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A study on the appropriate human resources allocation in health care from the view point of patients' willingness to pay

Research Project

Project/Area Number 17530195
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Applied economics
Research InstitutionDoshisha University

Principal Investigator

YASUKAWA Fumiaki  Doshisha University, Office for Research Initiative and Development, Associate Professor, 研究開発推進機構, 助教授 (90301845)

Co-Investigator(Kenkyū-buntansha) MATSUDA Masafumi  Doshisha University, Science and Engineering Research Institute, Professor, 理工学研究所, 教授 (00312124)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥1,100,000 (Direct Cost: ¥1,100,000)
Keywordshealth human resources / nurse demand-supply / home(visiting) care / medical dependency / shortage of health human resources / willingness to pay / 支払い意志額 / 人材確保 / 人的資源の効率的配置 / 看護需給 / 訪問看護 / 医療への信頼
Research Abstract

In this research, we referred former literatures associated with health human-resources assignment, especially nurse's supply-and-demand, in Japan as well as hearing survey, to understand where the fundamental problem existed. Then we conducted questionnaire survey to investigate the performances of physicians and nurses in home visiting care, and actual condition of workforce arrangement considering the characteristics of communities; in terms of the number of case, length of care time, the frequency of visit per day, the insufficient feeling of human resources, the kind of resources which run short, etc. In particular, we evaluated the shortage of resources or the mismatching by using "willingness to pay" method to the cost required in order to improve the situation. As a results, we found that 1)since the nurse supply and demand in Japan determined on the basis of the hospital beds, the required amount of nursing service are not caught correctly, and the gap between the nurse supply-and-demand condition and statistics announced had been induced, 2) from the research analysis carried out with the group of physicians who is engaging in the advanced medical treatment in home setting in Tokyo, and with the general hospital where is interested in home care at Kansai area, we found, except the case of long-term care, strong human resources shortage was recognized in the care for the patients having higher medical dependency, and the possibility that the absence of physicians and nurses and the shortage of good rehabilitation workers disturb the ideal progress of high quality care at home was suggested.
So we should redesign the human resources allocation in which the grouping of patients according to the medical dependencies and treatment need, as well as the grouping of physicians and nurses for providing advanced medical treatment in the home care level are carried out.

Report

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

    (15 results)

All 2007 2006 2005 Other

All Journal Article (14 results) Book (1 results)

  • [Journal Article] Health human resources needs from the viewpoint of care providers2007

    • Author(s)
      Fumiaki Yasukawa
    • Journal Title

      Technical report (un published)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 看護マンパワーの問題を考える~看護職員需給ミスマッチの背景2006

    • Author(s)
      安川 文朗
    • Journal Title

      看護管理 16巻3号

      Pages: 219-225

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 潜在看護力の活用に向けた政策動向と課題2006

    • Author(s)
      田中幸子, 安川文朗
    • Journal Title

      同志社大学ITECワーキングペーパーシリーズ 06-15

      Pages: 1-32

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Nurse workforce problem in Japan : why nurse demand-supply mismatching generated2006

    • Author(s)
      Fumiaki Yasukawa
    • Journal Title

      Nursing Administration (Kango-Kanri) 16(3)

      Pages: 219-225

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Political progress for encouraging potential nurse workforce development and return : focusing on the reviving workforce program for returners2006

    • Author(s)
      Sachiko Tanaka, Fumiaki Yasukawa
    • Journal Title

      Doshisha University ITEC working paper series 06-15

      Pages: 1-32

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 経済学からみた医療安全2006

    • Author(s)
      安川文朗
    • Journal Title

      東海病院管理学研究会年報 平成17年号

      Pages: 49-55

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 看護マンパワーの問題を考える〜看護職員需給ミスマッチの背景2006

    • Author(s)
      安川 文朗
    • Journal Title

      看護管理 16巻3号

      Pages: 219-225

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 看護配置規準の問題点とその背景2005

    • Author(s)
      安川 文朗
    • Journal Title

      同志社大学ITEC リサーチペーパーシリーズ 05-07

      Pages: 1-18

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Installing Health Technology Improvement as Social Element into HRQL2005

    • Author(s)
      Fumiaki Yasukawa
    • Journal Title

      12th International Society of Quality of Life Annual Conference Proceeding

      Pages: 26-26

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary 2005 Annual Research Report
  • [Journal Article] On the issue of nurse staffing in Japan : with respect to the international trend2005

    • Author(s)
      Fumiaki Yasukawa
    • Journal Title

      Doshisha University ITEC research paper series 05-07

      Pages: 1-18

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Installing health technology improvement as social element into HRQL2005

    • Author(s)
      Fumiaki Yasukawa
    • Journal Title

      12th International Society of Quality of Life Annual Conference Proceeding

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 看護配置基準の問題点とその背景2005

    • Author(s)
      安川 文朗
    • Journal Title

      同志社大学ITEC リサーチペーパーシリーズ 05-07

      Pages: 1-18

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 医療従事者による在宅医療における人的資源の必要度調査報告

    • Author(s)
      安川文朗
    • Journal Title

      未刊行報告書

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 乙訓地域在宅高齢者の介護等に関する実態調査

    • Author(s)
      高齢者地域ケアネットワークの構築に関する研究会
    • Journal Title

      未刊行報告書

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Book] 国民医療年鑑(医療安全を創る経済メカニズム担当)2006

    • Author(s)
      日本医師会編
    • Total Pages
      790
    • Publisher
      春秋社
    • Related Report
      2006 Annual Research Report

URL: 

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

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