Comparison of Japanese and German nursing homes: Implications of demographic and policy differences

Autor: Alexander Karmann, Shinya Sugawara
Rok vydání: 2020
DOI: 10.21203/rs.2.21407/v1
Popis: Background This research provides a comparative study of Japanese and German nursing homes. Although these two aging countries share similar long-term care policies based on social insurance, descriptive statistics show the existence of a large difference in the outcomes of their nursing home sectors. This research pursues the reason behind these observations, looking at demographic and policy differences between the two countries. Methods To shed light from multiple angles, we conduct empirical analysis using three methods: regression, the Blinder-Oaxaca decomposition, and data envelopment analysis using regional data from the past decade. Results Our empirical results find that different outcomes are driven by both demographic and policy differences.Conclusions The results from the demographic elements indicate that the process of ageing will have a severer consequence for Germany than for Japan when Germany would catch up with the age profile of Japan. Among the policy elements, our result is consistent to the existence of moral hazard in Germany due to a generous welfare program.
Databáze: OpenAIRE