Hamamatsu University School of Medicine, Department of Community Health and Preventive Medicine, 1-20-1 Handayama, Higashiku, Hamamatsu, 431-3192, Japan.
Int J Environ Res Public Health. 2010 Apr;7(4):1330-41. doi: 10.3390/ijerph7041330. Epub 2010 Mar 26.
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 (56.0% 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.
日本正在进行一系列医疗保健改革，旨在降低不断上涨的医疗保健成本并提高医疗保健服务的效率。本实证研究使用了 2006 年在七个城市针对 15302 名 65 岁及以上老年人（56.0%为女性）进行的一项大型社区调查，揭示了在提供必要护理方面存在明显障碍的证据。老年人不去看医生的原因主要是医疗保健费用太高，而收入较高的老年人则表示他们太忙或身体状况还没有严重到需要就医的程度。
