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Physician-Induced Demand for Treatments for Heart Attack Patients in Japan: Evidence from the Tokai Acute Myocardial Study (TAMIS)

Author

Listed:
  • NOGUCHI Haruko
  • SHIMIZUTANI Satoshi
  • MASUDA Yuichiro

Abstract

Percutaneous Transluminal Coronary Angioplasty, henceforth (PTCA) for patients with acute myocardial infarction (AMI)-a high-tech treatment-is more frequently used in Japan than in other developed countries. This paper adopts the two-phase model to examine whether the high PTCA use is driven by the self-interest of physicians, or by behavioral character. After controlling for a patient's detailed characteristics, we found that increases in the relative numbers of hospitals and physicians are significantly related to physician-initiated expenditures and the effect is higher for high-tech treatments. The results based on municipal-level aggregated data also support this conclusion. JEL classification: I11 Key words: health care in Japan; physician-induced demand; patient initiated choices; two-phases model; acute myocardial infarction (AMI); Tokai Acute Myocardial Infarction Study (TAMIS)

Suggested Citation

  • NOGUCHI Haruko & SHIMIZUTANI Satoshi & MASUDA Yuichiro, 2005. "Physician-Induced Demand for Treatments for Heart Attack Patients in Japan: Evidence from the Tokai Acute Myocardial Study (TAMIS)," ESRI Discussion paper series 147, Economic and Social Research Institute (ESRI).
    • Handle: RePEc:esj:esridp:147
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    File URL: http://www.esri.go.jp/jp/archive/e_dis/e_dis150/e_dis147a.pdf
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    Citations

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    Cited by:

    1. Satoshi Shimizutani, 2006. "The Expansion in Long-term Care Use in Japan: A Case of Supplier-Induced Demand?," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 142(V), pages 91-95.
    2. NOGUCHI Haruko & SATOSHI Shimizutani, 2005. "Supplier-Induced Demand in Japan's At-home Care Industry: Evidence from Micro-level Survey on Care Receivers," ESRI Discussion paper series 148, Economic and Social Research Institute (ESRI).
    3. Kulbhushan Balooni & Kausik Gangopadhyay & Sudeep Turakhia & R.G. Karthik, 2012. "Challenges in the Sustainability of a Targeted Health Care Initiative in India," IIM Kozhikode Society & Management Review, , vol. 1(1), pages 21-32, January.

    More about this item

    Keywords

    health care in japan; physician-induced demand; patient initiated choices; two-phases model; acute myocardial infarction (ami); tokai acute myocardial infarction study (tamis);
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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