Vertical Inequity in Inpatient Care and Allocation of Health Care Resources in Secondary Medical Care Zone

本研究从纵向公平的观点出发，探讨住院患者的护理需求、住院患者的护理服务量和向日本市立医院的资金转移之间的关系。“分配额的纵向公平和不平等”文件显示，在考虑到分配额分配的总体社会福利后，每天每个病人的分配额（补贴）显示出每天住院病人人数的纵向不平等。与前几年相比，2005年每名医生门诊病人人数的不平等现象有所增加。这是由于实行新的在职培训制度后医生流动造成的。

My study aims to investigate the relationships among the need for inpatient care, the amount of inpatient care services provided, and money transfers to Japanese municipal hospitals from the viewpoint of vertical equity. The paper "Vertical Equity and Inequality of Allotments" revealed allotments (subsidies) per patient per day showed vertical inequity in the number of inpatients per day after taking into account the overall social welfare regarding the distribution of allotments. Inequality in the number of outpatients per physician increased in 2005 compared to previous years. This was caused by the movement of physicians following the introduction of a new in-service training system.