| Can the health insurance reforms stop an increase in medical expenditures for middle- and old-aged persons in Japan? | |
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MedLine Citation:
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PMID: 22198417 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Using two-period panel data from the Nippon Life Insurance Research Institute, this paper tests the hypothesis that an increase in the self-pay ratio of medical expenditures associated with the Japanese health insurance reforms of April 2003 reduced household medical expenditures. We find that the increase in the self-pay ratio had a positive but insignificant effect on the share of medical expenses in household expenditure. However, when we employ the data as repeated cross-sectional observations to increase the sample size, the increase in the self-pay ratio has a significantly positive effect on the share of medical expenditures. This provides corroborating evidence that middle- and old-aged persons were unable to reduce their demand for medical services with the increase in the self-pay ratio. An additional finding is that medical services are a necessary good, particularly for those aged 61 years or older and those with medical expenditures accounting for a relatively high share of medical expenditures in high household expenditure. |
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Authors:
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Tamie Matsuura; Masaru Sasaki |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-25 |
Journal Detail:
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Title: International journal of health care finance and economics Volume: - ISSN: 1573-6962 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101132988 Medline TA: Int J Health Care Finance Econ Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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NLI Research Institute, Tokyo, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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