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

住院医疗纵向不平等与二级医疗区卫生资源配置

• 批准号: 19730188
• 负责人: KUMAGAI Narimasa
• 金额: $ 1.45万
• 依托单位: Kinki University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2007
• 资助国家: 日本
• 起止时间: 2007 至 2009
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19730188/
• 关键词: 公立病院; 集中度指数; 垂直的公平性; 標準化死亡比; 負担金; 不平等度; 公平性; 資源配分; 二次医療圏

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.

我的研究旨在从垂直公平的角度调查住院治疗的需求、提供的住院治疗服务的数量以及向日本市立医院的资金转移之间的关系。 《分配的垂直公平与不平等》一文揭示，在考虑分配分配方面的整体社会福利后，每名患者每天的分配（补贴）显示出每天住院患者数量的纵向不平等。与往年相比，2005 年每位医生接待的门诊病人数量不平等有所增加。这是由于引入新的在职培训制度后医生的流动造成的。