Who has benefited from the health services system for the elderly in Japan?

Atsushi Yoshida*, Akira Kawamura

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


This paper examines the demand and supply of medical services for the elderly in the health services system characterized by per-month fixed copayment and selective capitation fee scheme for outpatients with chronic diseases. The results indicate that the beneficiary, in particular the household dependent, visits a physician more frequently because the actual copayment decreases for the household dependent, but is nearly the same for the head of the household. Physicians, however, provide more services to the beneficiary partly because of the lowered copayment and partly because of the capitation fee scheme, which they will select instead of the fee-for-service scheme only when capitation is more profitable than Fee-for-Service. As a result, physicians as well as the insured benefit from the health services system.

Original languageEnglish
Pages (from-to)256-269
Number of pages14
JournalJapan and The World Economy
Issue number3
Publication statusPublished - 2009 Aug
Externally publishedYes


  • Capitation
  • Copayment
  • Cream skimming
  • Fee-for-service
  • Health service systems for the elderly

ASJC Scopus subject areas

  • Finance
  • Economics and Econometrics
  • Political Science and International Relations


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