Spatial Locational Analysis on Medical Care Facilities

2013 Fiscal Year Final Research Report

• Project/Area Number: 24830048
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Single-year Grants
• Research Field: Applied economics
• Research Institution: Hyogo 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
• 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

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.

Research Products

• [Journal Article] A Comparison between the Two Variance-Stabilizing Bandwidth Matrices for the Multivariate Nonparametric Regression Estimator (2013)
  • Author(s): Kiheiji NISHIDA
  • Journal Title: 数理解析研究所講究録 Volume: 1860 Pages: 73-90
• [Journal Article] Spatial Competition of Clinics Under Diagnosis Procedure Combination / Per-Diem Payment System (2013)
  • 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
• [Journal Article] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation (2013)
  • Author(s): Kiheiji NISHIDA, Yuichiro KANAZAWA
  • Journal Title: Communications in Statistics - theory and methods
  • DOI: 10.1080/03610926.2013.775298
  • Peer Reviewed
• [Journal Article] The preparation of PLLA/calcium phosphate hybrid composite and its evaluation of biocompatibility (2012)
  • 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
  • Peer Reviewed
• [Presentation] Spatial Competition of Clinics under Diagnosis Procedure. Combination / Per-Diem Payment System (2013)
  • 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
• [Presentation] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A Comparison between the Two Variance-Stabilizing Bandwidth Matrices (2013)
  • 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
• [Presentation] On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A Comparison between the Two Variance-Stabilizing Bandwidth Matrices (2013)
  • 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