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Theoretical and Empirical Analysis of Reforms in the Fields of Medicine, Home Care, Health, and Pension by Utilizing Information Technology and the Market Mechanism.

利用信息技术和市场机制进行医药、居家、健康、养老等领域改革的理论与实证分析。

基本信息

批准号：
13430009
负责人：
TSUJI Masatsugu
金额：
$ 7.68万
依托单位：
Osaka University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

This research focuses on the construction of efficient systems in the fields of medicine, home care, health, and pension towards an aging society based on theoretical as well as empirical studies. One research analyzed the economic efficiency of e-health (tele-homecare), and we conducted field surveys in different regions such as Kamaishi City and Izawa Town, Iwate Prefecture, Nishi-Aizu Town and Katurao Village, Fukushima Prefecture. We estimated benefits of the system in terms of WTP (WTA) by applying the CVM method. Those are, for example, \4,519 and \1,640 for Kamaishi and Katsurao, respectively. Then we applied the cost-benefit analysis. Costs of the systems were also ;stimated, and we compared with these two in terms. of benefit/cost (B/C) ratio. These are 1.07 and 0.54 for Kamaishi and Katsurao, respectively. All of ratios pf other regions were approximately 0.5. This implies that all regions except Kamaishi were making losses. In addition, we applied the regression analysis regarding how to share the costs of the system among residents and medical (long-term care) insurance, that is, we estimated the exact amount of reimbursement. In case of Kamaishi, we obtained that residents should bear \3,961 and the insurance (or tax) \558. Thus, the following conclusion was obtained: the e-health system, which is proved to contribute to lower the medical costs, does not balance revenues and costs, and it is impossible for the current system to be transformed into the market system. In addition to creating a so-called business model, it is required to establish the system of collaborating residents and agents such as local governments, NPO, and volunteers in the region.

本研究通过理论研究和实证研究，对老龄化社会的医疗、家庭护理、健康、养老等领域的有效制度建设进行了探讨。一项研究分析了电子保健（远程家庭护理）的经济效率，我们在岩手县釜石市和伊泽町、福岛县西会津町和Katurao村等不同地区进行了实地调查。我们估计系统的利益在WTP（WTA）方面，通过应用CVM方法。例如，釜石和葛尾的工资分别为4，519日元和1，640日元。然后，我们进行了成本效益分析。对系统的成本也进行了估算，并与这两种系统进行了比较。效益/成本（B/C）比率。釜石和葛尾的这一数值分别为1.07和0.54。其他地区的比例均在0.5左右。这意味着除了釜石以外的所有地区都在亏损。此外，对住院医师和医疗（长期护理）保险分担费用的方式，也就是对实际的报销额进行了回归分析。在釜石的情况下，我们得出居民应承担3，961日元和保险（或税收）558日元。由此得出以下结论：电子保健系统虽然被证明有助于降低医疗成本，但收入和成本并不平衡，目前的系统不可能转变为市场系统。除了创造所谓的商业模式外，还需要建立居民与地方政府、NPO和志愿者等代理人的合作体系。