Chang Gun Kim
NBER Working Papers and Publications
|June 1994||Effectiveness of Government Policy: An Experience from a National HealthCare System|
with Tetsuji Yamada, Tadashi Yamada, Haruko Noguchi: w4786
This paper examines the trade-off between the length of treatment days and the units of service provided per day for elderly patients in the context of the initiative taken by the Ministry of Health and Welfare of Japan to discourage lengthy hospital treatment and/or stay by elderly patients. By using three leading diseases among the elderly in Japan (cancer, heart related disease and mental illness) and separating care utilization into an episode by types of treatment, our results suggest that the government measures function but they do not effectively work to reduce increases in medical expenditures by the elderly under the fee-for-service basis. The evidence shows the interdependency between days and quantity of services, and the larger impact of services on days than days on service...