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Empirical Study on the sustainability of health care system for supporting divergent lives under the super-aged and popluation decreasing society

Research Project

Project/Area Number 15H03365
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Public finance/Public economy
Research InstitutionNational Institute of Population and Social Security Research

Principal Investigator

IZUMIDA Nobuyuki  国立社会保障・人口問題研究所, 社会保障応用分析研究部, 部長 (70360716)

Co-Investigator(Kenkyū-buntansha) 田近 栄治  成城大学, 経済学部, 特任教授 (10179723)
山田 篤裕  慶應義塾大学, 経済学部(三田), 教授 (10348857)
森田 朗  津田塾大学, 総合政策学部, 教授 (50107489)
藤井 麻由  北海道教育大学, 教育学部, 講師 (70648328)
高久 玲音  一般財団法人医療経済 研究・社会保険福祉協会(医療経済研究機構(研究部)), 医療経済研究機構, 主任研究員 (80645086)
野口 晴子  早稲田大学, 政治経済学術院, 教授 (90329318)
大津 唯  国立社会保障・人口問題研究所, 社会保障応用分析研究部, 研究員 (90736860)
Co-Investigator(Renkei-kenkyūsha) SHIRASE Yumika  一橋大学, 大学院社会学研究科, 教授 (50454492)
Kuroda Ashiya  国立社会保障・人口問題研究所, 社会保障応用分析研究部, 第4室長 (70582724)
Research Collaborator Ibuka Yoko  慶應義塾大学, 経済学部, 准教授
Imahori Mayumi  早稲田大学, 大学院経済学研究科
Kawakami Tetsu  近畿大学, 経済学部, 教授
Kawamura Akira  早稲田大学, 大学院経済学研究科, 准教授
Kurihara Takashi  早稲田大学, 大学院経済学研究科
Nishida Kiheiji  兵庫医療大学, 共通教育センター, 講師
Hamaaki Junnya  法政大学, 経済学部, 准教授
Fu Rong  早稲田大学, 大学院経済学研究科, 助手
Yashio Hiroyuki  京都産業大学, 経済学部, 教授
Watanabe Yuichi  ジェトロアジア経済研究所, 研究員
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥13,650,000 (Direct Cost: ¥10,500,000、Indirect Cost: ¥3,150,000)
Fiscal Year 2017: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2016: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Keywords経済政策 / 情報システム / 医療経済学 / 支払可能 / 医療保険 / 介護保険
Outline of Final Research Achievements

Universal health coverage (UHC) assures the access to the health care services for all of residents with various life styles/employment status. It is very important to keep the function of UHC even in the population decreasing super-aged society. This study considered the health insurance system, function of health insurers and the way of cost sharing of health care, with empirical results using individual data.
Empirical studies in this research project showed the results as follows; 1)Burden of social insurance premium was lowered for lower income classes this 10 years. 2)However there was exceptional individuals in those income class with very high burden of social insurance premium. 3)Lowered premium burden did not necessarily improve the rate of unpaid social insurance premium. 4)In view of service utilization, upper limitation of coinsurance rate keeps the assurrance of access to the health care services.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (15 results)

All 2018 2017 2016 2015

All Journal Article (5 results) (of which Peer Reviewed: 1 results,  Open Access: 3 results,  Acknowledgement Compliant: 3 results) Presentation (9 results) (of which Int'l Joint Research: 4 results) Book (1 results)

  • [Journal Article] 家計の税・保険料負担の実態―『国民生活基礎調査』の個票による分析―2018

    • Author(s)
      田近栄治・八塩裕之
    • Journal Title

      租税研究

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
  • [Journal Article] ボーモルの『コスト病』50周年:公的介護保険サービス研究への示唆2017

    • Author(s)
      山田篤裕
    • Journal Title

      医療経済研究

      Volume: vol.29(1) Pages: 3-17

    • NAID

      40021386718

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 要介護の親と中高齢者の労働供給制約・収入減少2016

    • Author(s)
      山田篤裕・酒井正
    • Journal Title

      経済研究

      Volume: 191号 Pages: 183-212

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 医療サービスの供給確保・地域医療構想―病院サービス供給に焦点を当てた英・独との比較から―2016

    • Author(s)
      泉田信行
    • Journal Title

      社会保障研究

      Volume: 1巻3号 Pages: 580-595

    • Related Report
      2016 Annual Research Report
    • Open Access / Acknowledgement Compliant
  • [Journal Article] 健康保険組合別の医療費の差異と決定要因の分析2016

    • Author(s)
      大津唯
    • Journal Title

      日本労働研究雑誌

      Volume: 682 Pages: 25-36

    • Related Report
      2016 Annual Research Report
    • Open Access / Acknowledgement Compliant
  • [Presentation] Do income affect medical care and LTC expenditure for the elderly?: Based on claim-data under the universal system in Japan2018

    • Author(s)
      Mayumi Imahori, Takashi Kurihara, Haruko Noguchi
    • Organizer
      European Health Economics Association Conference 2018
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 所得が高齢者の医療費・介護費に与える影響2017

    • Author(s)
      今堀まゆみ
    • Organizer
      医療経済学会第12回研究大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 国民健康保険の保険料収納率に関する分析2017

    • Author(s)
      大津唯
    • Organizer
      医療経済学会第12回研究大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 生活保護の開始前における医療費水準の変化に関する分析2017

    • Author(s)
      大津唯
    • Organizer
      日本財政学会第74回大会.
    • Related Report
      2017 Annual Research Report
  • [Presentation] The Characteristics of Medical Expenditure in Medical Assistance System in Japan: Compared with National Health Insurance2017

    • Author(s)
      Yui Ohtsu
    • Organizer
      12th World Congress of the International Health Economics Association
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Does Income Affect Medical And Nursing Care Expenditure For Elderly?: Evidence From Health Care Systems In Japan2017

    • Author(s)
      Mayumi Imahori, Nobuyuki Izumida, Haruko Noguchi
    • Organizer
      12th World Congress of the International Health Economics Association
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 生活保護受給者の医療費の分布とその分析2016

    • Author(s)
      大津唯
    • Organizer
      医療経済学会第11回研究大会
    • Place of Presentation
      早稲田大学(東京都)
    • Related Report
      2016 Annual Research Report
  • [Presentation] レセプトデータを用いた乳幼児医療費助成対象者拡大効果の分析2016

    • Author(s)
      泉田信行
    • Organizer
      医療経済学会第11回研究大会
    • Place of Presentation
      早稲田大学(東京都)
    • Related Report
      2016 Annual Research Report
  • [Presentation] The impact of transfers from Employees’ Health Insurance on the medical expenditure of National Health Insurance in Japan2015

    • Author(s)
      Yui Ohtsu, Atsuhiro Yamada, Nobuyuki Izumida
    • Organizer
      International Health Economics Association
    • Place of Presentation
      Milan, Italy
    • Year and Date
      2015-07-14
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Book] 第6章「市町村国民健康保険の保険料収納率に関する分析」四方理人・宮崎雅人・田中聡一郎編著『収縮経済下の公共政策』所収p.103-1272018

    • Author(s)
      大津唯
    • Total Pages
      316
    • Publisher
      慶應義塾大学出版会
    • ISBN
      4766425014
    • Related Report
      2017 Annual Research Report

URL: 

Published: 2015-04-16   Modified: 2019-03-29  

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