2022 Fiscal Year Final Research Report
Impact of revising in Long-Term Care Insurance Copayment Rate on Demand for Long-Term Care and Medical Care Services
Project/Area Number |
19K10572
|
Research Category |
Grant-in-Aid for Scientific Research (C)
|
Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 58010:Medical management and medical sociology-related
|
Research Institution | Kobe University of Future Health Sciences (2022) College of Heathcare Management (2019-2021) |
Principal Investigator |
Ishihara Reiko 神戸医療未来大学, 人間社会学部, 教授 (70516971)
|
Project Period (FY) |
2019-04-01 – 2023-03-31
|
Keywords | 介護自己負担割合 / 介護レセプトデータ / 医科レセプトデータ |
Outline of Final Research Achievements |
The purpose of this study is to clarify the impact of copayment ratio revision of the long-term care (LTC) insurance on beneficiaries' demand for LTC insurance and medical insurance services. We conducted analyses using data from medical claims database and LTC insurance claims database for users of LTC insurance services. The usage of LTC services may have been suppressed in the 30%-increase group (high-income group) only at the time of the 30%-increase due to the revision of copayment. In addition, the study confirmed a rise in home medical care costs for the 20% and 30% groups at the time of the respective revisions, suggesting the possibility of a shift to the usage of home medical care as an alternative to the use of LTC services due to the increase in the copayment for LTC.
|
Free Research Field |
医療系社会学
|
Academic Significance and Societal Importance of the Research Achievements |
研究計画策定時には、介護保険制度における自己負担割合の改定による介護サービス利用への影響について論じた研究はほとんど存在しなかった。本研究は2回の介護保険の自己負担割合改定の介護サービス利用への影響の評価を行った点で高い学術的意義を有すると考えられる。また、高齢者においては介護保険サービスと医療保険サービスの両方を利用する者が多く、自己負担の影響を両サービス合わせて検討することは、地域包括ケアシステムを推進し切れ目のない医療・介護サービスを提供していく上でも重要であり、十分な社会的意義を有していると考えられる。
|