2009 Fiscal Year Final Research Report

Vertical Inequity in Inpatient Care and Allocation of Health Care Resources in Secondary Medical Care Zone

Research Project

Project/Area Number	19730188
Research Category	Grant-in-Aid for Young Scientists (B)
Allocation Type	Single-year Grants
Research Field	Applied economics
Research Institution	Kinki University
Principal Investigator	KUMAGAI Narimasa Kinki University, 経済学部, 准教授 (80330679)
Project Period (FY)	2007 – 2009
Keywords	公立病院 / 集中度指数 / 垂直的公平性 / 標準化死亡比 / 負担金 / 不平等度
Research Abstract	My study aims to investigate the relationships among the need for inpatient care, the amount of inpatient care services provided, and money transfers to Japanese municipal hospitals from the viewpoint of vertical equity. The paper "Vertical Equity and Inequality of Allotments" revealed allotments (subsidies) per patient per day showed vertical inequity in the number of inpatients per day after taking into account the overall social welfare regarding the distribution of allotments. Inequality in the number of outpatients per physician increased in 2005 compared to previous years. This was caused by the movement of physicians following the introduction of a new in-service training system.