| アイテムタイプ |
デフォルトアイテムタイプ（フル）その２(1) |
| 公開日 |
2017-05-20 |
| タイトル |
|
|
タイトル |
Regional Variations in Medical Expenditure and Hospitalization Days for Heart Attack Patients in Japan: Evidence from the Tokai Acute Myocardial Study (TAMIS) |
|
言語 |
en |
| 作成者 |
野口, 晴子
| en |
Noguchi, Haruko
National Institute of Population and Social Security Research
|
| ja |
野口, 晴子
|
| ja-Kana |
ノグチ, ハルコ
|
Search repository
清水谷, 諭
| en |
Shimizutani, Satoshi
Institute for International Policy Studies
|
| ja |
清水谷, 諭
|
| ja-Kana |
シミズタニ, サトシ
|
Search repository
益田, 雄一郎
|
| 寄与者 |
|
|
寄与者タイプ |
Editor |
|
|
姓名 |
世代間問題研究プロジェクト（世代間問題の経済分析） = Economic Analysis of Intergenerational Issues, Project on Intergenerational Equity |
|
|
言語 |
en |
| 寄与者 |
|
|
寄与者タイプ |
Editor |
|
|
姓名 |
一橋大学経済研究所世代間問題研究機構 = Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University |
|
|
言語 |
en |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
health care in Japan |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
physician-induced demand |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
two-part model |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
acute myocardial infarction (AMI) |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Tokai Acute Myocardial Infarction Study (TAMIS) |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
The use of percutaneous transluminal coronary angioplasty (PTCA), a costly high-tech treatment for patients with acute myocardial infarction (AMI), is much more frequent in Japan than in other developed countries, resulting in large medical expenditure. Using chart-based data from the Tokai Acute Myocardial Infarction Study (TAMIS) and exploiting regional variations, we explore what factors explain the intensive use of PTCA in Japan, employing propensity score matching to estimate the average treatment effects on hospital expenditure and hospital days. We find that the probability of receiving high-tech treatment is affected by a patient's characteristics as well as the density of medical resources in a region. Moreover, once heterogeneity between treated and non-treated patients is adjusted for, medical expenditure is higher for treated patients while there are no significant differences in hospitalization days. Our findings imply that the higher medical costs resulting from high-tech treatments are not associated with better outcomes and that the frequent use of high-tech treatments is economically motivated. |
|
言語 |
en |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Abstract (104 words): In Japan, the use of percutaneous transluminal coronary angioplasty (PTCA) for the treatment of acute myocardial infarction (AMI) is extraordinarily frequent, resulting in large medical expenditure. Using chart-based data and exploiting regional variations, we explore what factors explain the frequent use of PTCA, employing propensity score matching to estimate the average treatment effects on hospital expenditure and hospital days. We find that the probability of receiving PTCA is affected by the density of medical resources in a region. Moreover, expenditure is higher for treated patients while there are no significant differences in hospitalization days, implying that the frequent use of PTCA is economically motivated. |
| 出版者 |
|
|
出版者 |
Institute of Economic Research, Hitotsubashi University |
| 日付 |
|
|
日付 |
2007-11 |
|
日付タイプ |
Issued |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_18gh |
|
資源タイプ |
technical report |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 関連情報 |
|
|
関連タイプ |
isPartOf |
|
|
関連名称 |
PIE/CIS Discussion Paper ; No. 341 |
| 関連情報 |
|
|
|
識別子タイプ |
URI |
|
|
関連識別子 |
http://cis.ier.hit-u.ac.jp/English/ |
| 関連情報 |
|
|
|
識別子タイプ |
URI |
|
|
関連識別子 |
http://www.ier.hit-u.ac.jp/pie/stage2/Japanese/ |
| ページ数 |
|
|
ページ数 |
32 |
| Sponsorship |
|
|
値 |
科学研究費補助金（特別推進研究） = Grant-in-Aid for Specially Promoted Research |
| JEL |
|
|
値 |
I11 |
body (103955 bytes)
