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Improving the medical services of rural hospitals by reforming the JRMP mechanism

Research Project

Project/Area Number 16K03561
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Economic theory
Research InstitutionWaseda University

Principal Investigator

Toda Manabu  早稲田大学, 社会科学総合学術院, 教授 (30217509)

Co-Investigator(Kenkyū-buntansha) 笠島 洋一  早稲田大学, 社会科学総合学術院, 准教授 (30583166)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords医師臨床研修マッチング / 過疎地医療 / マッチング / 医師臨床研修 / マッチング理論 / 医師臨床研修制度 / 研修医マッチング / 経済理論
Outline of Final Research Achievements

We consider to subsidize rural hospitals with unfilled quotas to encourage doctors to apply them in the JRMP mechanism. The current rule of the program is the deferred acceptance, which determines the stable matching the most preferred by doctors, aiming at the fairness among them. However, in the stable matching, the quotas of some hospitals possibly remain to be unfilled, which may result in the shortage of medical services in local towns and villages. A possible solution is to place upper bounds on the total numbers of seats offered by urban hospitals but it may reduce the welfare of the doctors. Instead, we analyze the effects of subsidizing rural hospitals to encourage the applicants. Under the current rule of Japan, it has been shown that the subsidy is harmless for all doctors but there exists no stable mechanism in which the subsidy is harmless for all hospitals. We also obtained a new set of axioms characterizing the set of all stable matchings.

Academic Significance and Societal Importance of the Research Achievements

平成16年以降に導入された医師臨床研修マッチングでは地域間で研修医の偏在が生じることが問題となった.そこで近年応募多数となる地域の採用数に上限を設けることで地域間格差の解消が図られている.しかし上限導入後,医師側の厚生は悪化し第1希望以外への配属数が増加している.本研究はそれに代えて過疎地の研修機関に対する補助金等の効果を分析した.現行制度は医師の公平性を重視して設計されており補助金の支出が医師全員にとって同じ意味を持つか否かは必ずしも明らかではない.我々は現行制度下での補助金は医師側にとり常に無害であると同時に研修機関に対しては同一の影響を与えるような制度そのものが存在しないことを示した.

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (14 results)

All 2019 2018 2017 2016

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results) Presentation (10 results) (of which Int'l Joint Research: 5 results,  Invited: 4 results) Funded Workshop (1 results)

  • [Journal Article] 契約を伴うマッチング理論:近年の動向と課題2018

    • Author(s)
      戸田 学
    • Journal Title

      早稲田大学社会科学部創設50周年記念論文集

      Volume: 印刷中

    • Related Report
      2017 Research-status Report
  • [Journal Article] Impossibilities for probabilistic assignment2017

    • Author(s)
      Aziz, H. and Y. Kasajima
    • Journal Title

      Social Choice and Welfare

      Volume: 49 Pages: 255-275

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 契約を伴うマッチング理論;近年の動向と課題2017

    • Author(s)
      戸田 学
    • Journal Title

      早稲田大学社会科学部創設50周年記念論文集

      Volume: 印刷中

    • Related Report
      2016 Research-status Report
    • Acknowledgement Compliant
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2019

    • Author(s)
      笠島洋一
    • Organizer
      2019 Conference on Economic Design(Corvinus University of Budapest)
    • Related Report
      2019 Annual Research Report
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2019

    • Author(s)
      笠島洋一
    • Organizer
      2019 Conference on Economic Design
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2018

    • Author(s)
      笠島洋一
    • Organizer
      European Meeting on Game Theory 2018 (SING14)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2018

    • Author(s)
      笠島洋一
    • Organizer
      Lisbon School of Economics & Management, Universidade de Lisboa
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2018

    • Author(s)
      戸田学
    • Organizer
      マッチング理論の現在とその社会実装に向けて(RISS-CEEワークショップ)
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2018

    • Author(s)
      戸田学
    • Organizer
      数理経済学会研究集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Singles Monotonicity and Stability in One-to-one Matching Problems2018

    • Author(s)
      戸田学
    • Organizer
      Workshop on Microeconomics and Game Theory, KIER
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Singles monotonicity and stability in one-to-one matching problems2018

    • Author(s)
      Kasajima, Y.
    • Organizer
      The 14th European Meeting on Game Theory (SING14)にて発表予定
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 契約を伴うマッチング理論:最近10年間の展望2017

    • Author(s)
      戸田 学
    • Organizer
      現代金融経済と IT 技術によるイノベーション研究会
    • Place of Presentation
      ラフォーレ修善寺(静岡県伊豆市)
    • Year and Date
      2017-03-26
    • Related Report
      2016 Research-status Report
  • [Presentation] Economic Mechanisms: An Axiomatic Approach2016

    • Author(s)
      笠島洋一
    • Organizer
      The 3rd Workshop on Energy Supply-demand Networks with Renewables based on Integration of Economic Models and Physical Models -Toward international collaborations between NSF and JST CREST projects-
    • Place of Presentation
      早稲田大学(東京都新宿区)
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Funded Workshop] The 1st. mini-conference on matching in Waseda2019

    • Related Report
      2018 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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