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Analysis on the effects of the decentralization on the efficiency and equity of the social security system

Research Project

Project/Area Number 17330072
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Economic policy
Research InstitutionNational Institute of Population and Social Security Research

Principal Investigator

IZUMIDA Nobuyuki  National Institute of Population and Social Security Research, Department of Social Security Study, Research Fellow (70360716)

Co-Investigator(Kenkyū-buntansha) OGURA Seiritsu  Hosei University, Department of Economics, Professor (90154426)
NISHIMURA Yukimitsu  National Institute of Population and Social Security, Department of Social Security Study, Research Fellow (80334267)
SAWANO Koichiro  Nagoya City University, Department of Economics, Associate (80336354)
KUMAGAI Narimasa  Kinki University, Department of Economics, Associate Professor (80330679)
HOSHI Atsushi  Konan University, Department of Literature, Associate Professor (90411834)
小椋 正立  法政大学, 経済学部, 教授 (90152446)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥15,240,000 (Direct Cost: ¥14,400,000、Indirect Cost: ¥840,000)
Fiscal Year 2007: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2006: ¥5,600,000 (Direct Cost: ¥5,600,000)
Fiscal Year 2005: ¥6,000,000 (Direct Cost: ¥6,000,000)
Keywordspolitical decentralization / social security system / municipality / governance / efficiency / equity
Research Abstract

Like in other developed countries, social security system in Japan requires its reform. Central government in Japan controls the whole of the social security system while the municipalities have the discretionary power in the delivering the social security services, to some extent. (Note that in Japan, the notion of the social security system includes the health insurance, pension benefits, long term care insurance, income support, benefits for disabled, and so on.) However, the municipality is not just a provider. Governor in the municipality must be elected through the election. Hence the municipality provides the supplement services additional to the national services or the services specific to the residents in the area if the residents demand the governor to provide such services. The purpose of this research is to empirically clarify the effect of the political decentralization on the efficiency and equity of the social security system, and analyze how the governance roles or tas … More ks in social security system should be allocated to the central and local government in the normative view point.
Research results are as follows. At first, we reviewed the history of the political decentralization process in Japan, and the possible effects of the process. Municipality specific benefits or services have not been included in the social security benefit statistics, so that we tried to estimate it. Especially on the public provision of the day-care center services for children or provision of the nursery schcol services are considered By using the municipality-based data set, the effects of the abolishment of the financial support by the central government to the local government was empirically analyzed.
On the public health care system, the function of the regional health planning were considered, and the effects of the subsidy to the public hospital are empirically analyzed in terms of the horizontal equity. On the long term care, by using the questionnaire survey to the elderly, the relationship between social network of the elderly and their health status, and the demand for needs for the welfare services provided by the municipality.
On the income support system, the interview-based research was made for clarifying the appropriateness of the discretionary power and of the burden of the work for the specialist in charge of income support, in municipality. Another study tries to estimate the quantities and costs of the care for the elderly in the “homeless shelters". “Homeless" means the person without living home in Japan. They said that the homeless lost their home with the bankrupt or long lasting unemployment. However, this research figure out the fact that the possibility of the existence of the aged person in the homeless shelters without the experience of the homeless situation.
One of the limitations of this research is that we did not deal with the matters on the welfare system for disabled persons. This is our future research agenda. Less

Report

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

    (23 results)

All 2008 2007 2006

All Journal Article (13 results) (of which Peer Reviewed: 2 results) Presentation (10 results)

  • [Journal Article] 離島の地域問題-社会保障制度改革とローカルな実践2008

    • Author(s)
      稲田七海
    • Journal Title

      フィールドワークによる現場からの発想報告論文集

      Pages: 15-20

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Public concern in an isolated island: social security reform and local practices2008

    • Author(s)
      Nanami INADA
    • Journal Title

      Surveyors' Reports on the research ideas via the field work

      Pages: 15-20

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 離島の地域問題-社会保障制度改革とローカルな実践2008

    • Author(s)
      稲田 七海
    • Journal Title

      フィールドワークによる現場からの発想報告論文集

      Pages: 15-20

    • Related Report
      2007 Annual Research Report
  • [Journal Article] 地方自治体の内部組織と医療-地方分権改革のための研究サーベイ-2007

    • Author(s)
      澤野孝一朗
    • Journal Title

      Discussion Papers in Economics(Society of Economics Nagoya City University Nagoya Japan) 467号

      Pages: 1-15

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 公立病院に対する繰入金と医療サービスの水平的公平性2007

    • Author(s)
      熊谷成将
    • Journal Title

      医療経済研究 19巻1号

      Pages: 37-51

    • NAID

      40015576996

    • 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] Internal organization of the municipality and the health care A research survey for the political decentralization2007

    • Author(s)
      Koichiro SAWANO
    • Journal Title

      Discussion Papers in Economics (Society of Economics Nagoya City University Nagoya Japan) vol467

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Municipal Subsidies for Public Hospitals and Horizontal Equity in Health Care2007

    • Author(s)
      Narimasa KUMAGAI
    • Journal Title

      Japanese Journal of Health Economics and Policy vol19(1)

      Pages: 37-51

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 公立病院に対する繰入金と医療サービスの水平的公平性2007

    • Author(s)
      熊谷 成将
    • Journal Title

      医療経済研究 19巻1号

      Pages: 37-51

    • NAID

      40015576996

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 地方自治体の内部組織と医療-地方分権改革のための研究サーベイ2007

    • Author(s)
      澤野 孝一朗
    • Journal Title

      名古屋市立大学大学院経済学研究科Discussion Paper 467

      Pages: 1-15

    • Related Report
      2007 Annual Research Report
  • [Journal Article] 地方自治体の内部組織と医療-地方分権改革のための研究サーベイ-2007

    • Author(s)
      澤野孝一朗
    • Journal Title

      Discussion Papers in Economics (Society of Economics Nagoya City University Nagoya Japan) 467号

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 地方自治と市町村合併に関する実証分析とその議論一財政・分権・住民自治-2006

    • Author(s)
      澤野孝一朗
    • Journal Title

      オイコノミカ 42巻3・4合併号

      Pages: 219-249

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Municipal Integration, Community Size and the Local Government2006

    • Author(s)
      Koichiro SAWANO
    • Journal Title

      Oikonomica vol42(3,4)

      Pages: 219-249

    • NAID

      110006621742

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 地方自治と市町村合併に関する実証分析とその議論-財政・分権・住民自治-2006

    • Author(s)
      澤野孝一朗
    • Journal Title

      オイコノミカ 42巻3・4合併号

      Pages: 219-249

    • NAID

      110006621742

    • Related Report
      2005 Annual Research Report
  • [Presentation] 離島の地域問題-社会保障制度改革とローカルな実践2008

    • Author(s)
      稲田七海
    • Organizer
      日本地理学会2008年春季学術大会
    • Place of Presentation
      獨協大学
    • Year and Date
      2008-03-30
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Public concern in an isolated island: social security reform and local practices2008

    • Author(s)
      Nanami INADA
    • Organizer
      The spring meeting of the Association of the Japanese Geographers
    • Place of Presentation
      Dokkyo University
    • Year and Date
      2008-03-30
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 国庫負担金の一般財源化が自治体の施策・支出に与えた効果の分析2007

    • Author(s)
      佐藤雅代, 泉田信行
    • Organizer
      日本財政学会第64回大会
    • Place of Presentation
      明治大学
    • Year and Date
      2007-10-27
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] An analysis on the effect of the subsidy reform on the municipality's policy2007

    • Author(s)
      Masayo SATO, Nobuyuki IZUMIDA
    • Organizer
      The 64th meetings of Japanese Public Finance Association
    • Place of Presentation
      Meiji University
    • Year and Date
      2007-10-27
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 国民健康保険と地方自治体の内部組織-県庁所在市の計量分析-2007

    • Author(s)
      澤野孝一朗
    • Organizer
      日本経済学会2007年度秋季大会
    • Place of Presentation
      日本大学
    • Year and Date
      2007-09-24
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] National Health Insurance and the Internal Organization of the Municipality2007

    • Author(s)
      Koichiro SAWANO
    • Organizer
      Autumn Meetings of the Japanese Economics Association
    • Place of Presentation
      Nihon University
    • Year and Date
      2007-09-24
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 市町村国民健康保険財政・介護保険財政に与える供給サイドの効果について2006

    • Author(s)
      泉田信行
    • Organizer
      日本財政学会第63回大会
    • Place of Presentation
      近畿大学
    • Year and Date
      2006-10-07
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] On the effect of the supply side to the budget surplus of the national health Insurance and the long term care insurance2006

    • Author(s)
      Nobuyuki IZUMIDA
    • Organizer
      The 63th meetings of Japanese Public Finance Association
    • Place of Presentation
      Kinki University
    • Year and Date
      2006-10-07
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 公立病院に対する他会計からの繰入金と医療需要の公平性2006

    • Author(s)
      熊谷成将
    • Organizer
      日本経済学会2006年度春季大会
    • Place of Presentation
      福島大学
    • Year and Date
      2006-06-03
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Money Transfers from the General Account to Municipal Hospital and Horizontal Equity in Health Care Demand2006

    • Author(s)
      Narimasa KUMAGAI
    • Organizer
      Spring Meetings of the Japanese Economics Association
    • Place of Presentation
      Fukushima University
    • Year and Date
      2006-06-03
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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