Decision model of physician visits : theory and empirical analysis

就诊决策模型：理论与实证分析

• 批准号: 19530223
• 负责人: KAKIHARA Hiroaki
• 金额: $ 2.91万
• 依托单位: Ritsumeikan University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2007
• 资助国家: 日本
• 起止时间: 2007 至 2008
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19530223/
• 关键词: 受診行動; 医療経済; 意志決定; ヘルスリテラシー; 費用

The anxiety about the future increase in health expenditure has risen along with the rapid progress of aging society in Japan. This brings the importance of health education provided to the patient as one of the measures, as pointed out by many researchers so far. The reason is that the increase in health knowledge provided by health education is expected to lead to early detection and prevention of the disease. However, this protective efficacy does not necessarily apply to all kinds of diseases.Some kinds of diseases may not be possibly prevented by man's effortIn this paper, we firstly analyzed the variation, if any, of the impact of health knowledge on the consultation behavior of different diseases at different diagnosis and treatment unit.Second, we looked at the causes of this variation. We used micro data on the level of health knowledge each patient possess, their disease's kind, their medical expense, their motivation for the consultation, and the scale difference of medical institution in with they receive the consultation.This study would find the kind of disease to which health education is applied most efficiently from the economic view point, and the result gives important policy implication for the reduction of health expenditure.

随着日本老龄化社会的快速推进，人们对未来医疗支出增长的担忧也随之上升。正如迄今为止许多研究人员所指出的，这凸显了向患者提供健康教育作为措施之一的重要性。原因是通过健康教育提供的健康知识的增加有望导致疾病的早期发现和预防。然而，这种保护作用并不一定适用于所有种类的疾病。有些种类的疾病可能不是靠人的努力就可以预防的。本文首先分析了健康知识对不同疾病在不同诊疗单位就诊行为的影响是否存在差异，其次探讨了造成这种差异的原因。我们使用了每个患者的健康知识水平、疾病种类、医疗费用、就诊动机以及就诊医疗机构规模差异等微观数据。本研究将从经济学角度寻找健康教育最有效应用的疾病种类，其结果对于减少卫生支出具有重要的政策意义。

项目成果

医療におけるモラルハザードとは-2003年度自己負担増加の分析-

什么是医疗道德风险？ - 2003年自付费用增长分析 -

• 发表时间: 2008
• 期刊: 経済論叢 (京都大学) Vol. 182, No. 1
• 作者: Ando;Ken-ichi;安藤研一;安藤研一;安藤研一;安藤研一;柿原浩明
• 通讯作者: 柿原浩明

Decision model of physician visits : theory and empirical analysis

就诊决策模型：理论与实证分析

• 发表时间: 2009
• 作者: Ando;Ken-ichi;安藤研一;安藤研一;安藤研一;安藤研一;柿原浩明;安藤研一;柿原浩明
• 通讯作者: 柿原浩明