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Access to health services and health disparity

Planned Research

Project AreaElucidation of social stratification mechanism and control over health inequality in contemporary Japan: New interdisciplinary area of social and health sciences
Project/Area Number 21119006
Research Category

Grant-in-Aid for Scientific Research on Innovative Areas (Research in a proposed research area)

Allocation TypeSingle-year Grants
Review Section Complex systems
Research InstitutionThe University of Tokyo

Principal Investigator

KOBAYASHI Yasuki  東京大学, 医学(系)研究科(研究院), 教授 (70178341)

Co-Investigator(Kenkyū-buntansha) TANIHARA Shin-ichi  福岡大学, 医学部, 准教授 (40285771)
OHMORI Masahiro  お茶の水女子大学, 大学院人間文化創成科学研究科, 准教授 (40286000)
INADA Haruhiko  筑波大学, 医学医療系, 助教 (60633146)
Co-Investigator(Renkei-kenkyūsha) TOYOKAWA Satoshi  東京大学, 大学院医学系研究科, 准教授 (40345046)
INOUE Mariko  帝京大学, 公衆衛生学研究科, 講師 (20508048)
Project Period (FY) 2009-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥37,700,000 (Direct Cost: ¥29,000,000、Indirect Cost: ¥8,700,000)
Fiscal Year 2013: ¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2012: ¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2011: ¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2010: ¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2009: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Keywords保健 / 医療 / アクセス / 健康格差 / 医療保障制度 / 医師分布 / 災害 / 福祉 / 国民皆保険
Outline of Final Research Achievements

This study aims to examine the current conditions of access to health service and health status among people, using various surveys and existing data.
Using the Population Census and the Survey of Physicians, Dentists, and Pharmacists in Japan, we showed that dentist distribution was improved for these 20 years while that physician distribution was not much improved. In addition, the ratios of physicians to population in small rural secondary tier of medical care increased because of decreases in the population and not because of an increase of physicians.
Using the data of the Japanese Study of Stratification, Health, Income, and Neighborhood (J-SHINE), we showed that precarious work was associated with lower access to preventive and ambulatory services, and suggested pro-rich inequality in general residents, in which high income group had better access to dental service. We also reported various aspects of the access issues in the policy context.

Report

(6 results)
  • 2014 Final Research Report ( PDF )
  • 2013 Annual Research Report
  • 2012 Annual Research Report
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (49 results)

All 2015 2014 2013 2012 2011 2010 2009 Other

All Journal Article (20 results) (of which Peer Reviewed: 9 results,  Open Access: 3 results,  Acknowledgement Compliant: 3 results) Presentation (22 results) (of which Invited: 1 results) Book (2 results) Remarks (5 results)

  • [Journal Article] Assessment of Text Documentation Accompanying Uncoded Diagnoses in Computerized Health Insurance Claims in Japan2015

    • Author(s)
      Tanihara S.
    • Journal Title

      Journal of Epidemiology

      Volume: 25 Issue: 3 Pages: 181-188

    • DOI

      10.2188/jea.JE20140105

    • NAID

      130004851902

    • ISSN
      0917-5040, 1349-9092
    • Related Report
      2013 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] オランダにおける医療制度と保健事業の動向2014

    • Author(s)
      大森正博
    • Journal Title

      健保連海外医療保障

      Volume: 102 Pages: 9-17

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 安倍政権下の医療政策について2014

    • Author(s)
      大森正博
    • Journal Title

      租税研究

      Volume: 778 Pages: 135-148

    • NAID

      40020152763

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 非正規雇用で働く女性労働者の健康2014

    • Author(s)
      井上まり子
    • Journal Title

      労働の科学

      Volume: 68 Pages: 82-85

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Body mass index, blood pressure, and glucose and lipid metabolism among permanent and fixed-term workers in the manufacturing industry: A cross-sectional study2014

    • Author(s)
      Inoue M, Minami M, Yano E.
    • Journal Title

      BMC Public Health

      Volume: 14 Issue: 1 Pages: 207-207

    • DOI

      10.1186/1471-2458-14-207

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] The Proportion of Uncoded Diagnoses in Computerized Health Insurance Claims in Japan in May 2010 According to ICD-10 Disease Categories2014

    • Author(s)
      Tanihara S
    • Journal Title

      Journal of Epidemiology

      Volume: 24 Issue: 5 Pages: 392-396

    • DOI

      10.2188/jea.JE20130194

    • NAID

      130004449417

    • ISSN
      0917-5040, 1349-9092
    • Related Report
      2013 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Determinants of changes in income-related health inequalities among working-age adults in Japan, 1986-2007: time-trend study2013

    • Author(s)
      Kachi Y, Inoue M, Nishikitani M, Tsurugano S, Yano E
    • Journal Title

      Social Science & Medicine

      Volume: 81 Pages: 94-101

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 社会階層と健康2013

    • Author(s)
      稲田晴彦
    • Journal Title

      医学のあゆみ

      Volume: 245 Pages: 327-328

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 医療制度の日蘭比較2013

    • Author(s)
      大森正博
    • Journal Title

      月刊統計

      Volume: 12月号 Pages: 1-8

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 医療制度における「財政」の役割2013

    • Author(s)
      大森正博
    • Journal Title

      租税研究

      Volume: 760 Pages: 87-102

    • NAID

      40019576577

    • Related Report
      2012 Annual Research Report
  • [Journal Article] Using health insurance claim information for evacuee medical support and reconstruction in the Great East Japan Earthquake2013

    • Author(s)
      Tanihara S, Tomio J, Kobayashi Y
    • Journal Title

      Disaster Medicine and Public Health Preparedness

      Volume: 7

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 日本,韓国,台湾における診療報酬明細書(レセプト)を用いた医学系研究の動向2012

    • Author(s)
      谷原真一
    • Journal Title

      日本健康教育学会誌

      Volume: 20 (2) Pages: 241-243

    • NAID

      130003395695

    • Related Report
      2012 Annual Research Report
  • [Journal Article] オランダにおける公的医療保険制度の適用範囲を巡る政策動向2012

    • Author(s)
      大森正博
    • Journal Title

      健保連海外医療保障

      Volume: 95 Pages: 17-28

    • Related Report
      2012 Annual Research Report
  • [Journal Article] 医療サービスへのアクセスと水平的公平性2012

    • Author(s)
      豊川智之、村上慶子、兼任千恵、小林廉毅
    • Journal Title

      医療と社会

      Volume: 22 (1) Pages: 69-78

    • NAID

      130004851775

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Urbanization and physician maldistribution: a longitudinal study in Japan2011

    • Author(s)
      Tanihara S, Kobayashi Y, Une H, Kawachi I
    • Journal Title

      BMC Health Services Research

      Volume: 11 Pages: 1-7

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] オランダの介護保障制度2011

    • Author(s)
      大森正博
    • Journal Title

      リファレンス

      Volume: 725 Pages: 51-73

    • NAID

      40018898606

    • Related Report
      2011 Annual Research Report
  • [Journal Article] オランダの社会保障と財政2011

    • Author(s)
      大森正博
    • Journal Title

      健保連海外医療保障

      Volume: 91 Pages: 15-27

    • Related Report
      2011 Annual Research Report
  • [Journal Article] Increasing supply of dentists induces their geographic diffusion in contrast with physicians in Japan2010

    • Author(s)
      Toyokawa S, Kobayashi Y
    • Journal Title

      Social Science & Medicine

      Volume: 71(11) Pages: 2014-2019

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 女性労働者の子宮がん検診受診行動に関わる要因-MYヘルスアップ研究から2010

    • Author(s)
      兼任千恵、豊川智之、三好裕司、鈴木寿子、須山靖男、小林廉毅
    • Journal Title

      厚生の指標

      Volume: 57(13) Pages: 1-7

    • NAID

      40017352684

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Five decades of universal health insurance coverage in Japan : Lessons and future challenges2009

    • Author(s)
      KOBAYASHI, Yasuki
    • Journal Title

      Japan Medical Association Journal 52

      Pages: 263-268

    • Related Report
      2009 Annual Research Report
  • [Presentation] 地域住民におけるソーシャルキャピタルが健康への関心度に与える影響2014

    • Author(s)
      谷原真一
    • Organizer
      第24回日本疫学会総会
    • Place of Presentation
      仙台市青年文化センター(仙台市)
    • Year and Date
      2014-01-25
    • Related Report
      2013 Annual Research Report
  • [Presentation] 電子レセプトにおける未コード化傷病名の疾病大分類別出現頻度2013

    • Author(s)
      谷原真一
    • Organizer
      第33回医療情報学連合大会
    • Place of Presentation
      神戸ファッションマート(神戸市)
    • Year and Date
      2013-11-21
    • Related Report
      2013 Annual Research Report
  • [Presentation] 理学療法士および作業療法士の地理的分布および高齢者人口との相関の経年変化2013

    • Author(s)
      太箸俊宏、豊川智之、中村文明、小林廉毅
    • Organizer
      第72回日本公衆衛生学会
    • Place of Presentation
      三重県総合文化センター(津市)
    • Year and Date
      2013-10-24
    • Related Report
      2013 Annual Research Report
  • [Presentation] 就労状況と希死念慮との関連:J-SHINEデータ分析より2013

    • Author(s)
      井上まり子、豊川智之、小林廉毅
    • Organizer
      第72回日本公衆衛生学会
    • Place of Presentation
      三重県総合文化センター(津市)
    • Year and Date
      2013-10-24
    • Related Report
      2013 Annual Research Report
  • [Presentation] 歯科医療へのアクセスにおける所得の影響についてプロペンシティスコアを用いた分析2013

    • Author(s)
      豊川智之、小林廉毅
    • Organizer
      第72回日本公衆衛生学会
    • Place of Presentation
      三重県総合文化センター(津市)
    • Year and Date
      2013-10-24
    • Related Report
      2013 Annual Research Report
  • [Presentation] 1都3県における小児医療費助成が受療行動及び健康状態に与える影響2013

    • Author(s)
      前田恵理、小林廉毅
    • Organizer
      第72回日本公衆衛生学会
    • Place of Presentation
      アストプラザ(津市)
    • Year and Date
      2013-10-23
    • Related Report
      2013 Annual Research Report
  • [Presentation] 子どもの急病時における親の受診意思は社会経済的因子と関連するか?2013

    • Author(s)
      東健一、稲田晴彦、豊川智之、小林廉毅
    • Organizer
      第72回日本公衆衛生学会
    • Place of Presentation
      三重県総合文化センター(津市)
    • Year and Date
      2013-10-23
    • Related Report
      2013 Annual Research Report
  • [Presentation] 都道府県別にみた看護職員の地理的分布の推移2013

    • Author(s)
      森岡典子、豊川智之、小林廉毅
    • Organizer
      第72回日本公衆衛生学会
    • Place of Presentation
      アストプラザ(津市)
    • Year and Date
      2013-10-23
    • Related Report
      2013 Annual Research Report
  • [Presentation] 首都圏在住の就労者における就労要因と医療へのアクセスとの関連:J-SHINEデータを用いて2013

    • Author(s)
      豊川智之、井上まり子、小林廉毅
    • Organizer
      第86回日本産業衛生学会
    • Place of Presentation
      ひめぎんホール(松山市)
    • Year and Date
      2013-05-17
    • Related Report
      2013 Annual Research Report
  • [Presentation] 医療へのアクセスにおける所得の影響についてプロペンシティスコアを用いた分析2012

    • Author(s)
      豊川智之、兼任千恵、小林廉毅
    • Organizer
      日本公衆衛生学会総会
    • Place of Presentation
      サンルート国際ホテル山口(山口市)
    • Year and Date
      2012-10-24
    • Related Report
      2012 Annual Research Report
  • [Presentation] Regional differences in the use of medical services in Afghanistan2012

    • Author(s)
      ウリシュミン・サバウヌ、小林廉毅、佐藤元
    • Organizer
      日本公衆衛生学会総会
    • Place of Presentation
      サンルート国際ホテル山口(山口市)
    • Year and Date
      2012-10-24
    • Related Report
      2012 Annual Research Report
  • [Presentation] 所得による歯科受診の格差の検討2011

    • Author(s)
      豊川智之、村上慶子、小林廉毅、橋本英樹
    • Organizer
      日本公衆衛生学会総会
    • Place of Presentation
      秋田県民会館(秋田市)
    • Related Report
      2011 Annual Research Report
  • [Presentation] 健康診断未受診および医療受診抑制の関連要因―予防・治療へのアクセスの視点から2011

    • Author(s)
      小林廉毅、兼任千恵、豊川智之
    • Organizer
      日本公衆衛生学会総会
    • Place of Presentation
      秋田県民会館(秋田市)
    • Related Report
      2011 Annual Research Report
  • [Presentation] 被災地医療支援及び再建における診療報酬明細書(レセプト)情報の有効性2011

    • Author(s)
      谷原真一
    • Organizer
      第28回医学会総会特別企画プログラム
    • Place of Presentation
      東京ビッグサイト(東京都江東区)
    • Related Report
      2011 Annual Research Report
    • Invited
  • [Presentation] Inequalities in access to health care and utilization of services in Japan2011

    • Author(s)
      Kobayashi Y
    • Organizer
      The International Conference on Social Stratification and Health 2011
    • Place of Presentation
      東京大学(東京都文京区)
    • Related Report
      2011 Annual Research Report
  • [Presentation] Does social disparity affect access to health care?2011

    • Author(s)
      Toyokawa S, Murakami K
    • Organizer
      The International Conference on Social Stratification and Health 2011
    • Place of Presentation
      東京大学(東京都文京区)
    • Related Report
      2011 Annual Research Report
  • [Presentation] Difference in use of emergency department services among subscribers to two health insurance plans in Japan: s hospital-based study2011

    • Author(s)
      Inada H, Kobayashi Y
    • Organizer
      The International Conference on Social Stratification and Health 2011
    • Place of Presentation
      東京大学(東京都文京区)
    • Related Report
      2011 Annual Research Report
  • [Presentation] Factors associated with non-utilization of health checkups and physician/dentist consultations: access to preventive and curative services in Japan2011

    • Author(s)
      Kobayashi Y, Kaneto C, Toyokawa S
    • Organizer
      The International Conference on Social Stratification and Health 2011
    • Place of Presentation
      東京大学(東京都文京区)
    • Related Report
      2011 Annual Research Report
  • [Presentation] オランダの介護保障制度2010

    • Author(s)
      大森正博
    • Organizer
      国立国会図書館説明聴取会
    • Place of Presentation
      国立国会図書館(東京)(招待講演)
    • Year and Date
      2010-12-06
    • Related Report
      2010 Annual Research Report
  • [Presentation] 医療政策領域の実証研究2010

    • Author(s)
      小林廉毅
    • Organizer
      日本公衆衛生学会総会
    • Place of Presentation
      東京国際フォーラム(東京)(招待講演)
    • Year and Date
      2010-10-28
    • Related Report
      2010 Annual Research Report
  • [Presentation] 女性労働者の子宮がん・乳がん検診受診行動に関わる要因-MYヘルスアップ研究から-2009

    • Author(s)
      兼任千恵、豊川智之、三好裕司, 清水靖仁、鈴木寿美子、須山靖男、小林廉毅
    • Organizer
      第68回日本公衆衛生学会総会
    • Place of Presentation
      奈良県文化会館(奈良市)
    • Year and Date
      2009-10-22
    • Related Report
      2009 Annual Research Report
  • [Presentation] GISを用いた都内分娩施設のアクセス評価2009

    • Author(s)
      尾川春香、小林廉毅
    • Organizer
      第68回日本公衆衛生学会総会
    • Place of Presentation
      奈良県文化会館(奈良市)
    • Year and Date
      2009-10-22
    • Related Report
      2009 Annual Research Report
  • [Book] 第9章 医療政策における公平性.平岡公一・他編『格差を超え公正な社会へ』2013

    • Author(s)
      大森正博
    • Publisher
      金子書房
    • Related Report
      2012 Annual Research Report
  • [Book] 第4章 地域発展の経済政策―日本の医療―.安田信之助編著『地域発展の経済政策』2012

    • Author(s)
      大森正博
    • Publisher
      創成社
    • Related Report
      2012 Annual Research Report
  • [Remarks] 社会階層と健康に関する学際ネットワークへようこそ

    • URL

      http://mental.m.u-tokyo.ac.jp/sdh/top.html

    • Related Report
      2013 Annual Research Report
  • [Remarks] 現代社会の階層化の機構理解と格差の制御:社会科学と健康科学の融合

    • URL

      http://mental.m.u-tokyo.ac.jp/sdh/top.html

    • Related Report
      2012 Annual Research Report
  • [Remarks] 現代社会の階層化の機構理解と格差の制御:社会科学と健康科学の融合

    • URL

      http://mental.m.u-tokyo.ac.jp/sdh/top.html

    • Related Report
      2011 Annual Research Report
  • [Remarks]

    • URL

      http://www.mental.m.u-tokyo.ac.jp/sdh/top.html

    • Related Report
      2010 Annual Research Report
  • [Remarks]

    • URL

      http://www.mental.m.u-tokyo.ac.jp/sdh/top.html

    • Related Report
      2009 Annual Research Report

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Published: 2009-04-01   Modified: 2018-03-28  

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