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An Empirical Stusy on Drug Selection Behaviour of Phycisian, Pharmacist and Patient

Research Project

Project/Area Number 26380297
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Economic policy
Research InstitutionKyoto University

Principal Investigator

Kakihara Hiroaki  京都大学, 薬学研究科, 特定教授 (20351314)

Co-Investigator(Kenkyū-buntansha) 馬 欣欣  一橋大学, 経済研究所, 准教授 (80634253)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords新薬・先発薬 / 医師の処方行動 / 医療費 / 薬剤師の推薦行動 / 患者の受診行動 / 公的医療保険制度 / ジェネリック医薬品 / 医療処方行動 / 薬剤師調剤行動 / 新薬 / 先発薬 / 薬剤師の調剤意欲 / 薬剤師の調剤行動
Outline of Final Research Achievements

Due to the aging population of Japan, Japanese government has promoted the use of generic drugs as means to decrease the burden to patients as well as to improve the situation of public finance sustainability. However, the proportion of generic prescriptions out of the total prescriptions written accounts for 22% in volume basis in 2011 and low compared to other developed countries. We thus examine the determinants of prescription of new and brand name drugs to understand what discourages Japanese physicians from prescribing generic drugs, using data from an original survey of physicians conducted. These surveys are analyzed with regard to the potential influence of the following factors: physicians’ information seeking behavior regarding drugs, principal-agent relationship, risk and time preferences and physician characteristics, to provide the evidence for Japanese government when they design the health policy.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (9 results)

All 2017 2016 2015 2014

All Journal Article (6 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results,  Acknowledgement Compliant: 2 results) Presentation (2 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Journal Article] Public Medical Insurance System Reform and its Impact on Health Service Utilization in Rural China2017

    • Author(s)
      Ma, X. and Y. Cen
    • Journal Title

      China Studies

      Volume: 5 Pages: 121-131

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] The Effects of New Cooperation Medicine Scheme on the Utilization of Health Care Service in Rural China2016

    • Author(s)
      Ma,X.
    • Journal Title

      Journal of Statistical Science and Application

      Volume: 4(5-6) Issue: 3 Pages: 119-131

    • DOI

      10.17265/2328-224x/2016.0506.001

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Public Medical Insurance System Reform and the Determinants of Participation to the Medical Insurance Systems in the Aging China2016

    • Author(s)
      Ma,X.
    • Journal Title

      人口問題研究

      Volume: 72(3) Pages: 236-255

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Public Medical Insurance System Reform and the Determinants of Participation to the Medical Insurance Systems in the Aging China2016

    • Author(s)
      馬欣欣
    • Journal Title

      人口問題研究

      Volume: 2016年9月号 Pages: 1-12

    • Related Report
      2015 Research-status Report
    • Acknowledgement Compliant
  • [Journal Article] 小児ワクチン接種は子供の健康向上、母親の就業増加につながるのか―経済学的視点からに考察2015

    • Author(s)
      柿原浩明・馬欣欣
    • Journal Title

      チャイルドヘルス

      Volume: Vol.19,No.3 Pages: 10-14

    • Related Report
      2015 Research-status Report
  • [Journal Article] 「薬剤師の新薬・先発薬の調剤意欲の決定要因に関する実証分析」2014

    • Author(s)
      馬欣欣・柿原浩明
    • Journal Title

      『日本医療・病院管理学会誌』

      Volume: 51 Pages: 245-245

    • Related Report
      2014 Research-status Report
  • [Presentation] Determinants of Japanese Pharmacists’ Willingness to Dispense Brand-Name Drugs2015

    • Author(s)
      馬欣欣・柿原浩明
    • Organizer
      international Health Economic Association
    • Place of Presentation
      Milian, Italy
    • Year and Date
      2015-07-13
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 薬剤師の新薬・先発薬の調剤意欲の決定要因に関する実証分析2014

    • Author(s)
      馬欣欣・柿原浩明
    • Organizer
      日本医療・病院管理学会
    • Place of Presentation
      TOC有明コンペンションホール
    • Year and Date
      2014-09-13 – 2014-09-14
    • Related Report
      2014 Research-status Report
  • [Book] 中国の公的医療保険制度の改革2015

    • Author(s)
      馬欣欣
    • Publisher
      京都大学学術出版会
    • Related Report
      2015 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2018-03-22  

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