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An empirical analysis of evaluation and sense of burden for public health insurance system in Japan

Research Project

Project/Area Number 24730211
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Applied economics
Research InstitutionKyushu University

Principal Investigator

URAKAWA Kunio  九州大学, 経済学研究科(研究院), 准教授 (90452482)

Project Period (FY) 2012-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords医療経済学 / 選択型実験 / 公的医療保険
Research Abstract

This research has analyzed individuals evaluations of the Japanese National Health Insurance system, mainly addressing its benefits and burdens. The research has particularly examined the relative importance of various attitudes related to benefits and burdens of health insurance through the conditional logit estimation.
The study derived the marginal willingness to pay for the burdens such as the Patient's share of ordinary medical care and Out of pocket maximum for high-cost medical services, using the rate of insurance premium as the price variable.
Results show that lower-income class tends to control the consultation due to the high level of sense of burden of medical expenses. Therefore, it can be thought the government must revise the payment method called Oeki-wari, which is heavily levied on low-income households and to decrease the differences in the burdens of medical expenses among municipalities to mitigate the extension of health inequality.

Report

(3 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • Research Products

    (19 results)

All 2014 2013 2012 Other

All Journal Article (9 results) (of which Peer Reviewed: 5 results) Presentation (8 results) Book (2 results)

  • [Journal Article] ケイパビリティと仕事満足度2014

    • Author(s)
      浦川邦夫
    • Journal Title

      福祉+α

      Volume: 6 Pages: 73-92

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 居住地域の評価と個人の健康2014

    • Author(s)
      小塩・隆士・浦川邦夫
    • Journal Title

      福祉+α

      Volume: 6 Pages: 113-130

    • Related Report
      2013 Annual Research Report
  • [Journal Article] The Association Between Perceived Income Inequality and Subjective Well-being: Evidence from a Social Survey in Japan2014

    • Author(s)
      Takashi Oshio and Kunio Urakawa
    • Journal Title

      Social Indicators Research

      Volume: 116(3) Pages: 755-770

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 経済学は健康にどうアプローチしてきたか2013

    • Author(s)
      浦川邦夫
    • Journal Title

      理論と方法

      Volume: Vol.28, No.1 Pages: 35-50

    • NAID

      130004685175

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Journal Article] 高齢者の就業意欲と実際の就業形態との格差2013

    • Author(s)
      浦川邦夫
    • Journal Title

      経済学研究

      Volume: Vol.80, No.2-3 Pages: 53-67

    • NAID

      120005333524

    • URL

      http://jairo.nii.ac.jp/0001/00023882/en

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Journal Article] The association between perceived income inequality and subjective well-being: Evidence from a social survey in Japan2013

    • Author(s)
      Takashi Oshio and Kunio
    • Journal Title

      Social Indicators Research

      Volume: 未定

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Neighbourhood satisfaction, self-rated health, and psychological attributes : A multilevel analysis in Japan2012

    • Author(s)
      Oshio, T., and Urakawa, K.
    • Journal Title

      Journal of Environmental Psychology

      Volume: 32(4) Issue: 4 Pages: 410-417

    • DOI

      10.1016/j.jenvp.2012.07.003

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 公的医療保険制度に対する重要な知識の欠落の要因2012

    • Author(s)
      浦川邦夫
    • Journal Title

      医療と社会

      Volume: Vol.22, No.1 Pages: 249-263

    • NAID

      130004851772

    • URL

      https://www.jstage.jst.go.jp/article/iken/22/1/22_1_41/_pdf

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 主観的厚生に関する相対所得仮説の検証 : 幸福感・健康観・信頼感2012

    • Author(s)
      小塩隆士, 浦川邦夫
    • Journal Title

      経済研究

      Volume: Vol.63, No.1 Pages: 42-55

    • URL

      http://hdl.handle.net/10086/25847

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Presentation] The Effect of Changing Employment Status on Happiness2014

    • Author(s)
      Tadashi Yagi and Kunio Urakawa
    • Organizer
      Comparative Study on Happiness
    • Place of Presentation
      Doshisha University
    • Related Report
      2013 Annual Research Report
  • [Presentation] The Role of Capability for work on subjective well-being : labor satisfaction, self-rated health and subjective poverty2013

    • Author(s)
      Kunio URAKAWA
    • Organizer
      The International Conference on Social Stratification and Health
    • Place of Presentation
      University of Tokyo
    • Year and Date
      2013-09-30
    • Related Report
      2013 Final Research Report
  • [Presentation] The association between perceived income inequality and subjective well-being : Evidence from a social survey in Japan2013

    • Author(s)
      浦川邦夫
    • Organizer
      第2回プロジェクト研究セミナー「主観的厚生に関する実証分析」
    • Place of Presentation
      京都大学
    • Year and Date
      2013-03-22
    • Related Report
      2013 Final Research Report
  • [Presentation] 国民健康保険制度における保険財政共同安定化事業の分析2013

    • Author(s)
      浦川邦夫
    • Organizer
      第2回プロジェクト研究セミナー「主観的厚生に関する実証分析」
    • Place of Presentation
      京都大学
    • Year and Date
      2013-03-22
    • Related Report
      2013 Final Research Report
  • [Presentation] The choice modeling approach to the evaluation of public health insurance system in Japan2012

    • Author(s)
      浦川邦夫
    • Organizer
      分析プロジェクト研究セミナー「社会保障・税制の計量分析」
    • Place of Presentation
      一橋大学経済研究所
    • Year and Date
      2012-09-17
    • Related Report
      2013 Final Research Report
  • [Presentation] The Role of Capability for work on subjective well-being: labor satisfaction, self-rated health and subjective poverty.

    • Author(s)
      Kunio Urakawa
    • Organizer
      The International Conference on Social Stratification and Health
    • Place of Presentation
      University of Tokyo
    • Related Report
      2013 Annual Research Report
  • [Presentation] The Impact of Government Subsidy on the Management of Private

    • Author(s)
      Anegawa Kyoko and Kunio Urakawa
    • Organizer
      日本応用経済学会
    • Place of Presentation
      法政大学
    • Related Report
      2013 Annual Research Report
  • [Presentation] The Choice Modeling Approach to Evaluation of Public Health in Japan

    • Author(s)
      Kunio Urakawa
    • Organizer
      7th Joint Conference (Renmin University, Nanjing University, Kyushu University)
    • Place of Presentation
      Kyushu University
    • Related Report
      2012 Research-status Report
  • [Book] 首都圏の高齢化2014

    • Author(s)
      井上孝・渡辺真知子
    • Total Pages
      225
    • Publisher
      原書房
    • Related Report
      2013 Annual Research Report
  • [Book] 日本の地域間格差2012

    • Author(s)
      橘木俊詔, 浦川邦夫
    • Publisher
      日本評論社
    • Related Report
      2013 Final Research Report

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Published: 2013-05-31   Modified: 2019-07-29  

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