| Project/Area Number |
22530271
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Economic policy
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| Research Institution | Wakayama University |
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Principal Investigator |
INAGAKI Hideo 和歌山大学, 経済学部, 教授 (70159937)
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| Co-Investigator(Renkei-kenkyūsha) |
MORI Toru 名古屋市立大学, 経済学研究科, 教授 (60134160)
KAMATA Shigenori 名城大学, 都市情報学部, 教授 (70214509)
AKAGI Hirobumi 名城大学, 都市情報学部, 教授 (30254270)
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| Project Period (FY) |
2010 – 2012
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| Project Status |
Completed (Fiscal Year 2012)
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| Budget Amount *help |
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2012: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2011: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2010: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | 地域医療 / 機能分担 / 診療報酬 / 医療費抑制 / 健康格差 / 医療資源 / 医療費総額 / 医療制度 / 地方公立病院 / 医療保険制度 / 出来高 / 包括支払 / フリーアクセス / 初期治療 / 継続治療 / 二段階診療 / 診療報酬総額 / 点数単価 / クールノー・ナッシュ競争 / 過小診療 / 過剰診療 / 効率的な配分 |
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| Research Abstract |
While national medical insurance, medical service supply system, free access to hospitals and so increase medical expenditure, changing a unit of remuneration for treatment can control total national medical cost. Private hospital profits under public medical insurance depend on a medical fee-for-service system, and are very sensitive to changes in points for medical service remuneration. Therefore changing a unit of remuneration for treatment has effects to decrease total medical expenditure. The medical service provision in the city where is densely populated leave to private hospitals. Public hospitals provide medical service to underpopulated region. These divide between private and public function may be capable of being realized the effective allocation of medical resources. However it is difficult that the reduction of total medical cost rely heavily on the induced means of changing a unit of remuneration for treatment.
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