Intergenerational Inequality and the Contract Out Policy in Public Health Care

Miyazato Naomi

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Intergenerational Inequality and the Contract Out Policy in Public Health Care

机译：公共医疗保健中的代际不平等和合同政策

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摘要

This study investigates the impact of a Japanese public health care reform-called the contract out policy-on intergenerational inequality and the probability of a surplus in medical saving accounts. First, I investigate the change in the lifetime net burdens for each generation and public health expenditures and conduct simulation analyses to consider the effects of contracting out public health insurance on intergenerational inequality using the generational accounting method. Next, I simulate the probability of a surplus in medical savings accounts using the transition probability of health care expenses based on individual health data, such as receipt data. According to the simulation results, the net lifetime burden on future generations after contracting out shows a 1% reduction compared to the base case, which is not implemented in public health care reform. In addition, the probability of medical savings accounts remaining in surplus, including cases of zero medical expenses, is 69.6%.

机译：本研究调查了日本公共医疗改革的影响 - 宣称守则对代际不平等的影响以及医疗储蓄账户中盈余的概率。首先，我调查每一代和公共卫生支出的终身净负担的变化，并进行仿真分析，以考虑使用世代会计方法承包公共卫生保险对代际不平等的影响。接下来，我使用基于个人健康数据的卫生费用的过渡概率来模拟医疗储蓄账户差额的概率，例如收据数据。根据仿真结果，结束后未来几代人的净寿命负担显示出与基本情况相比的1％减少，在公共卫生改革中未实施。此外，剩余医疗储蓄账户的概率，包括零医疗费用的案件为69.6％。

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《Japan and the World Economy》 |2020年第6期|101006.1-101006.10|共10页
作者
Miyazato Naomi;
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作者单位

Nihon Univ Coll Econ Chiyoda Ku 1-3-2 Misaki Cho Tokyo 1018360 Japan;

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原文格式 PDF
正文语种 eng
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关键词
Intergenerational inequality; public health; care reform; contract; out policy; simulation analysis;

机译：代际不平等;公共卫生;护理改革;合同;淘汰政策;模拟分析;

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Intergenerational Inequality and the Contract Out Policy in Public Health Care

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