TAILIEUCHUNG - Barriers to Health Care among the Elderly in Japan

In November 1999, the Department of Dental Surgery at Chubu National Hospital, National Institute of Longevity Science (Now: National Center for Geriatrics and Gerontologyʣ, established the first oral care outpatient clinic in the nation. We have instructed many people in methods of systematic oral care, and the service has earned a good reputation. In addition to providing tooth-brushing instruction for the healthy elderly, we have also developed an oral care procedure (oral care system) using an electric toothbrush for the dependent elderly who have difficulty maintaining oral health by themselves. This project was funded by a 2000-2002 grant in aid for. | Int. J. Environ. Res. Public Health 2010 7 1330-1341 doi ijerph7041330 OPEN ACCESS International Journal of Environmental Research and Public Health ISSN 1660-4601 j ournal ij erph Article Barriers to Health Care among the Elderly in Japan Chiyoe Murata 1 J Tetsuji Yamada 2 Chia-Ching Chen 3 Toshiyuki Ojima 1 Hiroshi Hirai 4 and Katsunori Kondo 4 1 Hamamatsu University School of Medicine Department of Community Health and Preventive Medicine 1-20-1 Handayama Higashiku Hamamatsu 431-3192 Japan E-Mail ojima@ 2 Rutgers University Department of Economics and Center for Children and Childhood Studies Camden NJ 08102 USA E-Mail tyamada@ 3 New York Medical College School of Health Sciences Practice Department of Epidemiology Community Health Valhalla NY 10595 USA E-Mail ChiaChing_Chen@ 4 Nihon Fukushi University Center for Well-being and Society 5-22-35 Chiyoda Nakaku Nagoya Aichi 460-0012 Japan E-Mails k-hirai@ . kkondo@ . Author to whom correspondence should be addressed E-Mail cmurata@ Tel. 81-53-435-2333 Fax 81-53-435-2341. Received 21 December 2009 in revised form 9 March 2010 Accepted 15 March 2010 Published 26March 2010 Abstract Japan is undergoing a set of health care reforms aimed at cutting rising health care costs and increasing the efficiency of health care delivery. This empirical study used a large-scale community survey on 15 302 elderly people 65 years and older women conducted in seven municipalities in 2006 to reveal clear-cut evidence of barriers to necessary care. The reasons for not getting health care is attributed to health care cost for the elderly with lower income while higher income counterparts reported being busy or having a condition not serious enough to seek care. Keywords cost burden socioeconomic status SES barriers to health care Int. J. Environ. Res. Public Health 2010 7 1331 1. Introduction In addition to unhealthy .

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