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Impacts of Copayment Change on Health Behaviours for Older People: Evidence from a Japanese Health Policy Reform

Author

Listed:
  • Chun Yee Wong

    (IUJ Research Institute, International University of Japan)

  • Shugo Shinohara

    (Keio University)

Abstract

This study investigates the effects of increased copayment on health behaviours among older people in Japan. Utilizing data from the Comprehensive Survey of Living Conditions (CSLC), our analysis focuses on the impacts on positive and negative health behaviours including having regular meals, balanced diet, regular sleep, doing exercise, smoking, and drinking alcohol. While augmented cost sharing is associated with increased positive health behaviours, its impact on negative behaviours is complex, with smoking rates declining but alcohol consumption showing a mild upward trend, particularly among highly educated individuals and males. Notably, higher educated individuals exhibit a greater propensity towards positive health behaviours. This research contributes to understanding the complex interplay between health insurance coverage and health behaviours among older adults, providing insights for policymakers aiming to promote healthy aging and mitigate adverse health outcomes resulting from policy reforms.

Suggested Citation

  • Chun Yee Wong & Shugo Shinohara, 2024. "Impacts of Copayment Change on Health Behaviours for Older People: Evidence from a Japanese Health Policy Reform," Working Papers EMS_2024_03, Research Institute, International University of Japan.
    • Handle: RePEc:iuj:wpaper:ems_2024_03
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    File URL: https://www.iuj.ac.jp/workingpapers/index.cfm?File=EMS_2024_03.pdf
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    References listed on IDEAS

    as
    1. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2019. "Effects of the Affordable Care Act on Health Behaviors After 3 Years," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 7-33, January.
    2. Dhaval Dave & Robert Kaestner, 2009. "Health insurance and ex ante moral hazard: evidence from Medicare," International Journal of Health Economics and Management, Springer, vol. 9(4), pages 367-390, December.
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    More about this item

    Keywords

    Copayment; Health Insurance; Health Behaviours; Older Adults; Japan;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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