Abstract
Copyright: © 2016 Fukawa T. This is an openaccess article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. *Corresponding author: Tetsuo Fukawa, Institution for Future Welfare, 1-26-16-302 Shoto, Shibuya-ku, Tokyo, Japan, Tel: 03 6407 9700; E-mail: fukawa@ifwj.org
Highlights
Japanese expectation of life at birth is about 84 years (80.5 for males and 86.8 for females in 2014), and further decline in mortality rate among the elderly is expected in future
After describing Japanese healthcare expenditure by age group, we focused on end-of-life healthcare expenditure for the elderly, based on the National Database of CI
End-of-life Healthcare Expenditure for the Elderly we focused on healthcare expenditure for the deceased elderly
Summary
Japanese expectation of life at birth is about 84 years (80.5 for males and 86.8 for females in 2014), and further decline in mortality rate among the elderly is expected in future. An upward shift of per capita healthcare expenditure for the very old elderly in recent years has again increased the concerns regarding end-of-life healthcare expenditure for the elderly. After describing Japanese healthcare expenditure by age group, we focused on end-of-life healthcare expenditure for the elderly, based on the National Database of CI. The National Database of CI covers the total population in principle, but the number of deceased elderly was less than half of the actual number of deaths obtained from the Vital Statistics (Note 3). This discrepancy arises because the key record to identify if a person is dead or alive is not quite accurate. The number of deceased elderly is shown by place of death (medical facilities or outside medical facilities), and the average representative rate for deceased elderly in the National Database of CI was 46 percent for medical facilities but less than 30 percent for outside medical facilities
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