研究課題/領域番号 |
19K13729
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研究機関 | 早稲田大学 |
研究代表者 |
富 蓉 早稲田大学, 商学学術院, 専任講師 (70805259)
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研究期間 (年度) |
2019-04-01 – 2023-03-31
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キーワード | Hybrid Payment System |
研究実績の概要 |
Countries seeking to move away from a purely fee‐for‐service (FFS) system may consider a hybrid approach whereby only some procedures are paid by FFS while others are paid prospectively. Yet little evidence exists whether such a hybrid payment system contains overall costs without adverse influences on health outcomes. In 2003, Japan experienced a reform from FFS to a hybrid payment system in which only some inpatient procedures were paid prospectively. We exploit this reform to test how such a hybrid system affects overall costs and health outcomes. Briefly, we find that healthcare providers responded opportunistically to the reform, moving some procedures out of the bundled inpatient setting to FFS services, leading to no reduction in cost. There was some evidence of a moderate deterioration in health outcomes, in terms of a decline in the probability of symptoms being cured at discharge. We also investigate the spillover effect to accompany the research project.
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現在までの達成度 (区分) |
現在までの達成度 (区分)
3: やや遅れている
理由
Due to the pandemic, we were not able to present our studies as much as expected. So, the current status of our reseach is slightly delayed.
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今後の研究の推進方策 |
We aim first to submit the manuscript of investigation II propsed to target journal (social science & medicine, no later than Q1. We then seek to finalize the investigation III in Q2 and present the findings at workshops or international conferences. After refining the results based on comments, we expect to submit the manuscript of investigation III to target journals by the end of Q4 in 2022. Finally, in Q1 of 2023, we plan to summarize the overall project with comprehensive reports.
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次年度使用額が生じた理由 |
Due to the pandemic, we were not able to proceed as planned.
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