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An Applied Microeconomic Analysis of its Effect of Long-term Care Insurance on Social Welfare : Health Economics Approach

Research Project

Project/Area Number 17530170
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Applied economics
Research InstitutionUniversity of Tsukuba

Principal Investigator

YAMADA Tadashi  University of Tsukuba, Graduate School of Humanities and Social Sciences, Professor (10210460)

Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,670,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥270,000)
Fiscal Year 2007: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2006: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2005: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsHealth Economics / Long-term Care Insurance System / Costs of Long-term Care / Long-term Home Care / Absolute Risk Aversion / Overtime Work / Health / Demand for Health Care / 生命保険 / 代替関係 / 危険回避度 / 子供の医療需要 / 親の教育水準 / 医薬品産業 / 資本の集中化 / 資本規模 / 生産効率 / 社会厚生 / 絶対リスク回避度
Research Abstract

The novelty of this study is, under the urgent task for the revision of healthcare system in Japan, of the analysis of economic welfare changes after the implementation of long-term care insurance system in April 2000.
Our research in 2005 is to analyze the effect of long-term care insurance implemented in April 2000 on economic social welfare of people in Japan, by using the Basic Survey Data of National Life of Years 1998 and 2001, and also using the National Survey of Life Insurance of Years 1997, 2000 and 2003. Our results show that the introduction of Long-term Care Insurance substantially reduced the monthly household expenditures on long-term care and reduced the degree of absolute risk aversion of people in Japan.
The research of the health care of the elderly in 2006 indicates a necessity of further promotion of homecare of the elderly from an economic point of view. In addition, our study of pharmaceutical industry shows that the deregulation in the pharmaceutical industry in Japan, after the Long-term Care Insurance System in 2000, encouraged the capital concentration in the industry in Japan, but the capital concentration does not necessarily a positive association with the profitability of firms in the industry. In fact, small and large sizes of firms in the industry are more efficient in production than the medium size of counterparts.
The research in 2007 examines a possible substitutability between public Long-term Care Insurance and private life insurance with long-term care and its result shows the strong substitution is bound among people aged less than 40 years old and also a similar effect found among the elderly aged 60 and over.
As the conclusion of our study during the period from 2005 and 2007, our various empirical and econometric results show that Long-term Care Insurance System implemented in April 1, 2000, promoted the economic and social welfare of people in Japan.

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (25 results)

All 2008 2007 2006 2005

All Journal Article (12 results) (of which Peer Reviewed: 3 results) Presentation (9 results) Book (4 results)

  • [Journal Article] Healthcare Services Accessibility of Children in the USA2008

    • Author(s)
      (Tetsuji, Yamada), Chia-Ching, chen・Tadashi, Yamada
    • Journal Title

      Applied Economics 40

      Pages: 1-14

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Healthcare Services Accessibility of Children in the USA2008

    • Author(s)
      Tetsuji Yamada, Chia-Ching Chen, and Tadashi Yamada
    • Journal Title

      Applied Economics vol.40

      Pages: 1-14

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Healthcare Services Accessibility of Children in the USA2008

    • Author(s)
      Tetsuji Yamada, Chia-Ching Chen, and Tadashi Yamada
    • Journal Title

      Applied Economics 40(forthcoming)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Children with Unmet Healthcare Needs under the State Children Health Insurance Program2007

    • Author(s)
      (Tetsuji, Yamada), Chia-Ching, chen・Tadashi, Yamada
    • Journal Title

      Discussion Paper (Department and Social Systen an d Management, University of Tsukuba) 1199

      Pages: 1-36

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Analysis of the U. S. New Medicare Drug Benefit Healthcare Policy, utilization of Drugs, Drug Pricing, and Healthcare Services, and the Japanese Counterparts : A Collaboration Project of Japan and U.S.A2007

    • Author(s)
      Tadashi Yamada, Seiritsu Ogura, Yukari Ito, Tetsuji Yamada, Chia-Chin Chen and Michael Grossman
    • Journal Title

      Pfizer Health Research Foundation

      Pages: 1-393

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Children with Unmet Healthcare Needs under the State Children Health Insurance Program2007

    • Author(s)
      Tetsuji Yamada, Chia-Ching Chen, and Tadashi Yamada
    • Journal Title

      Discussion Paper(Department and Social System and Management, University of Tsukuba) 1199

      Pages: 1-36

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Journal Article] Behavioral Analysis of the Choice of Community-Based Formal Home Care, Informal Home Care, and Nursing Home Care in Japan2006

    • Author(s)
      (Tetsuji, Yamada), Chia-Ching, chen・Tadashi, Yamada・Marianne, Fashs・Tetsuo, Fukawa
    • Journal Title

      Genva Papers 31

      Pages: 600-632

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Behavioral Analysis of the Choice of Community-Based Formal Home Care, Informal Home Care, and Nursing Home Care in Japan2006

    • Author(s)
      Tetsuji Yamada, Chia-Ching Chen, Tadashi Yamada, Marianne Fahs and Tetsuo Fukawa
    • Journal Title

      Geneva Papers Vol.31

      Pages: 600-632

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] An Economic Analysis of its Effects of Long-term Care Insurance on National Social Welfare,A Study of Health and Long-term Care Expenditures and Coinsurance by Using Basic Survey of National Life2006

    • Author(s)
      Tadashi Yamada
    • Journal Title

      Institute for Health Economics and Policy

      Pages: 43-55

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Behavioral Analysis of the Choice of Community-Based Formal Home Care, Informal Home Care, and Nursing Home Care in Japan2006

    • Author(s)
      Tetsuji Yamada, Chia-Ching Chen, Tadashi Yamada, Marianne Fahs, Tetsuo Fukawa
    • Journal Title

      Geneva Papers 31

      Pages: 600-632

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Economic Evaluation of Relapse Prevention for Substance Users: Treatment Setting and Health Care Policy, 431-4502005

    • Author(s)
      (Tetsuji Yamada) Chia-Ching chen・Tadashi Yamada
    • Journal Title

      Substance Use: Individual Behaviour, Social Interactions, " Markets and Politics.", United Kingdom: ELSEVIER

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Economic Evaluation of Relapse Prevention for Substance Users : Treatment Setting and Health Care Policy,"Substance Use : Individual Behaviour, Social Interactions, Markets and Politics2005

    • Author(s)
      Tetsuji Yamada, Chia-Ching Chen, and Tadashi Yamada
    • Journal Title

      ELSEVIER

      Pages: 431-450

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The Long-term Care Insurance System in Japan and its Effects on Welfare2007

    • Author(s)
      Tadashi Yamada
    • Organizer
      International Health Economics Association(国際医療経済学学会)
    • Place of Presentation
      デンマーク(コペンハーゲン)
    • Year and Date
      2007-07-10
    • Related Report
      2007 Annual Research Report
  • [Presentation] The Long-term Care Insurance System in Japan and its Effects on the Welfare2007

    • Author(s)
      Tadashi, Yamada
    • Organizer
      International Health Economics Association (iHEA)6th World Congress
    • Place of Presentation
      Copenhagen, Denmark
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The Long-term Care Insurance System in Japan and its Effects on the Welfare2007

    • Author(s)
      Tadashi Yamada
    • Organizer
      International Health Economics Association(iHEA) 6th World Congress
    • Place of Presentation
      Copenhagen, Denmark
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Pharmaceutical Prices・Deregulation・and Innovation under the NHI: the Case of Japan2005

    • Author(s)
      Tetsuji, Yamada (Tadashi, Yamada)
    • Organizer
      International Conference on Pharmaceutical Innovation
    • Place of Presentation
      Taipei, Taiwan
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Utilization of Healthcare Services and Health Outcome of Children: Pre-and Post-State Children's Health Insurance Program Implementation2005

    • Author(s)
      Tetsuji, Yamada (Tadashi Yamada)
    • Organizer
      International Health Economics Association (iHEA) 5th World Congress
    • Place of Presentation
      Barcelona, Spain
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] A Comparative Analysis of Welfare Changes after the Long-term Care Insurance System in Japan in 20002005

    • Author(s)
      Tadashi, Yamada
    • Organizer
      International Health Economics Association (iHEA) 5th World Congress
    • Place of Presentation
      Barcelona, Spain
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Pharmaceutical Prices, Deregulation, and Innovation under the NHI : the Case of Japan2005

    • Author(s)
      Tetsuji Yamada(Tadashi Yamada)
    • Organizer
      International Conference on Pharmaceutical Innovation
    • Place of Presentation
      Taipei, Taiwan
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Utilization of Healthcare Services and Health Outcome of Children : Pre-and Post-State Children's Health Insurance Program Implementation2005

    • Author(s)
      Tetsuji Yamada(Tadashi Yamada)
    • Organizer
      International Health Economics Association(iHEA) 5th World Congress
    • Place of Presentation
      Barcelona, Spain
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] A Comparative Analysis of Welfare Changes after the Long-term Care Insurance System in Japan in 20002005

    • Author(s)
      Tadashi Yamada
    • Organizer
      International Health Economics Association(iHEA) 5th World Congress
    • Place of Presentation
      Barcelona, Spain
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 米国政府の新メディケア薬事医療保険政策と制度の改革による日本の薬事医療保険政策との比較分析、並びに医薬品使用と需要の変化、薬剤価格市場、薬剤医療費及び医療サービスへの影響-日米共同研究査を利用した高齢2007

    • Author(s)
      (山田直志)小椋正立・伊藤ゆかりTetsuji YmadaChia-Ching ChenMichael Grossman
    • Publisher
      (財)ファイザーへルスリサーチ振興財団(報告書)
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 米国政府の新メディケア医薬医療保険政策と制度の改革による日本の薬事医療保険政策との比較分析、並びに医薬品使用と需要の変化、薬剤価格市場、薬剤医療費及び医療サービスへの影響-日米共同研究2007

    • Author(s)
      山田直志 他
    • Publisher
      (財)ファイザーヘルスリサーチ振興財団(報告書)
    • Related Report
      2006 Annual Research Report
  • [Book] 「介護保険制度による国民福祉の変化の経済学分析 J 『国民生活基礎調査を利用した高齢者の医療費・介護費の関係及び自己負担合算額等に関する研究』2006

    • Author(s)
      山田直志
    • Total Pages
      13
    • Publisher
      医療経済研究機構
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 「介護保険制度による国民福祉の変化の経済学分析」『国民生活基礎調査を利用した高齢者の医療費・介護費の関係及び自己負担合算額等に関する研究』2006

    • Author(s)
      山田直志
    • Publisher
      医療経済研究機構
    • Related Report
      2005 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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