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Patients' Choices in the UK : Balancing Freedom, Efficiency, and Equity

Research Project

Project/Area Number 20402070
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section海外学術
Research Field Medical sociology
Research InstitutionRitsumeikan University

Principal Investigator

MATSUDA Ryozo  立命館大学, 産業社会学部, 教授 (20260812)

Co-Investigator(Renkei-kenkyūsha) IKEGAMI Naoki  慶應義塾大学, 医学部, 教授 (80101898)
KONDO Katsunori  日本福祉大学, 日本福祉大学, 教授 (20298558)
Project Period (FY) 2008 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥16,380,000 (Direct Cost: ¥12,600,000、Indirect Cost: ¥3,780,000)
Fiscal Year 2011: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2010: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2009: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2008: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Keywords医療政策 / イギリス / 市場 / 患者 / 選択 / 効率 / 政治 / 終末期医療 / 配給 / NHS / 患者の選択 / 政策過程 / 公平 / 事例研究 / 公私役割 / 文脈的政策分析
Research Abstract

This study qualitatively analyzed political arguments on "patient choice" in the UK under the Blair and Brown labour government with literature review on government documents, newspapers, gray literatures, and interviewing."Patient choice" was used by the government as a policy idea to improve responsiveness of the NHS, to introduce market-mechanisms into the NHS, and to increase individual responsibilities in health-related behavior. Different usages of "patient choice" gave different meanings in different contexts, which political debates complex.

Report

(6 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report   Self-evaluation Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (29 results)

All 2012 2011 2010 2009 2008

All Journal Article (10 results) Presentation (14 results) Book (5 results)

  • [Journal Article] 「終末期医療」の「配給」をめぐる議論に向けて-日英の対比から2012

    • Author(s)
      松田亮三
    • Journal Title

      生存学

      Volume: vol.5 Pages: 195-205

    • NAID

      110009736980

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] 普遍主義的医療制度における公私混合供給の展開-スウェーデンにおける患者選択制の検討2012

    • Author(s)
      松田亮三
    • Journal Title

      海外社会保障研究

      Volume: No.178 Pages: 4-20

    • Related Report
      2011 Final Research Report
  • [Journal Article] 公衆衛生政策における現在知の集積・総合・共有-英国からの示唆2011

    • Author(s)
      松田亮三
    • Journal Title

      公衆衛生

      Volume: Vol.75 No.9 Pages: 695-699

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] 2006年医療改革における医療の責任と財源調達の変化2010

    • Author(s)
      松田亮三
    • Journal Title

      保健医療社会学論集

      Volume: Vol.21, No.1 Pages: 1-8

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Journal Article] Life-style choices and falls, in Katsunori Kondo ed.(2010) Health Inequalities in Japan : An Empirical Study of Older People2010

    • Author(s)
      Matsuda, R
    • Journal Title

      Balwyn North, Trans Pacific Press

      Pages: 37-50

    • Related Report
      2011 Final Research Report
  • [Journal Article] 2006 年医療改革における医療の責任と財源調達の変化2010

    • Author(s)
      松田亮三
    • Journal Title

      保健医療社会学論集 Vol.21, No.1

      Pages: 1-8

    • Related Report
      2010 Self-evaluation Report
  • [Journal Article] ブレア政権下のNHS改革-構造と規制の変化2009

    • Author(s)
      松田亮三
    • Journal Title

      海外社会保障研究

      Volume: NO. 169 Pages: 39-53

    • Related Report
      2011 Final Research Report
  • [Journal Article] ブレア政権下のNHS改革-構造と規制の変化2009

    • Author(s)
      松田亮三
    • Journal Title

      海外社会保障研究 NO.169

      Pages: 39-53

    • Related Report
      2010 Self-evaluation Report
  • [Journal Article] ブレア政権下のNHS改革-構造と規制の変化.2009

    • Author(s)
      松田亮三
    • Journal Title

      海外社会保障研究 169

      Pages: 39-53

    • Related Report
      2009 Annual Research Report
  • [Journal Article] 国の医療政策の現状と課題-供給政策を中心に-2008

    • Author(s)
      松田亮三
    • Journal Title

      (社)大阪自治体問題研究所研究年報

      Volume: 11 Pages: 7-21

    • Related Report
      2011 Final Research Report
  • [Presentation] Choices in primary health care in Japan : restrictions or inducement?2012

    • Author(s)
      Ryozo Matsuda
    • Organizer
      Choices in Health Care : Debates and Experiences in the UK and Japan
    • Place of Presentation
      立命館大学(京都府)
    • Year and Date
      2012-03-28
    • Related Report
      2011 Annual Research Report
  • [Presentation] Health policy changes : the Japanese Case2011

    • Author(s)
      Ryozo Matsuda
    • Organizer
      Dutch health policy changes in inte1rnational comparative perspective
    • Place of Presentation
      Ritsumeikan University(Kyoto, Japan)
    • Year and Date
      2011-11-16
    • Related Report
      2011 Final Research Report
  • [Presentation] Health policy changes : the Japanese Case2011

    • Author(s)
      Ryozo Matsuda
    • Organizer
      Dutch health policy changes in international comparative perspective
    • Place of Presentation
      立命館大学(京都府)
    • Year and Date
      2011-11-16
    • Related Report
      2011 Annual Research Report
  • [Presentation] 医療のアクセス保障に向けて-比較制度論の立場から2009

    • Author(s)
      松田亮三
    • Organizer
      財団法人医療科学研究所第19回シンポジウム
    • Place of Presentation
      東京国際フォーラム(東京都)
    • Year and Date
      2009-10-09
    • Related Report
      2011 Final Research Report
  • [Presentation] 健康と医療の公平に挑む2009

    • Author(s)
      松田亮三
    • Organizer
      第33回日本医療経済学会研究大会(企画セッション)
    • Place of Presentation
      東京・日生協医療部会新館(東京都)
    • Year and Date
      2009-09-12
    • Related Report
      2011 Final Research Report
  • [Presentation] 健康と医療の公平に挑む2009

    • Author(s)
      松田亮三
    • Organizer
      第55回東海公衆衛生学会学術大会・特別講演(招待)
    • Place of Presentation
      名古屋市大学医学部(愛知県)
    • Year and Date
      2009-07-25
    • Related Report
      2011 Final Research Report
  • [Presentation] 健康と医療の公平に挑む2009

    • Author(s)
      松田亮三
    • Organizer
      くらしと協同の研究所第17回総会・研究交流会「健康格差と非営利・協同組織」基調報告(招待)
    • Place of Presentation
      コープイン京都(京都府)
    • Year and Date
      2009-06-27
    • Related Report
      2011 Final Research Report
  • [Presentation] Forty years for financial stability : a historical analysis of Japanese health policy(invited speaker) analysis of Japanese health policy2008

    • Author(s)
      Ryozo Matsuda
    • Place of Presentation
      London, United Kingdom
    • Year and Date
      2008-07-30
    • Related Report
      2011 Final Research Report
  • [Presentation] Policy Learning in Health Policy : the Japanese Case(speaker)2008

    • Author(s)
      Ryozo Matsuda
    • Place of Presentation
      London School of Economics, London, United Kingdom
    • Year and Date
      2008-04-10
    • Related Report
      2011 Final Research Report
  • [Presentation] What influences transfer of policy instruments? Insights from two case studies on Japanese health care policy2008

    • Author(s)
      Ryozo Matsuda
    • Organizer
      Explaining Health Care System Change-Workshop-
    • Place of Presentation
      University of Bremen, Bremen(Germany)
    • Related Report
      2011 Final Research Report
  • [Presentation] イングランドと米国連邦政府による健康格差政策の比較(一般演題、口演、単独報告2008

    • Author(s)
      松田亮三
    • Organizer
      第46回日本医療・病院管理学会
    • Place of Presentation
      静岡県立大学(静岡県)
    • Related Report
      2011 Final Research Report
  • [Presentation] Choice of Primary Care Providers : An Analysis on Regulations and Incentives in Japan(oral presentation, 24 July) Regulations and Incentives in Japan2008

    • Author(s)
      Ryozo Matsuda
    • Organizer
      The 7th European Conference on Health Economics, HEALTH ECONOMICS AND GLOBAL RENAISSANCE
    • Place of Presentation
      Rome, Italy
    • Related Report
      2011 Final Research Report
  • [Presentation] Care Coordination : Incentives and Regulations in Japan"(invited speaker, 4 July 2008) Japan"(invited speaker, 4 July 2008)2008

    • Author(s)
      Ryozo Matsuda
    • Organizer
      The 7th Annual Symposium of the International Network of Health Policy and Reform, Health System Advancements : Quality Care and Needs Between Business and Ethics
    • Place of Presentation
      Ljubljana, Slovenia
    • Related Report
      2011 Final Research Report
  • [Presentation] Life Skills Difficulties Faced by Family Caregivers New challenges faced by Japanese society as a result of the changing profile of family caregivers(oral presentation, 28 June 2008)2008

    • Author(s)
      Mao Saito, Ryozo Matsuda and Tsudome Masatoshi
    • Organizer
      The Transforming Care-at local, national and transnational levels, international conference organized by the Danish National Centre for Social Research(SFI), Eigtveds pakhus
    • Place of Presentation
      Copenhagen, Denmark
    • Related Report
      2011 Final Research Report
  • [Book] 健康権の再検討:近年の国際的議論から日本の課題を探る2009

    • Author(s)
      松田亮三・棟居徳子
    • Total Pages
      99
    • Publisher
      京都:立命館大学生存学研究センター
    • Related Report
      2011 Final Research Report
  • [Book] 健康と医療の公平に挑む2009

    • Author(s)
      松田亮三
    • Total Pages
      266
    • Publisher
      東京:勁草書房
    • Related Report
      2011 Final Research Report
  • [Book] 健康・公平・人権:健康格差対策の根拠を探る2009

    • Author(s)
      松田亮三・棟居徳子
    • Total Pages
      130
    • Publisher
      立命館大学生存学研究センター
    • Related Report
      2011 Final Research Report
  • [Book] 勁草書房2009

    • Author(s)
      松田亮三編著
    • Total Pages
      266
    • Publisher
      健康と医療の公平に挑む(東京)
    • Related Report
      2010 Self-evaluation Report
  • [Book] 健康権の再検討:近年の国際的議論から日本の課題を探る2009

    • Author(s)
      松田亮三・棟居徳子編
    • Total Pages
      99
    • Publisher
      立命館大学生存学研究センター
    • Related Report
      2009 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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