TY - JOUR
T1 - Supplier density and at-home care use in Japan
T2 - Evidence from a micro-level survey on long-term care receivers
AU - Noguchi, Haruko
AU - Shimizutani, Satoshi
N1 - Funding Information:
This study was originally prepared for the “Final Meeting for ESRI International Collaboration Projects 2004” (February 2005, Tokyo) sponsored by the Economic and Social Research Institute (ESRI), Cabinet Office, Government of Japan. The paper was also presented at the European Conference on Long-term Care sponsored by the ZEW (October 2005, Mannheim) and the abstract of the presentation was included in a special issue for the conference ( Shimizutani, 2006a ). We are grateful to Matteo Lippi Bruni, Yasushi Iwamoto, Olivia Mitchell, Terri Nii, Tadashi Yamada, Peter Zweifel and other participants of the two conferences for their valuable comments. We would also like to express our appreciation for the permission to use the micro-level data collected by the Price Policy Division and ESRI. The views expressed in this paper do not represent those of ESRI or of the Japanese government or any other institution the authors belong to. All errors are our own.
PY - 2009/12
Y1 - 2009/12
N2 - Following the introduction of the long-term care insurance scheme and deregulation of the market for at-home care services, Japan experienced a substantial increase in expenditure on care for the elderly. Using household-level survey data, we empirically examine whether the increase in care expenditure is associated with supplier density springing from the rise in the number of care providers following deregulation. We provide weak evidence that supplier density in the at-home care market is positively correlated with probability to use care or expenditure on care. Moreover, we find no link between the share of for-profit providers and the demand for at-home care services.
AB - Following the introduction of the long-term care insurance scheme and deregulation of the market for at-home care services, Japan experienced a substantial increase in expenditure on care for the elderly. Using household-level survey data, we empirically examine whether the increase in care expenditure is associated with supplier density springing from the rise in the number of care providers following deregulation. We provide weak evidence that supplier density in the at-home care market is positively correlated with probability to use care or expenditure on care. Moreover, we find no link between the share of for-profit providers and the demand for at-home care services.
KW - At-home care
KW - Long-term care insurance
KW - Supplier density
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U2 - 10.1016/j.japwor.2009.04.003
DO - 10.1016/j.japwor.2009.04.003
M3 - Article
AN - SCOPUS:71549128675
SN - 0922-1425
VL - 21
SP - 365
EP - 372
JO - Japan and The World Economy
JF - Japan and The World Economy
IS - 4
ER -