This paper examines the financing of elderly health care in Japan for medical institutions, nursing homes, and at home.
The analysis demonstrates that the conventional figures for elderly health expenditures in Japan systematically underestimate the real costs by excluding the costs of uninsured services, nursing homes, and home health care.
The paper estimates these costs and shows that they add about 10% to the conventional figure for elderly health care costs in Japan.
This inquiry also shows how government policy for health care financing shaped distinctive Japanese patterns of elderly care provision.
The financing system provided a hidden subsidy-through national health insurance coverage of long-term hospitalization-that encouraged high institutionalization rates of elderly in medical facilities.
Mots-clés Pascal : Système santé, Hôpital, Soin, Financement, Vieillard, Homme, Etablissement troisième âge, A domicile, Assurance maladie, Economie santé, Japon, Asie, Coût, Qualité, Politique sanitaire, Gouvernement
Mots-clés Pascal anglais : Health system, Hospital, Care, Financing, Elderly, Human, Homes for the aged, At home, Health insurance, Health economy, Japan, Asia, Costs, Quality, Health policy, Government
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0525800
Code Inist : 002B30A01B. Création : 199406.