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Empirical analyses on the inefficiency in the health and long-term care insurance systems in Japan: Evidence from microdata

Research Project

Project/Area Number 26780180
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Public finance/Public economy
Research InstitutionTohoku University (2018)
Chukyo University (2014-2017)

Principal Investigator

Yuda Michio  東北大学, 経済学研究科, 准教授 (30454359)

Project Period (FY) 2014-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords医療経済学 / ミクロ計量経済学 / 医療保険制度 / 医療扶助制度 / 東日本大震災 / 分娩選択 / 帝王切開出産 / 介護保険制度
Outline of Final Research Achievements

In this research project, I have mainly conducted several empirical analyses on (1) the utilization of medical and long-term cares, (2) the Japanese medical assistance system, and (3) social environment and delivery choice. Specifically, I examine the effect of the health condition of the informal caregiver on their parent's (including those in-laws) care level in the project (1). In the project (2), I statistically compare the outpatient and inpatient utilization of the medical assistance patients with those of public health insurance. In the project (3), I examine the effects of recent public and social environment changes and Caesarean section delivery choice. In addition, I conducted other empirical analyses on smoking behavior and public finance of the health insurance system in Japan.

Academic Significance and Societal Importance of the Research Achievements

(1)の分析では,介護者の健康状態が悪化すると,両親の要介護状態が悪化することを明らかにした。(2)の分析では,入院・入院外の双方において,被保護者の医療費が健康保険加入者の医療費よりも有意に高いが,非効率性の大きさは必ずしも大きくないことを明らかにした。(3)の分析では,設備が整った医療機関においてだけでなく,近年の出産一時金の増額によって帝王切開分娩件数が上昇していることを明らかにした。

Report

(6 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (25 results)

All 2019 2018 2017 2016 2015 2014 Other

All Int'l Joint Research (3 results) Journal Article (8 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 7 results,  Open Access: 3 results,  Acknowledgement Compliant: 5 results) Presentation (8 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results) Book (1 results) Remarks (5 results)

  • [Int'l Joint Research] University of Southern California(米国)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] University of Southern California(米国)

    • Related Report
      2016 Research-status Report
  • [Int'l Joint Research] University of Southern California/RAND Corporation(米国)

    • Related Report
      2015 Research-status Report
  • [Journal Article] 社会環境の変化と帝王切開分娩手術の選択2019

    • Author(s)
      湯田道生
    • Journal Title

      Progress in Medicine

      Volume: 39 Pages: 165-170

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Public and social environment changes and caesarean section delivery choice in Japan2018

    • Author(s)
      Yuda Michio
    • Journal Title

      BMC Research Notes

      Volume: 11 Issue: 1 Pages: 1-6

    • DOI

      10.1186/s13104-018-3746-2

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The medical assistance system and inpatient health care provision: Empirical evidence from short-term hospitalizations in Japan2018

    • Author(s)
      Yuda Michio
    • Journal Title

      PLOS ONE

      Volume: 13 Issue: 10 Pages: 1-14

    • DOI

      10.1371/journal.pone.0204798

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Policy Challenges to Reduce Smoking Rates: Japanese Experiences and their Economic Evaluation2016

    • Author(s)
      Michio Yuda
    • Journal Title

      Internal Medicine Review

      Volume: 2 Issue: 3 Pages: 1-15

    • DOI

      10.18103/imr.v0i3.66

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Effects of Informal Caregivers' Health on Care Recipients2016

    • Author(s)
      Michio Yuda and Jinkook Lee
    • Journal Title

      Japanese Economic Review

      Volume: 67 Issue: 2 Pages: 192-210

    • DOI

      10.1111/jere.12102

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Structural and Regional Characteristics and Cost Efficiencies in the Local Public Health Insurance System: Empirical Evidence from the Japanese National Health Insurance System2016

    • Author(s)
      Michio Yuda
    • Journal Title

      Journal of Economics and Public Finance

      Volume: 2 Issue: 2 Pages: 279-279

    • DOI

      10.22158/jepf.v2n2p262

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Inefficiencies in the Japanese National Health Insurance System: A Stochastic Frontier Approach2016

    • Author(s)
      Michio Yuda
    • Journal Title

      Journal of Asian Economics

      Volume: 42 Pages: 65-77

    • DOI

      10.1016/j.asieco.2016.01.001

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The Effects of Informal Caregivers’ Health on Care Recipients2016

    • Author(s)
      Michio Yuda and Jinkook Lee
    • Journal Title

      Japanese Economic Review

      Volume: 67(2)

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] Medical Assistance System and Outpatient Health Care: evidence from Japan2017

    • Author(s)
      湯田道生
    • Organizer
      東京大学大学院経済学研究科 財政・公共経済ワークショップ
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Medical assistance system and the demand for and supply of outpatient health care: Empirical evidence from Japan2016

    • Author(s)
      湯田道生
    • Organizer
      日本財政学会
    • Place of Presentation
      京都産業大学
    • Year and Date
      2016-10-22
    • Related Report
      2016 Research-status Report
  • [Presentation] 児童に対する医療費助成制度が医療サービス利用に与え る影響2015

    • Author(s)
      湯田道生・岩本康志・両角良子
    • Organizer
      日本財政学会
    • Place of Presentation
      中央大学
    • Year and Date
      2015-10-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 介護サービスの利用環境が要介護高齢者の要介護度に与える影響 -訪問リハビリテーション・通所リハビリテーションに着目して2015

    • Author(s)
      両角良子・岩本康志・湯田道生
    • Organizer
      日本経済学会
    • Place of Presentation
      上智大学
    • Year and Date
      2015-10-10
    • Related Report
      2015 Research-status Report
  • [Presentation] 介護サービスの利用環境が要介護高齢者の要介護度に与える影響 -訪問リハビリテーション・通所リハビリテーションに着目して2015

    • Author(s)
      両角良子・岩本康志・湯田道生
    • Organizer
      医療経済学会
    • Place of Presentation
      京都大学
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
  • [Presentation] The Unexpected Cigarette Supply Shock and Smoking Behaviors2015

    • Author(s)
      Michio Yuda
    • Organizer
      International Health Economics Association
    • Place of Presentation
      Bocconi University, Milan, Italy
    • Year and Date
      2015-07-12
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] How Informal Caregivers' Health Affects Recipients2014

    • Author(s)
      Michio Yuda
    • Organizer
      RIETI-JER Workshop: Economics of Aging in Japan and Other Societies
    • Place of Presentation
      虎ノ門ヒルズ
    • Year and Date
      2014-12-13
    • Related Report
      2014 Research-status Report
  • [Presentation] How Informal Caregivers' Health Affects Recipients2014

    • Author(s)
      Michio Yuda
    • Organizer
      公共経済学セミナー
    • Place of Presentation
      慶應義塾大学経済学部
    • Year and Date
      2014-12-05
    • Related Report
      2014 Research-status Report
  • [Book] 国民健康保険財政の経済分析2018

    • Author(s)
      湯田道生
    • Total Pages
      192
    • Publisher
      勁草書房
    • ISBN
      9784326549658
    • Related Report
      2017 Research-status Report
  • [Remarks] Michio YUDA's Homepage

    • URL

      https://sites.google.com/site/yudamichi/home

    • Related Report
      2018 Annual Research Report
  • [Remarks] 湯田道生のホームページ

    • URL

      https://sites.google.com/site/yudamichi/

    • Related Report
      2017 Research-status Report
  • [Remarks] 湯田道生のホームページ

    • URL

      https://sites.google.com/site/yudamichi/home

    • Related Report
      2016 Research-status Report 2015 Research-status Report 2014 Research-status Report
  • [Remarks] 中京大学 教育研究活動データベースシステム

    • URL

      http://kenkyu-db.chukyo-u.ac.jp/show/main.php?c=7110

    • Related Report
      2016 Research-status Report
  • [Remarks] Social Science Research Network (SSRN)

    • URL

      http://papers.ssrn.com/sol3/cf_dev/AbsByAuth.cfm?per_id=2170897

    • Related Report
      2015 Research-status Report

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Published: 2014-04-04   Modified: 2022-02-16  

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