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Policy evaluation for Japanese Long-Term Care Insurance: Analysis for effects and efficiency of care services using claims data.

Research Project

Project/Area Number 17H02540
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Public finance/Public economy
Research InstitutionNihon University

Principal Investigator

NAKAMURA Jiro  日本大学, 総合科学研究所, 教授 (30127112)

Co-Investigator(Kenkyū-buntansha) 斎藤 安彦  日本大学, 経済学部, 教授 (00277485)
菅原 慎矢  東京理科大学, 経営学部ビジネスエコノミクス学科, 准教授 (30711379)
宮澤 健介  九州大学, 経済学研究院, 准教授 (80609826)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥13,390,000 (Direct Cost: ¥10,300,000、Indirect Cost: ¥3,090,000)
Fiscal Year 2019: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2018: ¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2017: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Keywords介護保険 / レセプトデータ / EPA介護福祉士
Outline of Final Research Achievements

Sugawara and Professor Alexander Karmann at Technische University Dresden jointly employ a comparative study for nursing home sectors in Japan and Germany. This study utilized regression, Blinder-Oaxaca decomposition and data envelopment analysis and found an indication of moral hazard in Germany, which was caused by generous social welfare programs which supplements the long-term care insurance. In the European Health Economic Association Meeting of the year 2018, Sugawara and Professor Karmann organized a session for long-term care insurance from international perspectives which include four presentations from researches of Japan, Germany, Netherlands and South Korea. In this session, Professor Karmann presented the above research. Sugawara presented a research which analyzed the variety of care plans and their effects using claims data of Japanese long-term care using a combination of basket analysis and regression analysis.

Academic Significance and Societal Importance of the Research Achievements

国際的に珍しい介護レセプトデータの個票を用いた分析であり,解析方法の新規性やビッグデータの介護分野に関する適用などはこれまで学術的に厳密な分析がなされていないため本研究は極めて学術的意義が高い。また,今後ますます高齢者の要介護者が増加することは確実であり,介護制度の抜本的な制度改革の必要性が唱えられている。本研究で得られた研究成果は今後の要介護者の増加に伴う介護制度の制度設計を行うに際して極めて貴重な検討材料を提供するものであり社会的意義は高いと言える。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (7 results)

All 2020 2019 2018 2017

All Journal Article (3 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (4 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Cognitive performance among older persons in Japan and the United States.2020

    • Author(s)
      Saito Y, Kim JK, Davarians S, Hagedorn A. and Crimmins EM
    • Journal Title

      J.Am.Geriatr.Soc.

      Volume: 68 Issue: 2 Pages: 354-361

    • DOI

      10.1111/jgs.16163

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Japanese older adults' loneliness, family relationships and mortality: :Does one's living arrangement make a difference?2020

    • Author(s)
      Takagi E. and Saito Y.
    • Journal Title

      Geriatr.Gerontol.Int.

      Volume: 20 Pages: 156-160

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Social assistance as a source of moral hazard : Evidence from a comparative study of Japanese and German nursing home care.2018

    • Author(s)
      Karmann,A.,Plaul,C. and Sugawara,S.
    • Journal Title

      SSRN Working Paper

      Volume: -

    • Related Report
      2018 Annual Research Report
    • Open Access
  • [Presentation] Impact of vision loss on active life expectancy in the U.S.2019

    • Author(s)
      Hagedorn A. Chiu Chi-Tsun and Saito Y.
    • Organizer
      PAA2019 Annual Meeting
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Gender differences in relationships between living arrangements and health among older adults in Japan.2018

    • Author(s)
      Saito Yasuhiko
    • Organizer
      GSA 2018 Annual Sciene Meeting
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] What comprises effective formal elder care at home? Estimating effects for combinations of multiple services.2018

    • Author(s)
      Sugawara Shinya
    • Organizer
      European Health Economic Association
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effect of BMI on active life expectancy among older adults in Japan.2017

    • Author(s)
      Saito Y, Sugawara-Minagawa Y.
    • Organizer
      IAGG 2017 World Congress
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research

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Published: 2017-04-28   Modified: 2021-02-19  

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