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An Introduction of Capitation in Medical Care for the Elderly and the Effects on the Medical Sector in a Macro System

Research Project

Project/Area Number 11630034
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 経済政策(含経済事情)
Research InstitutionUniversity of Tsukuba

Principal Investigator

YAMADA Tadashi  University of Tsukuba, Institute of Policy and Planning Sciences, Professor, 社会工学系, 教授 (10210460)

Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2001: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2000: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1999: ¥1,300,000 (Direct Cost: ¥1,300,000)
KeywordsHealth Economics / Health Check-up / Medical Expenditures for the Elderly / Home Care / Efficiency of Medical Service Supply / 出来高制診療報酬制 / 定額診療報酬制 / 高齢者医療 / 国民生活基礎調査 / 就業者 / 医療保険 / 機会費用 / 入院確率 / 入院期間 / 医療費削減 / 病院の効率性 / 健康診断の需要
Research Abstract

This project was initially started in 1993 under the name, "A Comparative Analysis of Medical Systems between Japan and the U.S." The first phase, the first three years, was the project entitled, "Inefficiency in the Medical Sector in Japan and their Causes: An Econometric Analysis" (The Ministry of Education, Culture, Sports, Science and Technology (MEXT) : Grant No. 05630023). The second three-year phase extended the previous project : "Synthesis and Health Economics Approach to Aging Population.and Medical Care : an Empirical analysis" (MEXT : Grant No. 08630035). The third phase, from 1999 through 2001, was the study, "An Introduction of Capitation into Medical Care for the Elderly and its effects on Medical Sector in Macro System, " (MEXT : Grant No. 11630034).
With respect to the third phase of the project, we obtained a number of empirical findings with regard to the Japanese elderly in terms of their demand for medidal care by using different sets of micro data. Further, the medical health check-up system in Japan was also evaluated in terms of cost-containment perspectives. The results | show that there exist quite a number of differentials among the Japanese population in their health check-up demand, and this study also shows what adequate policy targeting at specific groups in occupation, age category and insurance type may be adopted. All research results from, the project were presented at various international conferences held in Canada, England, Sweden, Taiwan, Japan and the U.S. While cultivating rich results from this project for the last three years, the period was to short to complete constructing an economic macro system to study the effects of capitation in the medical sector with regard to the costs of elderly medical care. We will continue this project to meet the current demand for policies to cope with the sharp increase in medical care costs in Japan as well as to improve social welfare.

Report

(4 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (51 results)

All Other

All Publications (51 results)

  • [Publications] Yamada, Tetsuji, Tadashi Yamada: "Transition from Fee-for-service to Prospective Payment System : Hospital Services under National Health Insurance System"Institute of Policy and Planning Sciences, Discussion Paper, University of Tsukuba. 817. 1-36 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi Tetsuji Yamada, Seiritsu Ogura, Reiko Suzuki: "Technical Efficiency of Production in Hospitals in Japan"Institute of Policy and Planning Sciences, Discussion Paper, University of Tsukuba. 826. 1-44 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Ratna Karmakar, Gordon G. Liu: "Determinants of Social Violence among the Youth and Their Risky Health Behaviors : Policy Implications"Institute of Policy and Planning Sciences, Discussion Paper, University of Tsukuba. 838. 1-21 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, Haruko Noguchi: "Medical Services and Imperfect Information in Japan"Institute of Policy and Planning Sciences, Discussion Paper, University of Tsukuba. 839. 1-32 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Marianne C. Fabs, Tetsuo Fukawa, Chang Gun Kim: "Preferences of the Japanese Elderly and Policy Implications : Public Health Services and Family Support"Aging and Health : A Global Challenge for the 21st Century (World Health Organization). 358-372 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Ratna Karmakar: "Determinants of Social Violence among the Youth and Their Risky Health Behaviors : Policy Implications"Violence and Health (World Health Organization). 290-303 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 山田直志: "日本女性の離職行動"労働市場の構造変化とマチングシステム(雇用・能力開発機構). 104-124 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi, Tetsuji Yamada: "Differentials in the Demand for Health Check-up"季刊社会保障研究. 36. 391-422 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, Haruko Noguchi, I-Ming Chiu: "Medical Services and Imperfect Information in Japan"International Political Economy. 8. 1-19 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Gordon G.Liu, Zhongyun Zhao, Renhua Cai, Tetsuji Yamada, Tadashi Yamada: "Equity in the Distribution of Health Care Utilization : Evidence from China Health Care Reform Experiment"Social Science & Medicine. (Forthcoming). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 山田直志: "「健康診断の需要と不確実性」『医療・社会保障の日米比較』"日本経済新聞社(近刊予定). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Seiritsu Ogura, Reiko Suzuki: ""Hospital Services under the National Health Insurance System : A Transition from Fee-for-service to Capitation System," in The Economics of Health Care in Asian-Pacific Countries. Eds.Teh-Wei Hu and Chee-Ruey Hsieh"Edward Elgar Publishing, U. K. (近刊予定). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi: ""Hospital Services under the National Health Insurance System : A Transition from Fee-for-service to Capitation System," in The Economics of Health Care in Asian-Pacific Countries. Eds.Teh-Wei Hu and Chee-Ruey Hsieh"University of Chicago Press, US(近刊予定). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada: "Transition from Fee-for-service to Prospective PaymentSystem : Hospital Services under National Health Insurance System"Institute of Policy and Planning Sciences, Discussion Paper, No.817, University of Tsukuba, April. 1-36 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi, Tetsuji Yamada, Seiritsu Ogura, Reiko Suzuki: "Technical Efficiency of Production in Hospitals in Japan"Institute of Policy and Planning Sciences, Discussion Paper Series, No.826, University of Tsukuba, July. 1-44 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Ratna Karmakar, Gordon G. Liu: "Determmants of Social Violence among the Youth and Their Risky Health Behaviors : Policy Implications"Institute of Policy and Planning Sciences, Discussion Paper Series, No.838, University of Tsukuba, November. 1-21 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, Haruko Noguchi: "Medical Services and Imperfect Information in Japan"Institute of Policy and Planning Sciences, Discussion Paper Series, No.839, University of Tsukuba, November. 1-32 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Marianne C. Fahs, Tetsuo Fukawa, Chang Gun Kim: "Preferences of the Japanese Elderly and Policy Implications : Public Health Services and Family Support"Aging and Health : A Global Challenge for the 21st Century, World Health Organization (WHO). WHO Document 1999, October. 358-372 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada. Tetsuji, Tadashi Yamada, Ratna Karmakar: "Determinants of Social Violence among the Youth and Their Risky Health Behaviors : Policy Implications"Violence and Health, World Health Organization (WHO), WHO Publication, August. 290-303 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi: "Job Turnover Behavior of Japanese Women (in Japanese)"Structural Changes and Job Matching System in the the Labor Market (Roudou Sizyo no Kouzou Henka to Matching Sisutemu, in Japanese). Employment and Skill Development Institute (Koyo Nouryoku Kaihatsu Kiko, in Japanese), 2000, pp. 104-124. Institute of Policy and Planning Sciences, Discussion Paper Series, No.860, University of Tsukuba, April. 1-32 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi, Tetsuji Yamada: "Differentials in the Demand for Health Check-up"Quarterly of Social Security Research (Kikan Shakai Hosho Kenkyu, in Japanese), Vol.36, No.3, Winter 2000, Ep.39 1 -422. Institute of Policy and Planning Sciences, Discussion Panpr Series, No.876, University of Tukuba, July. 1-44 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, Haruko Noguchi, I-Ming Chiu: "Medical Services and Imperfect Information in Japan"International Political Economy. Vol. 8. 1-19 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi: "Demand for Health Checkup and Uncertainty (in Japanese)"Comparative Study of Medical Care and Social Security in Japan and United States (tentative title). Nihon Keizai Sinbun-Sha. (Forthcoming). (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Gordon G. Liu, Zhongyun Zhao, Renhua Cai, Tetsuji Yamada, Tadashi Yamada: "Equity in the Distribution of Health Care Utilization : Evidence from China Health Care Reform Experiment"Social Science & Medicine. (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Seiritsu Ogura, Reiko Suzuki: "Hospital Services under the National Health Insurance System : A Transition from Fee-for-service to Capitation System"The Economics of Health Care in Asian-Pacific Countries, Forthcoming 2002, Eds. The-Wei Hu and Chee-Ruey Hsieh, Edward Elgar Publishing, U.K..

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tadashi: "The Demand for Health Check-up and Uncertainty"Transitions in Employment and Firm Benefit Policies in Japan and the United States (tentative title) , Forthcoming 2002, Eds. David A. Wise, Seiritsu Ogura and Toshiaki Tachibanaki. Chicago : University of Chicago Press. Institute of Policy and Planning Sciences, Discussion Paper Series. No.849. University of Tukuba March. 1-42 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, Haruko Noguchi, I-Ming Chiu: "Medical Services and Imperfect Information in Japan"International Political Economy. Vol. 8. 1-19 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Chang Gun Kim, Haruko Noguchi, I-Ming Chiu: "Medical Services and Imperfect Information in Japan"International Political Economy. 8. 1-19 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Gordon G. Liu, Zhongyun Zhao, Renhua Cai, Tetsuji Yamada, Tadashi Yamada: "Equity in the Distribution of Health Care Utilization : Evidence from China Health Care Reform Experiment"Social Science & Medicine. (Forthcoming). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 山田 直志: "「健康診断の需要と不確実性」、『医療・社会保障の日米比較』"日本経済新聞社(近刊予定). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yamada, Tetsuji, Tadashi Yamada, Seiritsu Ogura, Reiko Suzuki: ""Hospital Services under the National Health Insurance System : A Transition from Fee-for-service to Capitation System, " in The Economics of Health Care in Asian-Pacific Countries, Eds. Teh-Wei Hu and Chee-Ruey Hsieh."Edward Elgar Publishing, U. K. (近刊予定). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yamada, Tadashi: ""The Demand for Health Check-up and Uncertainty, " in Transitions in Employment and Firm Benefit Policies in Japan and the United States (tentative title), Forthcoming 2002, Eds. David A. Wise, Seiritsu Ogura and Toshiaki Tachibanaki."University of Chicago Press, US (近刊予定). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Tadashi Yamada: "The Demand for Health Check-up Uncertainty"University of Tsukuba, Institute of Policy and Planning Sciences, Discussion Paper Series (IPPS). 849. 1-42 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tadashi Yamada: "日本女性の離職行動"University of Tsukuba, Institute of Policy and Planning Sciences, Discussion Paper Series (IPPS). 860. 1-32 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tadashi Yamada and Tetsuji Yamada: "Differentials in the Demand for Health Check-up"University of Tsukuba, Institute of Policy and Planning Sciences, Discussion Paper Series. 876. 1-44 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tadashi Yamada and Tetsuji Yamada: "Differentials in the Demand for Health Check-up"季刊・社会保障研究. 36・3. 391-422 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 著者名:山田直志: "日本女性の離職行動 労働市場の構造変化とマッチングシステム"雇用・能力開発機構. 25 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tetsuji Yamada, Tadashi Yamada and Ratona Karmakar: ""Determinants of social violence among youth and their risky health behavior : policy implications" in Violence and Health."World Health Organization (WHO). 14 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tadashi Yamada and Tetsuji Yamada: ""The Demand for Health Check-up and Uncertainty," in Transitions in Employment and Firm Benefit Policies in Japan and the United States (tentative title)."David A.Wise, Seiritsu Ogura and Toshiaki Tachibanaki.Chicago : University of Chicago Press. (近刊予定).

    • Related Report
      2000 Annual Research Report
  • [Publications] Tetsuji Yamada,Tadashi Yamada,Seiritsu Ogura and Reiko Suzuki: ""Hospital Services under the National Health Insurance System : A Transition from Fee-for-Service to Capitation System," in Economics of Health Care in Asia-Pacific Countries"M.Grossman, T.W.Hu, and C.R.Hsieh U.K. : Edward Elgar Publishing (近刊予定).

    • Related Report
      2000 Annual Research Report
  • [Publications] Tadashi Yamada: ""The Demand for Health Check-up and Uncertainty""Labor Markets and Firm Benefit Policies in Japan and the United States (tentative title),eds. David.A.Wise,Seiritsu Ogura and Toshiaki Tachibanaki.. (発行予定). (2001)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada,et al.: ""Hospital Services under the National Health Insurance System: A Transition form Fee-for-Service to Capitation" System""Health Economics,eds. M.Grossman,T.W.Hu,and C.R.Hsieh.. (発行予定). (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada,et al.: ""Determinants of Social Violence among the Youth and Anti-Health Activities: Policy Implications""Violence and Health,World Health Organization (WHO),WHO Publication.. (発行予定). (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada: ""The Demand for Health Check-up and Uncertainty""Institute of Policy and Planning Sciences (IPRS),Discussion Paper Series. No.849. 1-67 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada,et al.: ""Medical Services and Imperfect Infomation""IPPS Discussion Paper Series. No.839. 1-32 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada,et al.: ""Determinants of Social Violence among the Youth and Anti-Health Activities: Policy Implications""IPPS Discussion Paper Series. No.838. 1-21 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada,et al.: ""Preferences of the Japanese Elderly and Policy Implications: Public Health Services and Family Support""Aging and Health: A Global Challenge for the 21^<st> Century,World Health Organization (WHO).. 358-372 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada,et al.: ""Technical Efficiency of Production in Hospitals in Japan""IPPS Discussion Paper Series. No.826. 1-44 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 山田直志: "『一般病院と老人病院の効率性の比較:フロンティア生産関数』"IPPS Discussion Paper Series. No.819. 1-73 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 山田直志: "『高齢者の在宅介護費用の計量経済学的分析』"IPPS Discussion Paper Series. No.818. 1-57 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tadashi Yamada and Tetsuji Yamada: ""Transition from Fee-for-service to Prospective Payment System: Hospital Services under National Health Insurance System""IPPS Discussion Paper Series. No.817. 1-34 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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