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Unexplored Costs of Bereavement Grief in Japan

Patterns of Increased Use of Medical, Pharmaceutical, and Financial Services

Bibliographic Data

ID13628846
AuthorsCarl Becker (0000-0002-4519-8837, Policy Science Unit, Kyoto University, Kyoto, Japan, corresponding author), Yozo Taniyama (Tohoku University), Megumi Kondo-Arita (Nakayama International Center, Osaka Medical College, Osaka, Japan), Megumi Kondo‐Arita (0009-0002-1860-7727, Osaka Medical and Pharmaceutical University), Noriko Sasaki (0000-0002-3637-3437, Department of Healthcare Economics and Quality Management, Kyoto University School of Medicine, Kyoto, Japan), Shinya Yamada (0000-0001-5726-3926, Religious Anthropology, National Museum of Japanese History, Sakura City, Japan), Kayoko Yamamoto (0000-0002-1530-8484, Medical Education Research Center, Tenri Health Care University, Tenri City, Japan)
Year2021
Volume83
Issue1
Pages142-156
Publication date2021-02-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0030222821992193
PMID33530889
OpenAlexW3126712507
LanguageEN
Citations received4
References cited30

Bereaved families may experience psychological and physical problems increasing their reliance on medical, pharmaceutical, and financial/legal services. Our Japan-wide survey (n = 1078) researched bereaved who showed increased reliance on medical, pharmaceutical, and financial/legal services. Increased use was most evident in the '50's age bracket, and for unemployed widows; it corresponded less with low annual income than with high income declining significantly after bereavement. Increased users showed higher psychological and physical symptoms of grief, and reported their decline in physical health seriously influencing their work and lives, suggesting "presenteeism"-reduced productivity for those continuing to work. Increased users spent 2.7 times more for medical and pharmaceutical services than those reporting continual use, portending 4 to 10 times more Japanese government expense for this group, half of whom considered their own out-of-pocket expenses a financial burden. These findings warrant further research on cost-effectiveness of interventions to reduce declining health of the bereaved

Business · Economic growth · Economics · Government (linguistics · Grief · Health care · Medical costs · Medical services · Presenteeism · Productivity · Psychiatry · Psychological intervention · Work (physics · Finance · Geriatric Care and Nursing Homes · Grief, Bereavement, and Mental Health · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology

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Unique citing works4
Citations per year1
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4
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