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Int. J. Environ. Res. Public Health 2010, 7(4), 1330-1341; doi:10.3390/ijerph7041330

Barriers to Health Care among the Elderly in Japan

1,* , 2
1 Hamamatsu University School of Medicine, Department of Community Health and Preventive Medicine, 1-20-1 Handayama, Higashiku, Hamamatsu, 431-3192, Japan 2 Rutgers University, Department of Economics and Center for Children and Childhood Studies, Camden, NJ 08102, USA 3 New York Medical College, School of Health Sciences & Practice, Department of Epidemiology & Community Health, Valhalla, NY 10595, USA 4 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 / Revised: 9 March 2010 / Accepted: 15 March 2010 / Published: 26 March 2010
(This article belongs to the Special Issue Health Behavior and Public Health)
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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 cost burden; socioeconomic status (SES); barriers to health care
This is an open access article distributed under the Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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.

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