Regional variations in medical expenditure and hospitalization days for heart attack patients in Japan: evidence from the Tokai Acute Myocardial Study (TAMIS)

Noguchi, Haruko; Shimizutani, Satoshi; Masuda, Yoshika

doi:10.1007/s10754-007-9031-x

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…Our finding contrasts with the result obtained by Noguchi, Shimizutani and Masuda (2008), who found clear evidence of supplier-induced demand in high-tech heart attack treatment in Japan.…”

Section: Resultscontrasting

confidence: 99%

Supplier density and at-home care use in Japan: Evidence from a micro-level survey on long-term care receivers

Noguchi¹,

Shimizutani²

2009

Japan and the World Economy

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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.

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“…Our finding contrasts with the result obtained by Noguchi, Shimizutani and Masuda (2008), who found clear evidence of supplier-induced demand in high-tech heart attack treatment in Japan.…”

Section: Resultscontrasting

confidence: 99%

Supplier density and at-home care use in Japan: Evidence from a micro-level survey on long-term care receivers

Noguchi¹,

Shimizutani²

2009

Japan and the World Economy

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“…The record abstracts contain over 100 comorbid diseases and severity measures that collectively summarize all the major associated diseases and functional status impairments. Moreover, the abstracts include AMI severity measures following the CCP's expert advisory panel, which influence the appropriateness of major AMI treatment decisions and health outcomes (Noguchi et al, 2008). Table 1 presents that Rokuyo days are random at admission (Column 1) and the average LOS is comparable regardless on which Rokuyo day a patient was admitted (Column 2).…”

Section: Data Description and Rokuyo At Admission And Dischargementioning

confidence: 99%

“…9 The CCP is undertaken by HCFA (currently called CMS). See the description inNoguchi et al (2008). 10 SeeHirakawa et al (2005),Hirakawa et al (2007) andKimata et al (2008).…”

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confidence: 99%

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Exploring the causal relationship between hospital length of stay and re-hospitalization among Japanese AMI patients

et al. 2015

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We explore the causal relationship between hospital length of stay (LOS) and re-hospitalization for Acute Myocardial Infarction (AMI) patients in Japan, where the average LOS is the longest among OECD countries. Using chart-based data, we address the endogeneity between LOS and re-hospitalization probability by using an exogenous variation based on Rokuyo (the six basic labels allocated to each day), which is found to be irrelevant to admission day but relevant to discharge day. While we do find a significant and positive association between LOS and re-hospitalization probability in the OLS estimation, we do not find a significant relationship once LOS is instrumented by Rokuyo in various instrumental variable estimations. This implies that additional stay that was induced owing to patient's choice of preferred Rokuyo at discharge has no effect on re-hospitalization probability.

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“…For example, it is postulated that a similar scenario is occurring in Japan, where medical costs have risen significantly in the past two decades. This increase is attributed primarily to rising per-patient costs, rather than to an increase in the number of incidents (Noguchi et al, 2005;The Economist, 2011).…”

Section: Moral Hazardmentioning

confidence: 99%

Challenges in the Sustainability of a Targeted Health Care Initiative in India

Balooni

Gangopadhyay

Turakhia³

et al. 2012

IIM Kozhikode Society & Management Review

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In this article, we raise sustainability issues in a targeted health initiative, namely the Rashtriya Swasthya Bima Yojana. This unique health insurance initiative targets the poor population to address the iniquity in healthcare in the Indian societal context. We analyse this initiative because it is a unique case of a public private partnership in the development sector arena in India being used as an instrument for improving health care system in a large scale. The initial success stories from this initiative include improved hospitalisation rates for the targeted population, a reduction in their out-of-pocket healthcare spending, and a reasonable incentive encouraging the participation of insurance companies. The sustainability of this initiative, however, is threatened mainly by a lack of information, heterogeneity in access, institutional shortcomings, and the longrun escalation of costs. While the government is employing a public-private partnership to implement this initiative, there is need to simultaneously use this model to augment the existing health infrastructure to make this initiative sustainable and effective.

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Regional variations in medical expenditure and hospitalization days for heart attack patients in Japan: evidence from the Tokai Acute Myocardial Study (TAMIS)

Abstract: Regional variations in health care in Japan, Acute myocardial infarction (AMI), Tokai Acute Myocardial Infarction Study (TAMIS), Percutaneous transluminal coronary angioplasty (PTCA), Propensity score model, I11,

Cited by 8 publications

References 18 publications

Supplier density and at-home care use in Japan: Evidence from a micro-level survey on long-term care receivers

Supplier density and at-home care use in Japan: Evidence from a micro-level survey on long-term care receivers

Exploring the causal relationship between hospital length of stay and re-hospitalization among Japanese AMI patients

Challenges in the Sustainability of a Targeted Health Care Initiative in India

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