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Political cycles in physician employment: A case of Japanese local public hospitals

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  • Takaku, Reo
  • Bessho, Shun-ichiro

Abstract

A shortage of physicians in local public hospitals is often a heated political issue. When local politicians have the authority to intervene in the management of a public hospital, they may increase the employment of physicians during election years in order to alleviate the shortage. We test this hypothesis empirically using a census of city hospitals in Japan from 2002 to 2011 (N = 4583). Our results support the hypothesis that the number of physicians increases in election years. This effect is stronger in cities with a greater population of elderly residents. We also find that physicians tend to come from university hospitals in the same region. Overall, this paper provides direct evidence of political intervention on physician employment.

Suggested Citation

  • Takaku, Reo & Bessho, Shun-ichiro, 2018. "Political cycles in physician employment: A case of Japanese local public hospitals," Social Science & Medicine, Elsevier, vol. 216(C), pages 97-106.
    • Handle: RePEc:eee:socmed:v:216:y:2018:i:c:p:97-106
    DOI: 10.1016/j.socscimed.2018.09.034
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    3. Leonzio Rizzo & Massimiliano Ferraresi & Riccardo Secomandi, 2021. "Electoral incentives, investment in roads, and safety on local roads," Working Papers 20210710, University of Ferrara, Department of Economics.
    4. Massimiliano Ferraresi & Leonzio Rizzo & Riccardo Secomandi, 2021. "Electoral incentives, investment in roads, and safety on local roads," Working papers 107, Società Italiana di Economia Pubblica.

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