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Comprehensive research on the role of intermediaries in the medical market

Research Project

Project/Area Number 16K21252
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Economic policy
Public finance/Public economy
Research InstitutionAomori Public College

Principal Investigator

Kodera Toshiki  青森公立大学, 経営経済学部, 准教授 (10614141)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords病院 / かかりつけ医 / 製品差別化 / 二面的市場 / 経済政策 / 財政学
Outline of Final Research Achievements

In this study, I focus on the vertical structure of the medical market formed by patients, general practitioners, and large hospitals. I aim to clarify the organizational structure and to construct an efficient medical market. In Japan, medical expenses are increasing due to the aging population, income, changes in disease structure, and advances in medical technology. On the other hands, many hospitals are in deficit. I analyze the efficiency of hospitals and find rule-based hospital management relates to high efficiency, while the suitable management of beds and supplies relates to low efficiency. I also study the quality and the collaboration in vertically separated medical market.

Academic Significance and Societal Importance of the Research Achievements

OECD諸国と比較しても、日本の医療費の増加は顕著である。その一方、医療サービスを供給する病院の多くが赤字経営になっている。本研究により、病院における効率的な経営と経営の方法についての関係を明らかにし、医療市場における患者、かかりつけ医、高機能病院によって形成される医療市場の組織構造の分析が可能となるという学術的意義がある。また、効率的な病院経営に関する知見や、望ましい医療市場を設計するための基礎的情報を提供するという社会的意義もある。

Report

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

    (3 results)

All 2019 2018

All Journal Article (2 results) (of which Peer Reviewed: 1 results) Book (1 results)

  • [Journal Article] Efficiency and the quality of management and care: Evidence from Japanese public hospitals2019

    • Author(s)
      Toshiki Kodera and Koji Yoneda
    • Journal Title

      Applied Economics Letters

      Volume: - Issue: 17 Pages: 1418-1423

    • DOI

      10.1080/13504851.2018.1564112

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Spatialpricediscriminationandlocationintwo-sidedmarkets2018

    • Author(s)
      Toshiki Kodera and Hiroshi Aiura
    • Journal Title

      Aomori Public University Discussion Paper Series

      Volume: 48

    • Related Report
      2018 Annual Research Report
  • [Book] 財政学2018

    • Author(s)
      兼子良夫 編著、執筆者 小寺俊樹 他
    • Total Pages
      176
    • Publisher
      税務経理協会
    • ISBN
      9784419065300
    • Related Report
      2018 Annual Research Report

URL: 

Published: 2016-04-21   Modified: 2020-03-30  

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