Updated Horizontal Inequity in Health Care Utilization in Japan: Comparisons with OECD Countries Using an Original Survey

23 Pages Posted: 2 Sep 2003

See all articles by Yasushi Ohkusa

Yasushi Ohkusa

Osaka University - Institute of Social and Economic Research (ISER)

Chika Honda

Osaka Prefecture University - Yao Public Health Center

Date Written: June 2003

Abstract

We compare health care inequity in Japan with that in other OECD countries in 2002 and 2003. To overcome Japanese data problems, we conducted an original survey. Although some problems remain, we obtained internationally comparable results on health care inequity for Japan. We test the utilization measure by the number of outpatients, the number of days of inpatient utilization in the previous year, out-of-pocket payments in the previous year and other measures, such as a yes/no indicator for outpatient or inpatient utilization in a lifetime. The results show that there is no inequity in outpatient or inpatient utilization, but out-of-pocket payments show significant pro-rich inequity.

Keywords: Horizontal Inequity, Japan, International Comparisons, Concentration Index, Kakwani Index, Needs

Suggested Citation

Ohkusa, Yasushi and Honda, Chika, Updated Horizontal Inequity in Health Care Utilization in Japan: Comparisons with OECD Countries Using an Original Survey (June 2003). ISER Discussion Paper No. 585, Available at SSRN: https://ssrn.com/abstract=421420 or http://dx.doi.org/10.2139/ssrn.421420

Yasushi Ohkusa (Contact Author)

Osaka University - Institute of Social and Economic Research (ISER) ( email )

6-1 Mihogaoka
Ibaraki, Osaka 567-0047
Japan
81-6-6879-8555 (Phone)
81-6-6878-2766 (Fax)

Chika Honda

Osaka Prefecture University - Yao Public Health Center ( email )

1-1 Gakuen-Cho
Sakai, Osaka 599-8531
Japan

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