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Spatial Locational Analysis on Medical Care Facilities

Research Project

Project/Area Number 24830048
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Applied economics
Research InstitutionHyogo University of Health Sciences (2013)
Osaka University (2012)

Principal Investigator

NISHIDA kiheiji  兵庫医療大学, 共通教育センター, 講師 (50631652)

Research Collaborator MATSUURA Nariaki  大阪大学, 大学院医学系研究科 医療経済 経営学寄付講座, 特任教授 (70190402)
HAMADA Yoshinosuke  大阪大学, 大学院医学系研究科 医療経済経営学寄付講座, 特任准教授 (10362683)
KAWAKAMI Tetsu  近畿大学, 経済学部, 准教授 (60402674)
YAMADA Eri  近畿大学, 総合社会学部, 特任講師 (30706742)
Project Period (FY) 2012-08-31 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords医療経済学 / 医療施設間競争 / 空間的競争 / 出来高払い制度 / 包括払い制度 / 医師誘発需要仮説 / 出来高払い制 / 応用経済学 / 空間統計 / 立地論
Research Abstract

In this study, we analyze how the competition between clinics influences the competitive locational equilibrium of clinics and welfare under the two different health care delivery systems, the fee-for-service reimbursement system (FFSRS) and the Diagnosis Procedure Combination/Per Diem Payment System (DPC/PDPS). We obtained the following major results: 1. Under FFSRS, clinics tend to choose concentrated locational points in the geographic market, compared with DPC/PDPS. 2. Under DPC/PDPS, it is difficult to induce new entries of clinics in the underpopulated area even if the government introduces the discriminated fee for medical service in proportion to the demand for medical services. 3. Under FFSRS, the fee for medical service in the underpopulated area should be at least 1.8 times larger than that in the populated area to induce new entries of clinics in the underpopulated area.

Report

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

    (13 results)

All 2013 2012 Other

All Journal Article (7 results) (of which Peer Reviewed: 3 results) Presentation (6 results) (of which Invited: 2 results)

  • [Journal Article] A Comparison between the Two Variance-Stabilizing Bandwidth Matrices for the Multivariate Nonparametric Regression Estimator2013

    • Author(s)
      Kiheiji NISHIDA
    • Journal Title

      数理解析研究所講究録

      Volume: 1860 Pages: 73-90

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Journal Article] Spatial Competition of Clinics Under Diagnosis Procedure Combination / Per-Diem Payment System2013

    • Author(s)
      Kiheiji NISHIDA, Tetsu KAWAKAMI, Atsushi YOSHIDA
    • Journal Title

      畿大学経済学部Working Paper Series

      Volume: No.E-27

    • URL

      http://www.kindai.ac.jp/keizai/overview/pdf/wp/wp27.pdf

    • Related Report
      2013 Final Research Report
  • [Journal Article] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation2013

    • Author(s)
      Kiheiji NISHIDA, Yuichiro KANAZAWA
    • Journal Title

      Communications in Statistics - theory and methods

      Volume: 44(10) Issue: 10 Pages: 2151-2175

    • DOI

      10.1080/03610926.2013.775298

    • NAID

      120007136349

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Spatial Competition of Clinics Under Diagnosis Procedure Combination / Per-Diem Payment System2013

    • Author(s)
      Kiheiji NISHIDA, Tetsu KAWAKAMI, Atsushi YOSHIDA
    • Journal Title

      近畿大学経済学部Working Paper Series

      Volume: E-27 Pages: 1-32

    • Related Report
      2013 Annual Research Report
  • [Journal Article] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation2013

    • Author(s)
      Kiheiji NISHIDA, Yuichiro KANAZAWA
    • Journal Title

      Communications in Statistics - Theory and Methods

      Volume: 印刷中

    • NAID

      120007136349

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation - A comparison between the two Variance-Stabilizing Bandwidth Matrices2013

    • Author(s)
      Kiheiji NISHIDA
    • Journal Title

      京都大学数理解析研究所講究録

      Volume: 印刷中

    • Related Report
      2012 Annual Research Report
  • [Journal Article] The preparation of PLLA/calcium phosphate hybrid composite and its evaluation of biocompatibility2012

    • Author(s)
      Yoshinosuke HAMADA, Wataru FUJITANI, Naomasa KAWAGUCHI, Kiyoshi DAITO, Tsutsu NIIDO, Ayako UCHINAKA, Seiji MORI, Yoshihisa KOJIMA, Masashi MANABE, Kiheiji NISHIDA, Kenji ARITA, Takayoshi NAKANO and Nariaki MATSUURA
    • Journal Title

      Dental Materials Journal

      Volume: Vol.31 Pages: 1087-1096

    • NAID

      10031126094

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Presentation] Spatial Competition of Clinics under Diagnosis Procedure. Combination / Per-Diem Payment System2013

    • Author(s)
      Kiheiji NISHIDA, Atsushi Yoshida
    • Organizer
      60th Annual North American Meetings of the Regional Science Association International
    • Place of Presentation
      アメリカ合衆国ジョージア州アトランタ市, Grand Hyatt Atlanta in Buckhead
    • Year and Date
      2013-11-16
    • Related Report
      2013 Final Research Report
  • [Presentation] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A Comparison between the Two Variance-Stabilizing Bandwidth Matrices2013

    • Author(s)
      Kiheiji NISHIDA, Yuichiro KANAZAWA
    • Organizer
      第14回ノンパラメトリック統計解析とベイズ統計
    • Place of Presentation
      慶応義塾大学三田キャンパス(東京都)
    • Year and Date
      2013-03-15
    • Related Report
      2013 Final Research Report
  • [Presentation] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A Comparison between the Two Variance-Stabilizing Bandwidth Matrices2013

    • Author(s)
      Kiheiji NISHIDA, Yuichiro KANAZAWA
    • Organizer
      京都大学数理解析研究RIMS共同研究
    • Place of Presentation
      京都大学数理解析研究所(京都市).
    • Year and Date
      2013-03-05
    • Related Report
      2013 Final Research Report
  • [Presentation] Spatial Competition of Clinics under Diagnosis Procedure Combination / Per-Diem Payment System

    • Author(s)
      Kiheiji NISHIDA, Atsushi YOSHIDA
    • Organizer
      60th Annual North American Meetings of the Regional Science Association International.
    • Place of Presentation
      Grand Hyatt Atlanta in Buckhead (アメリカ合衆国ジョージア州アトランタ市)
    • Related Report
      2013 Annual Research Report
  • [Presentation] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A comparison between the two Variance-Stabilizing Bandwidth Matrices

    • Author(s)
      Kiheiji NISHIDA
    • Organizer
      京都大学数理解析研究所RIMS共同研究 「Asymptotic Expansions for Various Models and Their Related Topics」
    • Place of Presentation
      京都大学数理解析研究所
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A comparison between the two Variance-Stabilizing Bandwidth Matrices

    • Author(s)
      Kiheiji NISHIDA
    • Organizer
      第14回ノンパラメトリック統計解析とベイズ統計
    • Place of Presentation
      慶応大学三田キャンパス
    • Related Report
      2012 Annual Research Report
    • Invited

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Published: 2012-11-27   Modified: 2019-07-29  

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