No Cost Sharing for Public Assistance Recipients and Health Service Usage in Japan
This study found that eliminating cost sharing under a PA system was associated with increased outpatient health service use, particularly for dental care. These findings highlight financial barriers to care among low-income populations and suggest that no cost-sharing policies can improve access but may require policy measures to address overuse.
Authors
- Kenji Takeuchi (ORCID: https://orcid.org/0000-0001-8769-8955)
- Megumi Maeda (ORCID: https://orcid.org/0000-0002-7252-9945)
- Futoshi Oda
- Yudai Tamada (ORCID: https://orcid.org/0000-0001-6868-4195)
- Haruhisa Fukuda (ORCID: https://orcid.org/0000-0003-1120-1548)
- Ken Osaka (ORCID: https://orcid.org/0000-0001-6885-9514)
- Taro Kusama (ORCID: https://orcid.org/0000-0001-8683-4484)
- Chihiro Shiota (ORCID: https://orcid.org/0009-0006-9952-9861)
Institutions
- Kyushu University (JP)
- Tohoku University (JP)
- Nagoya University (JP)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-10-24
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.3713
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00