論文
地域密着型サービスの導入が介護需要に与えた効果の検証―事業所密度を用いた実証分析―
2020 年 2020 巻 73 号 p. 5-26
詳細
2020 年 2020 巻 73 号 p. 5-26
The long-term care insurance system introduced in 2000 is now indispensable for our daily lives, but due to the rapid increase in demand, the service cost has increased rapidly, putting a burden on local government finances, and there is a problem with the sustainability of the system.
Under these circumstances, community-based services were introduced in 2006, and are expected to be an opportunity for promoting home care from high-cost facility care. This thesis verified the effect of the service using the supplier density as an explanatory variable. Two-phase model was used in the analysis. The first phase is user's voluntary demand. The second phase is supplier-induced demand, which is often discussed in medical economics.
As a result, community-based services were effective in reducing demand for facility services in terms of voluntary user demand, and were also observed with facility services in terms of supplier-induced demand.
