Spatial Locational Analysis on Medical Care Facilities

医疗机构空间区位分析

• 批准号: 24830048
• 负责人: NISHIDA kiheiji
• 金额: $ 1.66万
• 依托单位: Hyogo University of Health Sciences (2013)Osaka University (2012)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Research Activity Start-up
• 财政年份: 2012
• 资助国家: 日本
• 起止时间: 2012-08-31 至 2014-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-24830048/
• 关键词: 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; 出来高払い制; 応用経済学; 空間統計; 立地論

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.

在这项研究中，我们分析了诊所之间的竞争如何影响两种不同的医疗服务提供系统，收费服务补偿系统（FFSRS）和诊断程序组合/每日支付系统（DPC/PDPS）下的诊所和福利的竞争性位置均衡。主要结果如下：1.在FFSRS下，与DPC/PDPS相比，诊所倾向于选择地理市场中的集中地点。2.根据DPC/PDPS，即使政府按照医疗服务需求的比例引入歧视性的医疗服务收费，也很难吸引新的诊所进入人口稀少的地区。3.根据该计划，人口稀少地区的医疗服务收费应最少是人口稠密地区的1.8倍，以吸引人口稀少地区的诊所进入。

项目成果

On Variance-Stabilizing Multivariate Nonparametric Regression Estimation-A Comparison between the Two Variance-Stabilizing Bandwidth Matrices

方差稳定多元非参数回归估计——两种方差稳定带宽矩阵的比较

• 发表时间: 2013
• 作者: Kiheiji NISHIDA;Yuichiro KANAZAWA
• 通讯作者: Yuichiro KANAZAWA

Spatial Competition of Clinics Under Diagnosis Procedure Combination / Per-Diem Payment System

诊断程序组合/按日付费制度下诊所的空间竞争

• 发表时间: 2013
• 期刊: 畿大学経済学部Working Paper Series
• 作者: Kiheiji NISHIDA;Tetsu KAWAKAMI;Atsushi YOSHIDA
• 通讯作者: Atsushi YOSHIDA

On Variance-Stabilizing Multivariate Nonparametric Regression Estimation - A comparison between the two Variance-Stabilizing Bandwidth Matrices

关于方差稳定多元非参数回归估计 - 两个方差稳定带宽矩阵之间的比较

• 发表时间: 2013
• 期刊: 京都大学数理解析研究所講究録
• 作者: Croydon;Silvia;鈴木新;山田哲史;Kiheiji NISHIDA
• 通讯作者: Kiheiji NISHIDA

A Comparison between the Two Variance-Stabilizing Bandwidth Matrices for the Multivariate Nonparametric Regression Estimator

多元非参数回归估计器的两个方差稳定带宽矩阵之间的比较

• 发表时间: 2013
• 期刊: 数理解析研究所講究録
• 作者: 入江恵子;Kiheiji NISHIDA
• 通讯作者: Kiheiji NISHIDA

Spatial Competition of Clinics under Diagnosis Procedure. Combination / Per-Diem Payment System

诊断程序下诊所的空间竞争。

• 发表时间: 2013
• 作者: Kiheiji NISHIDA;Atsushi Yoshida
• 通讯作者: Atsushi Yoshida