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The Theory and Evidence on regional maldistribution of physicians in Public Healthcare Insurance Scheme

Research Project

Project/Area Number 18K01632
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 07040:Economic policy-related
Research InstitutionNanzan University

Principal Investigator

Aiura Hiroshi  南山大学, 経済学部, 准教授 (50511177)

Co-Investigator(Kenkyū-buntansha) 高久 玲音 (タカクレオ)  一橋大学, 国際・公共政策大学院, 准教授 (80645086)
内藤 徹  同志社大学, 商学部, 教授 (90309732)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords医師・医療資源の地域偏在 / 医師の地域偏在 / 医療・介護の地域偏在 / 公的医療保険
Outline of Final Research Achievements

While equal treatment for healthcare is required between regions, it have not been realized. This study explored the reason why it have not been realized and the feasibility whether it will be realized through the adjustment of medical fee under Japanese public healthcare insurance scheme. The main result in this study is that an increase in revenue of medical practitioners strengthens regional maldistribution in them.

Academic Significance and Societal Importance of the Research Achievements

「研究成果の概要」で記した結果から、全国一律で診療報酬を上げる施策は地域偏在の解消という観点からは望ましくないことが明らかになった。しかし、この結果は自治体内における各開業医の立地選択の影響について分析したものであり、自治体内の開業医数への影響を分析したものではない。したがって、地域毎のきめ細やかな設定をすることで、地域偏在が解消される可能性が残されており、今後さらなる分析が必要となるであろう。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (10 results)

All 2021 2019 2018

All Journal Article (6 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 3 results)

  • [Journal Article] COVID-19, self-restraint at home, and pregnancy: evidence from Japan2021

    • Author(s)
      Naito Tohru、Ogawa Hikaru
    • Journal Title

      Applied Economics Letters

      Volume: - Issue: 13 Pages: 1-4

    • DOI

      10.1080/13504851.2021.1922584

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] An Economic Analysis of Regional Conflict, Secession, and Bargaining Power Under Uneven Resource Distribution2021

    • Author(s)
      Naito Tohru
    • Journal Title

      Rural-Urban Dichotomies and Spatial Development in Asia

      Volume: - Pages: 187-205

    • DOI

      10.1007/978-981-16-1232-9_8

    • ISBN
      9789811612312, 9789811612329
    • Related Report
      2021 Annual Research Report
  • [Journal Article] Valuation of the coverage of emergency medical services : the case of western medical area in Tokushima Prefecture2021

    • Author(s)
      Tohru Naito
    • Journal Title

      同志社商学

      Volume: 72 Pages: 1229-1242

    • Related Report
      2020 Research-status Report
    • Open Access
  • [Journal Article] EFFECT OF CROSS‐BORDER HEALTH CARE ON QUALITY AND PROGRESSIVITY OF FINANCING2019

    • Author(s)
      Hiroshi Aiura
    • Journal Title

      Review of Urban & Regional Development Studies

      Volume: 31 Issue: 1-2 Pages: 29-43

    • DOI

      10.1111/rurd.12093

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Indirect taxes in a cross-border shopping model: a monopolistic competition approach2019

    • Author(s)
      Hiroshi Aiura and Hikaru Ogawa
    • Journal Title

      Journal of Economics

      Volume: 印刷中 Issue: 2 Pages: 1-29

    • DOI

      10.1007/s00712-019-00659-7

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Optimal cooperation of medical care and nursing care in a two-region spatial model2019

    • Author(s)
      Toru Naito
    • Journal Title

      Contemporay issues in AppliedEconomics-Ten Years of International Academic Exchanges Between JAAE and KAAE,

      Volume: 1

    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Product and price competition in Industry 4.0 era2021

    • Author(s)
      相浦 洋志、小寺俊樹
    • Organizer
      日本応用経済学会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Empirical Studies on Physician Quality and Treatment Choice2019

    • Author(s)
      Reo Takaku
    • Organizer
      ASSA 2020 Annual Meeting
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Optimal cooperation of medical care and nursing care in a two-region spatial model2018

    • Author(s)
      内藤 徹
    • Organizer
      Korean Association of Applied Economics
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] The effect of cross-border healthcare on quality and income redistribution2018

    • Author(s)
      相浦 洋志
    • Organizer
      Association for Public Economic Theory
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2023-01-30  

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