دورية أكاديمية
Changing social burden of Japan’s three major diseases including Long-term Care due to aging
| العنوان: | Changing social burden of Japan’s three major diseases including Long-term Care due to aging |
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| المؤلفون: | Koki Hirata, Kunichika Matsumoto, Ryo Onishi, Tomonori Hasegawa |
| المصدر: | Public Administration and Policy, Vol 24, Iss 2, Pp 152-164 (2021) |
| بيانات النشر: | Emerald Publishing, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Political institutions and public administration (General) |
| مصطلحات موضوعية: | aging, health economics, health policy, long-term care, cost of illness, japan, Political institutions and public administration (General), JF20-2112 |
| الوصف: | Purpose – The purpose of this article is to clarify the social burden of Japan’s three major diseases including Long-term Care (LTC) burden. Design/methodology/approach – A modification of the Cost of Illness (COI)—the Comprehensive-COI (C-COI) was utilized to estimate three major diseases: cancer, heart disease, and cerebrovascular diseases (CVD). The C-COI consists of five parts: medical direct cost, morbidity cost, mortality cost, formal LTC cost and informal LTC cost. The latter was calculated by two approaches: opportunity cost approach (OC) and replacement approach (RA), which assumed that informal caregivers were substituted by paid caregivers. Findings – The C-COI of cancer, heart disease and CVD in 2017 amounted to 10.5 trillion JPY, 5.2 trillion JPY, and 6.7 trillion JPY, respectively (110 JPY= 1 US$). The mortality cost was preponderant for cancer (61 percent) and heart disease (47.9 percent); while the informal LTC cost was preponderant for CVD (27.5 percent). The informal LTC cost of the CVD in OC amounted to 1.8 trillion JPY; while the RA amounted to 3.0 trillion JPY. Social implications – The LTC burden accounted for a significant proportion of the social burden of chronic diseases. The informal care was maintained by unsustainable structures such as the elderly providing care for the elderly. This result can affect health policy decisions. Originality/value – The C-COI is more appropriate for estimating the social burden of chronic diseases including the LTC burden and can be calculated using governmental statistics. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1727-2645 2517-679X |
| Relation: | https://doaj.org/toc/1727-2645; https://doaj.org/toc/2517-679X |
| DOI: | 10.1108/PAP-04-2021-0025/full/pdf?title=changing-social-burden-of-japans-three-major-diseases-including-long-term-care-due-to-aging |
| DOI: | 10.1108/PAP-04-2021-0025 |
| URL الوصول: | https://doaj.org/article/e6fba33ac88b47b39e59a84eacea5c60 |
| رقم الأكسشن: | edsdoj.6fba33ac88b47b39e59a84eacea5c60 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17272645 2517679X |
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| DOI: | 10.1108/PAP-04-2021-0025/full/pdf?title=changing-social-burden-of-japans-three-major-diseases-including-long-term-care-due-to-aging |