Household Income Relationship With Health Services Utilization and Healthcare Expenditures in People Aged 75 Years or Older in Japan: A Population-Based Study Using Medical and Long-term Care Insurance Claims Data.

ABSTRACT:

Background

This study aimed to determine whether there are disparities in healthcare services utilization according to household income among people aged 75 years or older in Japan.

Methods

We used data on medical and long-term care (LTC) insurance claims and on LTC insurance premiums and needs levels for people aged 75 years or older in a suburban city. Data on people receiving public welfare were not available. Participants were categorized according to household income level using LTC insurance premiums data. The associations of low income with physician visit frequency, length of hospital stay (LOS), and medical and LTC expenditures were evaluated and adjusted for 5-year age groups and LTC needs level.

Results

The study analyzed 12,852 men and 18,020 women, among

SUBMITTER: Hamada S 

PROVIDER: S-EPMC6737189 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature