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Basic study of rationing in healthcare

Research Project

Project/Area Number 25670246
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Medical sociology
Research InstitutionOkayama University

Principal Investigator

SAITO Shinya  岡山大学, 保健学研究科, 教授 (10335599)

Co-Investigator(Kenkyū-buntansha) SHIMOZUMA Kojiro  立命館大学, 生命科学部, 教授 (00248254)
NOTO Shinichi  新潟医療福祉大学, 医療技術学部, 教授 (00339954)
SHIROIWA Takeru  国立保健医療科学院, 研究員 (20583090)
KODAMA Satoshi  京都大学, 文学研究科, 准教授 (80372366)
Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords医療資源配分 / ベッドサイド・ラショニング / 功利主義 / 平等主義 / 医療経済評価 / 費用対効果 / 医学的無益性 / ラショニング / ベッドサイドラショニング
Outline of Final Research Achievements

With respect to proper allocation method of medical resources (medical “rationing”), we conducted a large-sized survey on the general public and physicians with about 1,000 subjects in Japan. Generally, respondents seemed to feel that it is not so unfair to discriminate against patients who happen to have a high cost illness but prefer maximizing total number of saved patients. There was no difference between general public and physicians on the response. Under the contained healthcare budgets, physicians were often forced to consider whether it is ever proper to ration health care at the bedside (“bedside rationing”). Physician accepted to some extent the their control over the use of the medically beneficial service according to the cost-benefit consideration. Physicians made more utilitarian choice than expected.

Report

(3 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (34 results)

All 2015 2014 2013

All Journal Article (13 results) (of which Peer Reviewed: 10 results) Presentation (17 results) (of which Invited: 1 results) Book (4 results)

  • [Journal Article] 日本語版EQ-5D-5Lにおけるスコアリング法の開発2015

    • Author(s)
      池田俊也,白岩健,五十嵐中,能登真一,福田敬,齋藤信也,下妻晃二郎
    • Journal Title

      保健医療科学

      Volume: 64 Pages: 47-55

    • NAID

      110009917252

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reliability and validity of the Hed and Neck Cancer Inventory(HNCI) in Japanese patients.2015

    • Author(s)
      Yamashita A, Ichikura K, Sugimoto T, Kishimoto S, Shimozuma K, Matsushima E
    • Journal Title

      Palliative and Supportive Care

      Volume: 1 Pages: 1-8

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Protective Effect of Eicosapentaenoid Acid on Insulin Resistance in Hyperlipidemic Patients and on the Postoperative Course of Cardiac Surgery Patients: Possible Involvement of Adiponectin.2014

    • Author(s)
      Yamamoto T, Kajikawa Y, Otani S, Yamada Y, Takemoto S, Hirota M, Ikeda M, Iwagaki H, Saito S, Fujiwara T
    • Journal Title

      Acta Medica Okayama

      Volume: 68 Pages: 349-361

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] がんを含む慢性疾患3類型別にみた訪問看護師の予後予測の的中率と症状との関係2014

    • Author(s)
      片山陽子、長江弘子、齋藤信也、酒井昌子
    • Journal Title

      在宅ケア学会誌

      Volume: 17 Pages: 37-43

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 英国の終末期医療における医療従事者の法的免責規定と日本国内の「尊厳死法」議論の問題点2014

    • Author(s)
      児玉聡、田中美穂
    • Journal Title

      医療事故・紛争対応研究会誌

      Volume: 8 Pages: 32-43

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 医療の効率性と公平性(倫理面)2014

    • Author(s)
      児玉聡
    • Journal Title

      日本内科学会雑誌

      Volume: 103 Pages: 1406-1410

    • NAID

      130005075599

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 生命倫理学(技術者倫理シリーズ)2014

    • Author(s)
      児玉聡
    • Journal Title

      技術士

      Volume: 2014 Pages: 16-19

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Health-related quality of life and psychological distress during neoadjuvant endocrine therapy with letrozole to determine endocrine responsiveness in postmenopausal breast cancer.2014

    • Author(s)
      Taira N, Iwata H, Hasegawa Y, Sakai T, Higaki K, KIhara K, Yamaguchi T, Ohsumi S, Shimozuma K, Ohashi Y
    • Journal Title

      Breast Cancer Res Treat

      Volume: 145 Pages: 155-164

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Survey of medical care by oncologists for depression in breast cancer patients.2014

    • Author(s)
      Sato I, Makino H, Shimozuma K, Ohashi Y
    • Journal Title

      Palliat Care Res

      Volume: 9 Pages: 132-139

    • NAID

      130004678648

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 乳癌化学療法に伴う脱毛患者へのサポートに関するアンケート調査2014

    • Author(s)
      矢形寛、渡辺隆紀、齊藤光江、高山智子、下妻晃二郎
    • Journal Title

      乳癌の臨床

      Volume: 29 Pages: 203-209

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 医療の効率性と公平性(総論)2014

    • Author(s)
      下妻晃二郎
    • Journal Title

      日本内科学会雑誌

      Volume: 103 Pages: 1203-1209

    • NAID

      130005067077

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 医療資源配分の倫理2013

    • Author(s)
      齋藤信也
    • Journal Title

      医薬ジャーナル

      Volume: 49 Pages: 2081-2086

    • Related Report
      2013 Research-status Report
  • [Journal Article] 英国国立保健医療研究所(NICE)における社会的価値判断2013

    • Author(s)
      齋藤信也,児玉聡,安倍里美,白岩健,下妻晃二郎
    • Journal Title

      保健医療科学

      Volume: 62 Pages: 667-678

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] National survey of chemotherapy-induced apperance issues in breast cancer patients.2014

    • Author(s)
      Watanabe T, Yagata H, Saito M, Okada H, Takayama T, Imai H, Yosihda Y, Tamai N, Nozawa K, Yajima T, Shimozuma K
    • Organizer
      San Antonio Breast Cancer Symposium
    • Place of Presentation
      San Antonio (USA)
    • Year and Date
      2014-12-11
    • Related Report
      2014 Annual Research Report
  • [Presentation] National survey of long-term recovery from chemotherapy-induced hari loss in breaset cancer patients.2014

    • Author(s)
      Yagata H, Watanabe T, Okada H, Saito M, Takayama T, Imai H, Yoshida Y, Tamai N, Nozawa K, Yajima T, Shimozuma K
    • Organizer
      San Antonio Breast Cancer Symposium
    • Place of Presentation
      San Antonio (USA)
    • Year and Date
      2014-12-11
    • Related Report
      2014 Annual Research Report
  • [Presentation] Comparison of Value for Health Status Worse Than Dead between Japanese and UK2014

    • Author(s)
      Noto S, Shimozuma K, Saito S, Shiroiwa T, Fukuda T, Ikeda S, Igarashi A, Moriwaki K
    • Organizer
      ISPOR(International Society for Pharmacoeconomics and Outcome Research) 12th Annual European Congress
    • Place of Presentation
      Amsterdam (Netherland)
    • Year and Date
      2014-11-10
    • Related Report
      2014 Annual Research Report
  • [Presentation] 医療経済評価における倫理的課題2014

    • Author(s)
      齋藤信也
    • Organizer
      第26回日本生命倫理学会年次大会
    • Place of Presentation
      アクトシティ浜松(浜松)
    • Year and Date
      2014-10-26
    • Related Report
      2014 Annual Research Report
  • [Presentation] 終末期医療における治療方針2014

    • Author(s)
      齋藤信也
    • Organizer
      第26回日本生命倫理学会年次大会
    • Place of Presentation
      アクトシティ浜松(浜松)
    • Year and Date
      2014-10-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] A Japanese valuation study for the EQ-5D-5L.2014

    • Author(s)
      Igarashi A, Fukuda T, Kobayashi M, Saito S, Noto S, Shimozuma K, Shiroiwa T, Ikeda S
    • Organizer
      31st EuroQoL Group Plenary Meeting
    • Place of Presentation
      Stockholm (Sweeden)
    • Year and Date
      2014-09-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] 看護補助者への看護業務の委譲2014

    • Author(s)
      齋藤信也、吉川あゆみ
    • Organizer
      第52回日本医療・病院管理学会学術総会
    • Place of Presentation
      TOC有明コンベンションホール(東京)
    • Year and Date
      2014-09-13
    • Related Report
      2014 Annual Research Report
  • [Presentation] Should We Suffer At All?2014

    • Author(s)
      Kodama Satoshi
    • Organizer
      Sweeden-Kyoto University Symposium
    • Place of Presentation
      Kyoto University(Japan)
    • Year and Date
      2014-09-12
    • Related Report
      2014 Annual Research Report
  • [Presentation] 医療経済評価におけるQOL値測定-QOL値に関する倫理的問題2014

    • Author(s)
      齋藤信也
    • Organizer
      国際医療経済・アウトカム研究学会日本部会第10回学術集会
    • Place of Presentation
      星陵会館ホール(東京)
    • Year and Date
      2014-08-29
    • Related Report
      2014 Annual Research Report
  • [Presentation] レセプトデータからみた前立腺がんに対する抗がん剤治療の現状2014

    • Author(s)
      國澤進、丹下千嘉、下妻晃二郎
    • Organizer
      ISPOR日本部会第10回学術集会
    • Place of Presentation
      星陵会館ホール(東京)
    • Year and Date
      2014-08-29
    • Related Report
      2014 Annual Research Report
  • [Presentation] Should We Sufer At All2014

    • Author(s)
      Kodama Satoshi
    • Organizer
      International Society for Utilitarian Studies 2014
    • Place of Presentation
      Yokohama Naitonal University (Japan)
    • Year and Date
      2014-08-22
    • Related Report
      2014 Annual Research Report
  • [Presentation] 医薬品・医療機器のアセスメントとアプレイザル-費用対効果の評価方法と意思決定-アプレイザルにおいて考慮されるべき要素2014

    • Author(s)
      齋藤信也
    • Organizer
      日本医療・病院管理学会第326回例会
    • Place of Presentation
      国際医療福祉大学東京青山キャンパス(東京)
    • Year and Date
      2014-06-28
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 非がん患者のエンドオブライフケアにおける医師と訪問看護師の連携について2014

    • Author(s)
      齋藤信也、片山陽子、酒井昌子、長江弘子
    • Organizer
      第19回日本緩和医療学会学術大会
    • Place of Presentation
      神戸国際会議場(神戸)
    • Year and Date
      2014-06-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] Assessment of Response Shift and True Change Using Structural Equation Modeling for Health-Related Qulaity of Life Score in Patinets with Breast Cancer after Surgery2014

    • Author(s)
      Nakamura K, Shimozuma K, Suzukamo Y, Taira N, Shiroiwa T, Shibahara H, Saito S
    • Organizer
      ISPOR(International Society for Pharmacoeconomics and Outcome Research) 19th Annual International Meeting
    • Place of Presentation
      Montreal (Canada)
    • Year and Date
      2014-06-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Reanalysis of cost-effectiveness of abiraterone acetate as second line treatment for matastatic castration-resistant prostate cance in Japan using a Japanise claim data set2014

    • Author(s)
      Shibahara H, Shiroiwa T, Tange C, Nkamaura K, Ozono S, Shimozuma K
    • Organizer
      ISPOR 19th Intarnational Meeting
    • Place of Presentation
      Montreal (Canada)
    • Year and Date
      2014-06-02
    • Related Report
      2014 Annual Research Report
  • [Presentation] Basic Attitude towards Health Care Resource Allocation Decision Making in Japanese People -Utilitarianism or Egalitarianism?-2013

    • Author(s)
      Shinya Saito, Takeru Shiroiwa, Takashi Fukuda, Kojiro Shimozuma, Shinichi Noto
    • Organizer
      ISPOR 16th European Congress
    • Place of Presentation
      Dublin, Ireland
    • Related Report
      2013 Research-status Report
  • [Presentation] 医療資源配分法に対する国民の意向について-平等主義か功利主義か?-2013

    • Author(s)
      齋藤信也、白岩健、福田敬、下妻晃二郎、能登真一
    • Organizer
      第51回日本医療・病院管理学会学術総会
    • Place of Presentation
      京都市
    • Related Report
      2013 Research-status Report
  • [Book] 社会科学における善と正義 ロールズ『正義論』を超えて2015

    • Author(s)
      大瀧雅之、宇野重規,加藤晋、児玉聡他
    • Total Pages
      370
    • Publisher
      東京大学出版会
    • Related Report
      2014 Annual Research Report
  • [Book] 社会と健康(健康格差解消に向けた統合科学的アプローチ)2015

    • Author(s)
      川上憲人、橋本英樹、近藤尚己、児玉聡他
    • Total Pages
      326
    • Publisher
      東京大学出版会
    • Related Report
      2014 Annual Research Report
  • [Book] 医療経済学・地域医療学2014

    • Author(s)
      齋藤信也、浜田淳
    • Total Pages
      208
    • Publisher
      岡山大学出版会
    • Related Report
      2014 Annual Research Report
  • [Book] 基礎から学ぶ医療経済評価~費用対効果を正しく理解するために~2014

    • Author(s)
      齋藤信也,下妻晃二郎他
    • Total Pages
      192
    • Publisher
      じほう
    • Related Report
      2014 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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