• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Productivity and Efficency of Healthcare

Research Project

Project/Area Number 17K09247
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical and hospital managemen
Research InstitutionTeikyo University

Principal Investigator

Nakata Yoshinori  帝京大学, 大学院公衆衛生学研究科, 教授 (60287018)

Co-Investigator(Kenkyū-buntansha) 大嶽 浩司  昭和大学, 医学部, 教授 (50338696)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords効率性 / 生産性 / 病院管理学 / 診療報酬改定
Outline of Final Research Achievements

The purpose of this study is to maintain the sustainability of universal health coverage in Japan by evaluating and improving the efficiency and productivity of healthcare in Japan. We evaluated its efficiency and productivity using managerial methods, and quantified their change caused by the revision of fee schedules and other factors.
We reached the following conclusions;1There was no productivity change after the revision of fee schedules in 2014 and 2016. 2Technically efficient surgeons had shorter tenures in a university hospital. 3There remained a significant difference in efficiency among surgical specialties after the revision of fee schedule in 2016. 4There was a significant positive correlation between surgeons’ technical efficiency and hospital revenue.

Academic Significance and Societal Importance of the Research Achievements

日本の国民皆保険制度は、超高齢社会の到来とともにその持続可能性が疑問視されている。急増する医療費に対応し現行制度を維持するには、場当たり的な医療費抑制政策のみでは不十分である。根本的には医療の生産性・効率性向上が日本にとって焦眉の課題である。上記の結果を踏まえたうえで、医療の生産性・効率性向上の方策を探索し、急性期病院医療の直面する諸問題の解決を目指すことが可能となる。

Report

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

    (12 results)

All 2019 2018

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 1 results) Presentation (6 results) (of which Int'l Joint Research: 6 results,  Invited: 1 results) Book (2 results)

  • [Journal Article] Japanese surgical resource utilization in 20162019

    • Author(s)
      Nakata Y, Watanabe Y, Narimatsu H, Yoshimura T, Otake H, Sawa T.
    • Journal Title

      International Journal of Health Care Quality Assurance

      Volume: 32(6) Pages: 1013-21

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association between surgeons’ technical efficiency and hospital revenue.2019

    • Author(s)
      Nakata Y, Watanabe Y, Otake H.
    • Journal Title

      INQUIRY: The Journal of Health Care Organization, Provision, and Financing

      Volume: 56 Pages: 1-6

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Influence of the revision of surgical fee schedule on surgeons’ productivity in Japan: a cohort analysis of 7602 surgical procedures in 2013-2016.2018

    • Author(s)
      56Nakata Y, Watanabe Y, Narimatsu H, Yoshimura T, Otake H, Sawa T.
    • Journal Title

      Health Services Management Research

      Volume: 31 Pages: 51-6

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Shorter tenures in university settings.2018

    • Author(s)
      58Nakata Y, Watanabe Y, Horiuchi S, Narimatsu H, Otake H, Sawa T.
    • Journal Title

      Physician Leadership Journal

      Volume: 5 Pages: 51-5

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] Active clinical services of technically efficient surgeons in a university hospital.2019

    • Author(s)
      Nakata Y, Watanabe Y, Otake H.
    • Organizer
      Euroanaesthesia (European Society of Anaesthesiology) 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Hospital revenue can serve as a proxy variable for surgeons' technical efficiency.2019

    • Author(s)
      Nakata Y, Watanabe Y, Otake H.
    • Organizer
      European Health Management Association (EHMA) Annual Conference 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Universal health coverage and healthcare management in Japan from clinical perspectives.2019

    • Author(s)
      Nakata Y.
    • Organizer
      The 19th International Conference of Public Health Sciences in collaboration with the 11th Teikyo-Harvard Symposium,
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Do technically efficient surgeons continue working at a university hospital?2018

    • Author(s)
      64Nakata Y, Watanabe Y, Horiuchi S, Narimatsu H, Otake H, Sawa T.
    • Organizer
      Euroanaesthesia (European Society of Anaesthesiology) 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Length of employment of technically efficient surgeons.2018

    • Author(s)
      65Nakata Y, Watanabe Y, Horiuchi S, Narimatsu H, Otake H, Sawa T.
    • Organizer
      European Health Management Association (EHMA) Annual Conference 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Do technically efficient surgeons continue working at a university hospital?2018

    • Author(s)
      64Nakata Y, Watanabe Y, Horiuchi S, Narimatsu H, Otake H, Sawa T.
    • Organizer
      Euroanesthesia 2018
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] ed. Practical Operating Theatre Management: Measuring and Improving Performance and Patient Experience.2019

    • Author(s)
      Pandit JJ
    • Total Pages
      8
    • Publisher
      Cambridge University Press
    • Related Report
      2019 Annual Research Report
  • [Book] Practical Operating Theatre Management: Measuring and Improving Performance and Patient Experience2019

    • Author(s)
      Pundit JJ
    • Total Pages
      8
    • Publisher
      Cambridge University Press
    • Related Report
      2018 Research-status Report

URL: 

Published: 2017-04-28   Modified: 2021-02-19  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi