@techreport{oai:shiga-u.repo.nii.ac.jp:00009948,
 author = {Kato, Ryuta Ray and Kakinaka, Makoto},
 issue = {A-12},
 month = {Feb},
 note = {Technical Report, This paper presents a theoretical framework to describe the behavior of physicians
under the Japanese fee-for-service scheme by explicitly incorporating the behavioral
di erence between self-employed and hospital-employed physicians into the model. The
results show that the overprovision or the underprovision of treatmens and procedures
by self-employed physicians depends on the current fee-for-service scheme with the
regulated price (point) system. This study also presents that a substantial decline
in the number of hospital-employed physicians results in an increase in overwork or
unpaid work of hospital-employed physicians as well as in a decrease in the health level
of patients at hospital. This result could also be interpreted as a possible consequence
of the reform of the Japanese trainee programme of physicians in 2004. This paper
furthermore shows that as long as the number of patients treated by both types of
physicians is identical, hospital-employed physicians attain lower utility with heavier
workloads but give better medical services with the higher health level of patients than
self-employed physicians do., This paper presents a theoretical framework to describe the behavior of physicians
under the Japanese fee-for-service scheme by explicitly incorporating the behavioral
di erence between self-employed and hospital-employed physicians into the model. The
results show that the overprovision or the underprovision of treatmens and procedures
by self-employed physicians depends on the current fee-for-service scheme with the
regulated price (point) system. This study also presents that a substantial decline
in the number of hospital-employed physicians results in an increase in overwork or
unpaid work of hospital-employed physicians as well as in a decrease in the health level
of patients at hospital. This result could also be interpreted as a possible consequence
of the reform of the Japanese trainee programme of physicians in 2004. This paper
furthermore shows that as long as the number of patients treated by both types of
physicians is identical, hospital-employed physicians attain lower utility with heavier
workloads but give better medical services with the higher health level of patients than
self-employed physicians do., CRR Working Paper, Series A, No. A-12, pp. 1-[40]},
 title = {Behavioral Difference in Physicians in the Japanese Health Care System},
 year = {2009}
}