Budget Amount *help |
¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2013: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2012: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2011: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
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Outline of Final Research Achievements |
Using panel data covering all physicians in Japan, we conducted two studies on physician supply in Japan. First, we estimated a dynamic structural model of physician career choice and found that competition among clinics plays a key role in determining when hospital physicians open his/her own clinic. We also found that physicians accumulate human capital while they work as a hospital physician in their early career. Second, we estimated the impact of the new residency program introduced in 2004 and found that the new program decreased the effective supply of hospital physicians in some rural area where local hospitals had relied on university hospitals for filling physician positions. We also found evidence that the new residency program has led hospitals to exit those rural areas and negatively affected patient health outcomes in those markets.
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