl:ecbull:v:9:y:2005:i:3:p:1-13 is not listed on IDEAS
    17. Noguchi, Haruko & Shimizutani, Satoshi, 2007. "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," Journal of the Japanese and International Economies, Elsevier, vol. 21(1), pages 106-120, March.
    18. Satoshi Shimizutani & Haruko Noguchi, 2005. "Nonprofit and for-profit providers in Japan's at-home care industry: evidence on quality of service and household choice," Economics Bulletin, AccessEcon, vol. 9(3), pages 1-13.
    19. 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.
    20. Vanessa Yong & Yasuhiko Saito, 2009. "Trends in healthy life expectancy in Japan: 1986 - 2004," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 20(19), pages 467-494.
    21. Ninglong You & Zhenjiang Shen & Tatsuya Nishino, 2017. "Assessing the Allocation of Special Elderly Nursing Homes in Tokyo, Japan," IJERPH, MDPI, vol. 14(10), pages 1-15, September.
    22. Olivia S Mitchell & John Piggott & Michael Sherris & Shaun Yow, 2006. "Financial Innovation for an Ageing World," RBA Annual Conference Volume (Discontinued), in: Christopher Kent & Anna Park & Daniel Rees (ed.),Demography and Financial Markets, Reserve Bank of Australia.
    23. Satoshi Shimizutani, 2006. "Japan's Long-term Care Insurance Program: An Overview," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 142(V), pages 23-28.
    24. Sugawara, Shinya, 2012. "A nonparametric Bayesian approach for counterfactual prediction with an application to the Japanese private nursing home market," MPRA Paper 42154, University Library of Munich, Germany.
    25. Hironori Uematsu & Susumu Kunisawa & Kazuto Yamashita & Yuichi Imanaka, 2015. "The Impact of Patient Profiles and Procedures on Hospitalization Costs through Length of Stay in Community-Acquired Pneumonia Patients Based on a Japanese Administrative Database," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-13, April.

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    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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