Effects of an increase in patient copayments on medical service demands of the insured in Japan

International Journal of Technology Assessment in Health Care

Volumn 19, Issue 3, 2003, Pages 465-475

  Babazono, Akira ^a   Tsuda, Toshihide ^b   Yamamoto, Eiji ^c   Mino, Yoshio ^d   Une, Hiroshi ^e   Hillman, Alan L ^f  

^a KYUSHU UNIVERSITY   (Japan)

^b OKAYAMA UNIVERSITY   (Japan)

^c OKAYAMA UNIVERSITY OF SCIENCE   (Japan)

^d Osaka Prefecture University   (Japan)

^e FUKUOKA UNIVERSITY   (Japan)

^f UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Copayments; Health insurance; Health policy; Japan

Indexed keywords

DENTAL CARE; MEDICAL SERVICES; PATIENT COPAYMENTS;

COSTS; DENTISTRY; HEALTH INSURANCE; PERSONNEL; WAGES;

HEALTH CARE;

ADULT; CONTROLLED STUDY; COST CONTROL; DENTAL CARE; EMPLOYEE; FEMALE; GENDER; HEALTH CARE COST; HEALTH CARE NEED; HEALTH CARE POLICY; HEALTH INSURANCE; HOSPITAL PATIENT; HUMAN; JAPAN; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICAL SERVICE; OUTPATIENT; QUANTITATIVE ANALYSIS; REVIEW; ARTICLE; CHRONIC DISEASE; COST; ECONOMICS; EVALUATION; HEALTH SERVICE; HEALTH SERVICES RESEARCH; REGRESSION ANALYSIS;

ADULT; CHRONIC DISEASE; COST SAVINGS; DEDUCTIBLES AND COINSURANCE; FEMALE; HEALTH POLICY; HEALTH SERVICES NEEDS AND DEMAND; HEALTH SERVICES RESEARCH; HUMANS; JAPAN; MALE; REGRESSION ANALYSIS;

EID: 0141652869     PISSN: 02664623     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0266462303000400     Document Type: Review

References (20)

1. Anderson GM, Brook R, Williams A. A comparison of cost-sharing versus free care in children: Effects on the demand for office-based medical care. Med Care. 1991;29:890-898.
2. Babazono A. The impact of partial cost sharing on the attitude of insured persons with hypertension. Nippon Eiseigaku Zassi. 1990;45:849-859.
3. Babazono A, Ogawa T, Babazono T, et al. The effect of a cost sharing provision in Japan. Fam Pract. 2000;8:247-252.
4. Babazono A, Weiner J, Tsuda T, Mino Y, Hillman AL. The effect of a redistribution system for elderly health care on the finance performance of Health Insurance Societies in Japan. Int J Technol Assess Health Care. 1998;14:458-466.
5. Folland S, Goodman AC, Stano M. The economics of health and health care. NJ: Upper Saddle River;2001.
6. Ikegami N, Cambell C. Containing health care costs in Japan. Ann Arbor: The University of Michigan Press; 1996.
7. Johnson RE, Goodman MJ, Hombrook MC, Eldredge MB. The effect of increased prescription of drug cost-sharing on medical care utilization and expense of elderly health maintenance organization members. Med Care. 1997;35:1119-1131.
8. Keeler EB, Rolph JE. How cost sharing reduced medical spending of participants in the health insurance experiment. JAMA. 1983;249:484-490.
9. Lohr KN, Brook RH, Kamberg CJ, et al. Use of medical care in the Rand Health Insurance Experiment, diagnosis- and service-specific analyses in a randomized controlled trial. Med Care. 1986;24:72-87.
10. Ministry of Health and Welfare (MHW), Japan. Kokumin Eisei noo Doko. Tokyo: Health and Welfare Statistics Association; 1998.
11. Ministry of Health and Welfare (MHW), Japan. Kokumin Eisei No Doko. Tokyo: Health and Welfare Statistics Association; 2000.
12. Ministry of Health and Welfare (MHW), Japan. Hoken to Nenkin no Doko. Tokyo: Health and Welfare Statistics Association; 2000.
13. Newhouse JP, Manning WG, Morris CN, et al. Some interim results of a controlled trial of cost sharing in health insurance. N Engl J Med. 1981;305:1501-1507.
14. O'Gray KF, Manning WG, Morris CN, et al. The impact of cost sharing on emergency department use. N Engl J Med. 1985;313:484-490.
15. Selby JV, Frieman BH, Swain BE. Effect of a copayment on use of the emergency department in a health insurance organization. N Engl J Med. 1986;334:635-641.
16. Shapiro MF, Ware JE, Sherbourne CD. Effects of cost sharing on seeking care for serious and minor symptom: Results of a randomized, controlled trial. Ann Intern Med. 1986;104:246-251.
17. Shekelle PG, Rogers WH, Newhouse JP. The effect of cost sharing on the use of chiropractic services. Med Care. 1996;34:863-872.
18. Simon GE, Vonkorff M, Durham ML. Predictors of outpatient mental health utilization by primary care patients in health maintenance organizations. Am J Psychiatry. 1994;151:908-912.
19. Simon GE, Grothhaus K, Durham ML, Vonkoff M, Pabiniak C. Impact of visit co-payments on outpatient mental health utilization by members of a health maintenance organization. Am J Psychiatry. 1996;153:331-338.
20. Yoshida A, Ito S. The effects of the medical insurance system on the outpatients' demand for medical care. Jpn J Health Econ Policy. 2000;7:101-119.