1999 Fiscal Year Annual Research Report

高齢者医療の部分的定額制導入と医療セクター及びマクロ経済システムへの影響

Research Project

Project/Area Number	11630034
Research Institution	University of Tsukuba
Principal Investigator	山田直志筑波大学, 社会工学系, 助教授 (10210460)
Keywords	高齢者医療 / 在宅介護 / 病院の効率性 / 健康診断の需要
Research Abstract	本年度は、高齢者の在宅介護費用、病院の効率性、高齢者医療の定額制などの研究を国際会議で発表した。また、平成7年の『国民生活基礎調査』のデータを使って、不確実性の事象に対する健康診断需要の分析を行った。個人が健康診断を受診するか否かは、その個人の属性や取り巻く環境に応じて疾病や疾病率が異なるので、それらのリスクに対応する個人の予防行動が、健康診断の受診行動に現れる。20歳〜64歳の約56%の人たちが健康診断を受診している中で、受診行動を詳しく調べてみると、国民間で多くの相違点がある。顕著な要因として、(1)性別、(2)年齢、(3)医療保険、(4)企業規模、(5)職業、(6)健康状態、等が挙げられる。更に、健康診断の受診行動が、個人が病気になって入院する可能性や入院期間にどのように影響するのか分析した結果、健康診断には、入院確率や入院期間を、共に減らす効果があることが検証された。結果から、健康診断は、短期的な医療費を増加させる一方、長期的な医療費の削減に寄与していることが明らかになった。故に、健康診断は、企業のみならず、国民全体の医療費削減に非常に有効な手段であるといえる。また、国民に健康診断の受診率に偏りがあることから、対象を考慮した健康診断推進政策が望ましいと言える。

Research Products
(11 results)

All Other

All Publications (11 results)

[Publications] Tadashi Yamada: ""The Demand for Health Check-up and Uncertainty""Labor Markets and Firm Benefit Policies in Japan and the United States (tentative title),eds. David.A.Wise,Seiritsu Ogura and Toshiaki Tachibanaki.. (発行予定). (2001)
[Publications] Tadashi Yamada,et al.: ""Hospital Services under the National Health Insurance System: A Transition form Fee-for-Service to Capitation" System""Health Economics,eds. M.Grossman,T.W.Hu,and C.R.Hsieh.. (発行予定). (2000)
[Publications] Tadashi Yamada,et al.: ""Determinants of Social Violence among the Youth and Anti-Health Activities: Policy Implications""Violence and Health,World Health Organization (WHO),WHO Publication.. (発行予定). (2000)
[Publications] Tadashi Yamada: ""The Demand for Health Check-up and Uncertainty""Institute of Policy and Planning Sciences (IPRS),Discussion Paper Series. No.849. 1-67 (2000)
[Publications] Tadashi Yamada,et al.: ""Medical Services and Imperfect Infomation""IPPS Discussion Paper Series. No.839. 1-32 (1999)
[Publications] Tadashi Yamada,et al.: ""Determinants of Social Violence among the Youth and Anti-Health Activities: Policy Implications""IPPS Discussion Paper Series. No.838. 1-21 (1999)
[Publications] Tadashi Yamada,et al.: ""Preferences of the Japanese Elderly and Policy Implications: Public Health Services and Family Support""Aging and Health: A Global Challenge for the 21^<st> Century,World Health Organization (WHO).. 358-372 (1999)
[Publications] Tadashi Yamada,et al.: ""Technical Efficiency of Production in Hospitals in Japan""IPPS Discussion Paper Series. No.826. 1-44 (1999)
[Publications] 山田直志: "『一般病院と老人病院の効率性の比較:フロンティア生産関数』"IPPS Discussion Paper Series. No.819. 1-73 (1999)
[Publications] 山田直志: "『高齢者の在宅介護費用の計量経済学的分析』"IPPS Discussion Paper Series. No.818. 1-57 (1999)
[Publications] Tadashi Yamada and Tetsuji Yamada: ""Transition from Fee-for-service to Prospective Payment System: Hospital Services under National Health Insurance System""IPPS Discussion Paper Series. No.817. 1-34 (1999)

1999 Fiscal Year Annual Research Report

高齢者医療の部分的定額制導入と医療セクター及びマクロ経済システムへの影響

Principal Investigator

山田 直志 筑波大学, 社会工学系, 助教授 (10210460)

Research Products

[Publications] Tadashi Yamada: ""The Demand for Health Check-up and Uncertainty""Labor Markets and Firm Benefit Policies in Japan and the United States (tentative title),eds. David.A.Wise,Seiritsu Ogura and Toshiaki Tachibanaki.. (発行予定). (2001)

[Publications] Tadashi Yamada,et al.: ""Hospital Services under the National Health Insurance System: A Transition form Fee-for-Service to Capitation" System""Health Economics,eds. M.Grossman,T.W.Hu,and C.R.Hsieh.. (発行予定). (2000)

[Publications] Tadashi Yamada,et al.: ""Determinants of Social Violence among the Youth and Anti-Health Activities: Policy Implications""Violence and Health,World Health Organization (WHO),WHO Publication.. (発行予定). (2000)

[Publications] Tadashi Yamada: ""The Demand for Health Check-up and Uncertainty""Institute of Policy and Planning Sciences (IPRS),Discussion Paper Series. No.849. 1-67 (2000)

[Publications] Tadashi Yamada,et al.: ""Medical Services and Imperfect Infomation""IPPS Discussion Paper Series. No.839. 1-32 (1999)

[Publications] Tadashi Yamada,et al.: ""Determinants of Social Violence among the Youth and Anti-Health Activities: Policy Implications""IPPS Discussion Paper Series. No.838. 1-21 (1999)

[Publications] Tadashi Yamada,et al.: ""Preferences of the Japanese Elderly and Policy Implications: Public Health Services and Family Support""Aging and Health: A Global Challenge for the 21^<st> Century,World Health Organization (WHO).. 358-372 (1999)

[Publications] Tadashi Yamada,et al.: ""Technical Efficiency of Production in Hospitals in Japan""IPPS Discussion Paper Series. No.826. 1-44 (1999)

[Publications] 山田直志: "『一般病院と老人病院の効率性の比較:フロンティア生産関数』"IPPS Discussion Paper Series. No.819. 1-73 (1999)

[Publications] 山田直志: "『高齢者の在宅介護費用の計量経済学的分析』"IPPS Discussion Paper Series. No.818. 1-57 (1999)

[Publications] Tadashi Yamada and Tetsuji Yamada: ""Transition from Fee-for-service to Prospective Payment System: Hospital Services under National Health Insurance System""IPPS Discussion Paper Series. No.817. 1-34 (1999)

山田直志筑波大学, 社会工学系, 助教授 (10210460)