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Barriers to Health Care among the Elderly in Japan
Hamamatsu University School of Medicine, Department of Community Health and Preventive Medicine, 1-20-1 Handayama, Higashiku, Hamamatsu, 431-3192, Japan
Rutgers University, Department of Economics and Center for Children and Childhood Studies, Camden, NJ 08102, USA
New York Medical College, School of Health Sciences & Practice, Department of Epidemiology & Community Health, Valhalla, NY 10595, USA
Nihon Fukushi University, Center for Well-being and Society, 5-22-35 Chiyoda Nakaku Nagoya, Aichi, 460-0012, Japan
* Author to whom correspondence should be addressed.
Received: 21 December 2009; in revised form: 9 March 2010 / Accepted: 15 March 2010 / Published: 26 March 2010
Abstract: Japan is undergoing a set of health care reforms aimed at cutting rising health care costs and increasing the efficiency of health care delivery. This empirical study used a large-scale community survey on 15,302 elderly people 65 years and older (56.0% women) conducted in seven municipalities in 2006, to reveal clear-cut evidence of barriers to necessary care. The reasons for not getting health care is attributed to health care cost for the elderly with lower income, while higher income counterparts reported being busy or having a condition not serious enough to seek care.
Keywords: cost burden; socioeconomic status (SES); barriers to health care
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Murata, C.; Yamada, T.; Chen, C.-C.; Ojima, T.; Hirai, H.; Kondo, K. Barriers to Health Care among the Elderly in Japan. Int. J. Environ. Res. Public Health 2010, 7, 1330-1341.
Murata C, Yamada T, Chen C-C, Ojima T, Hirai H, Kondo K. Barriers to Health Care among the Elderly in Japan. International Journal of Environmental Research and Public Health. 2010; 7(4):1330-1341.
Murata, Chiyoe; Yamada, Tetsuji; Chen, Chia-Ching; Ojima, Toshiyuki; Hirai, Hiroshi; Kondo, Katsunori. 2010. "Barriers to Health Care among the Elderly in Japan." Int. J. Environ. Res. Public Health 7, no. 4: 1330-1341.