Micro data analysis of medical and long-term care utilization among the elderly in Japan.
Micro data analysis of medical and long-term care utilization among the elderly in Japan.
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DOI：
10.3390/ijerph7083022
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发表时间：
2010-08
影响因子：
--
通讯作者：
Matsuda S
中科院分区：
文献类型：
--
作者：
Hashimoto H;Horiguchi H;Matsuda S
日本目前正在经历经济合作与发展组织所有国家中人口老龄化最快的时期。日本不断增加的医疗支出被归因于人口老龄化。在最近关于美国和欧洲临终关怀和长期护理(LTC)成本的辩论中，作者将死亡时间和老年人的非医疗护理成本视为支出上升的来源。在这项研究中，我们分析了大量的当地公共保险索赔数据，以调查日本的医疗和长期TC支出。我们研究了老龄化、死亡时间、存活率和长期TC的使用对65岁及以上人群医疗保健支出的影响。在这些研究结果的基础上，我们得出结论，年龄是导致长期护理费用增加的一个因素，并且老龄化对增加的医疗费用的贡献应该根据生存期来区分。
Japan is currently experiencing the most rapid population aging among all OECD countries. Increasing expenditures on medical care in Japan have been attributed to the aging of the population. Authors in the recent debate on end-of-life care and long-term care (LTC) cost in the United States and Europe have attributed time to death and non-medical care cost for the aged as a source of rising expenditures. In this study, we analyzed a large sample of local public insurance claim data to investigate medical and LTC expenditures in Japan. We examined the impact of aging, time to death, survivorship, and use of LTC on medical care expenditure for people aged 65 and above. On the basis of these findings, we conclude that age is a contributing factor to the rising expenditures on LTC, and that the contribution of aging to rising medical care expenditures should be distinguished according to survivorship.
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