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Econometric Analyses of Market and Organization in Health Care Service Industry

Research Project

Project/Area Number 17330045
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Economic statistics
Research InstitutionUniversity of Tsukuba

Principal Investigator

YOSHIDA Atsushi  University of Tsukuba, Graduate School of Systems and Information Engineering, Professor (60240272)

Co-Investigator(Kenkyū-buntansha) MURASAWA Yasutomo  Osaka Prefecture University, College of Economics, Professor (00314287)
MITSUHASHI Hitoshi  University of Tsukuba, Graduate School of Systems and Information Engineering, Associate Professor (90332551)
KANO Shigeki  Osaka Prefecture University, College of Economics, Associate Professor (80382232)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥13,070,000 (Direct Cost: ¥11,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2007: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2006: ¥3,900,000 (Direct Cost: ¥3,900,000)
Fiscal Year 2005: ¥4,100,000 (Direct Cost: ¥4,100,000)
Keywordsindustrial organization of health care / entry and exit / alumni job network / labor market of physicians / premium of health insurance / health services system for the elderly / moral hazard / municipality-based national health insurance / 学閥ネットワーク / 医療施設の経営 / 医療経済 / 大学同窓ネットワーク / 産業組織 / 歯科医院の参入退出 / 診療所の参入退出
Research Abstract

In this study, we investigate health service industry of Japan from following three viewpoints. First we examine how hospitals or clinics compete with each other confronting on what types of market with industrial organization approach. Second we examine how physicians are supplied in what types of labor market of physicians. Third we examine how changes of health policies affect incentives of physicians or patients and thus how supply or demand for health services have changed. For the first point, namely competition in health service market, we investigate theoretically and empirically (1) entry and exit of dental clinics, (2) coalition between big hospitals and clinics, (3) selection between beds for acute diagnoses and those for long term care, and so on. For the second point, namely labor market of physicians, focusing on the career path and alumni network, we investigate (1) how female physicians decide their career paths, (2) what types of teaching hospitals can attract trainee physicians after the introduction of new post-graduation training systems (3) how concrete and stable of job networks of alumni. For the third point, namely health policies, we investigate (1) what decides allocation of the elderly patients into whether health-insurance-applied beds or long-term-care-insurance-applied bed from both aspects of demand and supply sides, (2) who bears the increase of premium, employee and employer, when contribution to the health services system for the elderly increases, (3) whether financial subsidy to municipality-based national health insurance leads to excess increase of per-capita health expense.

Report

(5 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Products Report
  • Research Products

    (45 results)

All 2009 2008 2007 2006 2005

All Journal Article (21 results) (of which Peer Reviewed: 4 results) Presentation (18 results) Book (6 results)

  • [Journal Article] Who has benefited from the health services system for the elderly in Japan?2009

    • Author(s)
      YOSHIDA Atsushi, KAWAMURA Akira
    • Journal Title

      Japan and the World Economy (Elsevier)

    • Description
      掲載決定 印刷決定
    • Related Report
      Products Report
    • Peer Reviewed
  • [Journal Article] 後期高齢者医療制度をどう見るか2008

    • Author(s)
      吉田 あつし
    • Journal Title

      経済セミナー

      Issue: 640 Pages: 46-47

    • Description
      (日本評論社)
    • Related Report
      Products Report
  • [Journal Article] Sharing health risk and income risk within households : evidence from Japanese data2008

    • Author(s)
      YOSHIDA Atsushi, Young-Sook Kim
    • Journal Title

      Applied Economics

      Volume: 40 Issue: 13 Pages: 1723-1735

    • Related Report
      Products Report
    • Peer Reviewed
  • [Journal Article] 専門家倫理の経済学的考察2007

    • Author(s)
      吉田あつし
    • Journal Title

      経済セミナー(日本評論社) No. 625

      Pages: 40-42

    • NAID

      40015409050

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 茨城県における診療所間の空間的競争2007

    • Author(s)
      吉田あつし, 幸野聡
    • Journal Title

      日本統計学会誌 Vol. 37, No. 1

      Pages: 133-150

    • NAID

      110006418654

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Future of health care systems of the elderly2007

    • Author(s)
      Yoshida, A
    • Journal Title

      Living in the Aging Society, Tetsuro Shimizu eds., Toshindo Chapter 7

      Pages: 165-184

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Panel Data Analyses2007

    • Author(s)
      Yoshida, A.
    • Journal Title

      Handbook of Econometrics, Chiohiko Minotani, et al. eds., Asakura Publishing Co., Ltd. chapter 27

      Pages: 874-898

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Economic thought of professional norms2007

    • Author(s)
      Yoshida, A.
    • Journal Title

      Keizai seminar, Nihon hyouronn sha no. 625

      Pages: 40-42

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Spatial Competition among Clinics in Ibaraki Prefecture2007

    • Author(s)
      Yoshida, A., Kono, S.
    • Journal Title

      Journal of Japanese Statistic Association 37

      Pages: 133-150

    • NAID

      110006418654

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 専門家倫理の経済学的考察2007

    • Author(s)
      吉田あつし
    • Journal Title

      経済セミナー No.625

      Pages: 40-42

    • NAID

      40015409050

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 茨城県における診療所間の空間的競争2007

    • Author(s)
      吉田あつし, 幸野聡
    • Journal Title

      日本統計学会誌 9月号(掲載確定)

    • NAID

      110006418654

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Physician-Patient Interaction and the Provision of Medical Services Under Different Co-payment Schemes2006

    • Author(s)
      YOSHIDA Atsushi, TAKAGI Shingo
    • Journal Title

      筑波大学社会工学系Discussion Paper No. 1150

      Pages: 1-38

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 歯科診療所の空間的競争と立地均衡2006

    • Author(s)
      西田喜平次, 吉田あつし
    • Journal Title

      応用地域学研究 No. 11

      Pages: 95-107

    • NAID

      40007443696

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Physician-Patient Interaction and the Provision of Medical Services Under Different Co-payment Schemes2006

    • Author(s)
      Yoshida, A., Takagi, S.
    • Journal Title

      IPPS DP, University of Tsukuba no. 1150

      Pages: 1-38

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Spatial competition and locational equilibrium of dental clinics2006

    • Author(s)
      Nishida, K., Yoshida, A.
    • Journal Title

      Journal of Applied Regional Science no. 11

      Pages: 95-107

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 歯科診療所の空間的競争と立地均衡2006

    • Author(s)
      西田喜平次, 吉田あつし
    • Journal Title

      応用地域学研究 No.11

      Pages: 95-107

    • NAID

      40007443696

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Physician-Patient Interaction and the Provision of Medical Services Under Different Co-payment Schemes2006

    • Author(s)
      YOSHIDA Atsushi, TAKAGI Shingo
    • Journal Title

      筑波大学社会システム・マネジメント Discussion Paper No.1150

      Pages: 1-38

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Who has Benefited from the Health Services System for the Elderly in Japan?2006

    • Author(s)
      YOSHIDA Atsushi, KAWAMURA Akira
    • Journal Title

      筑波大学社会システム・マネジメント Discussion Paper No.1164

      Pages: 1-41

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 公的医療保険制度におけるインセンティブの構造2005

    • Author(s)
      吉田あつし
    • Journal Title

      現代のエスプリ(至文堂) No. 458

      Pages: 80-85

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Incentive structure in public health insurance systems2005

    • Author(s)
      Yoshida, A.
    • Journal Title

      Gendai no espuri, Shibundo no. 458

      Pages: 80-85

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 公的医療保険制度におけるインセンティブの構造2005

    • Author(s)
      吉田あつし
    • Journal Title

      現代のエスプリ 458号

      Pages: 80-85

    • Related Report
      2005 Annual Research Report
  • [Presentation] Budget Systems and Model Hazard in the National Health Insurance and the Long-term Care Insurance2008

    • Author(s)
      川村 顕、吉田 あつし
    • Organizer
      日本経済学会2008年度秋季大会
    • Place of Presentation
      近畿大学
    • Year and Date
      2008-09-14
    • Related Report
      Products Report
  • [Presentation] 療養病床における介護保険型と医療保険型の選択要因2008

    • Author(s)
      西本 真弓、吉田 あつし
    • Organizer
      日本経済学会2008年度春季大会
    • Place of Presentation
      東北大学
    • Year and Date
      2008-06-01
    • Related Report
      Products Report
  • [Presentation] Who has benefited from the Health Services System for the Elderly in Japan?2007

    • Author(s)
      YOSHIDA Atsushi, KAWAMURA Akira
    • Organizer
      Far Eastern Meeting of The Econometric Society 2007
    • Place of Presentation
      International Howard Plaza, Taipei
    • Year and Date
      2007-07-11
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Who has benefited from the Health Services System for the Elderly in Japan?2007

    • Author(s)
      Yoshida, A., Kawamura, A.
    • Organizer
      Far Eastern Meeting of The Econometric Society
    • Place of Presentation
      International Howard Plaza, Taipei
    • Year and Date
      2007-07-11
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Who has benefited from the Health Services System for the Elderly in Japan?2007

    • Author(s)
      YOSHIDA Atsushi, KAWAMUR Akira
    • Organizer
      2007 Far Eastern Meeting of Econometric Society
    • Place of Presentation
      International Howard Plaza, Taipei
    • Year and Date
      2007-07-11
    • Related Report
      2007 Annual Research Report
  • [Presentation] Constructing the Optimal Portfolio : Estimation of Actual Portfolio Risk and Choice of Securities with the Genetic Algorithm.2007

    • Author(s)
      YOSHIDA Atsushi, Qing-Feng-LIU
    • Organizer
      The Third Symposium on Econometric Theory and Applications 2007
    • Place of Presentation
      Hong Kong University of Science and Technology
    • Year and Date
      2007-04-15
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Constructing the Optimal Portfolio: Estimation of Actual Portfolio Risk and Choice of Securities with the Genetic Algorithm2007

    • Author(s)
      Yoshida, A., Liu Q-F.
    • Organizer
      The Third Symposium on Econometric Theory and Applications
    • Place of Presentation
      Hong Kong University of Science an d Technology, Hong Kong
    • Year and Date
      2007-04-15
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Constructing the Optimal Portfolio: Estimation of Actual Portfolio Risk and Choice of Securities with the Genetic Algorithm.2007

    • Author(s)
      YOSHIDA Atsushi
    • Organizer
      The Third Symposium on Econometric Theory and Applications
    • Place of Presentation
      Hong Kong University of Science and Technology
    • Year and Date
      2007-04-15
    • Related Report
      2007 Annual Research Report
  • [Presentation] 歯科医院の参入・退出と医療費2006

    • Author(s)
      川村顕, 吉田あつし
    • Organizer
      日本経済学会2006年度秋季大会
    • Place of Presentation
      大阪市立大学
    • Year and Date
      2006-10-21
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Entry and Exit of dental clinics and medical expenses2006

    • Author(s)
      Kawamura, A., Yoshida, A.
    • Organizer
      JEA autumn meeting
    • Place of Presentation
      Osaka CityUniv
    • Year and Date
      2006-10-21
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] How does a Physician Change the Quantity of Medical Services Associated with the Different Copayment Schemes?2006

    • Author(s)
      YOSHIDA Atsushi, TAKAGI Shingo
    • Organizer
      European Economic Association and the Econometric Society European Meetings 2006
    • Place of Presentation
      University of Vienna, Vienna, Austria
    • Year and Date
      2006-08-26
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] How does a Physician Change the Quantity of Medical Services Associated with the Different Copayment Schemes?2006

    • Author(s)
      Yoshida, A., Takagi, S.
    • Organizer
      European Economic Association and the Econometr ic Society European Meetings
    • Place of Presentation
      University of Vienna, Vienna, Austria
    • Year and Date
      2006-08-26
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] How does a Physician Change the Quantity of Medical Services Associated with the Different Copayment Schemes?2006

    • Author(s)
      YOSHIDA Atsushi, TAKAGI Shingo
    • Organizer
      Far Eastern Meeting of The Econometric Society 2006
    • Place of Presentation
      Tsinghua University, Beijin, China
    • Year and Date
      2006-07-10
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] How does a Physician Change the Quantity of Medical Services Associated with the Different Copayment Schemes?2006

    • Author(s)
      Yoshida, A., Takagi, S.
    • Organizer
      Far Eastern Meeting of Econometric Society
    • Place of Presentation
      Tsinghua University, Beijin, China
    • Year and Date
      2006-07-10
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 歯科医院の空間的競争と最適立地2006

    • Author(s)
      西田喜平次, 吉田あつし
    • Organizer
      日本経済学会2006年度春季大会
    • Place of Presentation
      福島大学
    • Year and Date
      2006-06-04
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Spatial competition and locational equilibrium of dental clinics2006

    • Author(s)
      Nishida, K., Yoshida, A.
    • Organizer
      JEA spring meeting
    • Place of Presentation
      Fukushima Univ.
    • Year and Date
      2006-06-04
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 歯科医院の参入が医療費及び経済厚生に与える効果2005

    • Author(s)
      川村顕, 吉田あつし
    • Organizer
      応用地域学会(ARSC)第19回研究発表大会
    • Place of Presentation
      明海大学
    • Year and Date
      2005-12-09
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Effects of entry of dental clinics on medical expense and economic welfare2005

    • Author(s)
      Kawamura, A., Yoshida, A.
    • Organizer
      19^<th> Meeting of Applied Regional Sciences Association
    • Place of Presentation
      Meikai University
    • Year and Date
      2005-12-09
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 日本の医療のなにが問題か2009

    • Author(s)
      吉田 あつし
    • Total Pages
      306
    • Publisher
      NTT出版
    • Related Report
      Products Report
  • [Book] 患者様とお医者様-必要とする人に適切な医療を2008

    • Author(s)
      佐藤 伸彦、吉田 あつし
    • Publisher
      日本評論社
    • Related Report
      Products Report
  • [Book] 「高齢者をめぐる医療システムのこれから」, 高齢社会を生きる(第7章, 清水哲朗編)2007

    • Author(s)
      吉田あつし
    • Publisher
      東信堂
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 「パネルデータ分析」, 計量経済学ハンドブック(第27章, 蓑谷千凰彦, 他編)2007

    • Author(s)
      吉田あつし
    • Publisher
      朝倉書店
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 高齢社会を生きる-老いる人/看取るシステム〔未来を拓く人文・社会科学シリーズ03〕(第7章 高齢者をめぐる医療システムのこれから 吉田あつし担当)2007

    • Author(s)
      清水 哲郎 編
    • Publisher
      東信堂
    • Related Report
      2007 Annual Research Report
  • [Book] 計量経済学ハンドブック(第27章 パネルデータ分析 吉田あつし担当)2007

    • Author(s)
      蓑谷 千凰彦 編
    • Publisher
      朝倉書店
    • Related Report
      2007 Annual Research Report

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Published: 2005-04-01   Modified: 2016-09-09  

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