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Actual Hospital Bed Utilization by Institutional Ownership during the COVID-19 Omicron Variant Epidemic in Japan

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  • Hiroaki MASUHARA
  • Kei HOSOYA

Abstract

During the summer of 2021 in Japan, COVID-19 patients faced admission difficulties despite beds being available due to capacity mismatches. This study analyzes hospital admission patterns during the Omicron variant expansion (December 2021–March 2022), focusing on institutional ownership of acute care hospitals. Publicly owned and non-governmental hospitals may differ in their relationships with prefectural governments responsible for securing beds through vertical administrative structures. The analysis examines metropolitan versus non-metropolitan areas and hospitals with or without other acute care facilities within 10 km, comparing COVID-19 inpatients per 100 beds and reserved bed occupancy rates between ownership types. Results reveal that bed allocation ratios for COVID-19 patients vary between ownership types. Significant differences in inpatients per 100 beds appear in regions with nearby acute care hospitals and in non-metropolitan areas. Reserved bed occupancy rate differences between ownership types emerge in regions with proximate hospitals but not in single-hospital regions. Metropolitan areas frequently show no significant occupancy differences, indicating admissions matched reserved capacity. Findings demonstrate the necessity of strategic bed planning, particularly highlighting that non-governmental hospitals without nearby facilities face difficulties securing beds through administrative relationships. Enhanced monitoring during outbreaks is essential for such isolated hospitals.

Suggested Citation

  • Hiroaki MASUHARA & Kei HOSOYA, 2025. "Actual Hospital Bed Utilization by Institutional Ownership during the COVID-19 Omicron Variant Epidemic in Japan," Discussion papers 25101, Research Institute of Economy, Trade and Industry (RIETI).
    • Handle: RePEc:eti:dpaper:25101
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    References listed on IDEAS

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    1. Ii, Masako & Watanabe, Sachiko, 2022. "The paradox of the COVID-19 pandemic: The impact on patient demand in Japanese hospitals," Health Policy, Elsevier, vol. 126(11), pages 1081-1089.
    2. Moscelli, Giuseppe & Gravelle, Hugh & Siciliani, Luigi & Gutacker, Nils, 2018. "The effect of hospital ownership on quality of care: Evidence from England," Journal of Economic Behavior & Organization, Elsevier, vol. 153(C), pages 322-344.
    3. Reif, Simon & Schubert, Sabrina, 2024. "Hospital capacity reporting in Germany during Covid-19," Journal of Economic Behavior & Organization, Elsevier, vol. 228(C).
    4. Henderson,Daniel J. & Parmeter,Christopher F., 2015. "Applied Nonparametric Econometrics," Cambridge Books, Cambridge University Press, number 9781107010253, January.
    5. Ahmad, Ibrahim A. & Li, Qi, 1997. "Testing independence by nonparametric kernel method," Statistics & Probability Letters, Elsevier, vol. 34(2), pages 201-210, June.
    6. Quah, Danny, 1993. "Empirical cross-section dynamics in economic growth," European Economic Review, Elsevier, vol. 37(2-3), pages 426-434, April.
    7. Qi Li & Jeffrey Scott Racine, 2006. "Density Estimation, from Nonparametric Econometrics: Theory and Practice," Introductory Chapters, in: Nonparametric Econometrics: Theory and Practice, Princeton University Press.
    8. Pérotin, Virginie & Zamora, Bernarda & Reeves, Rachel & Bartlett, Will & Allen, Pauline, 2013. "Does hospital ownership affect patient experience? An investigation into public–private sector differences in England," Journal of Health Economics, Elsevier, vol. 32(3), pages 633-646.
    9. Quah, D., 1990. "Galton'S Fallacy And The Tests Of The Convergence Hypothesis," Working papers 552, Massachusetts Institute of Technology (MIT), Department of Economics.
    10. Lien, Hsien-Ming & Chou, Shin-Yi & Liu, Jin-Tan, 2008. "Hospital ownership and performance: Evidence from stroke and cardiac treatment in Taiwan," Journal of Health Economics, Elsevier, vol. 27(5), pages 1208-1223, September.
    11. Berger, Elke & Winkelmann, Juliane & Eckhardt, Helene & Nimptsch, Ulrike & Panteli, Dimitra & Reichebner, Christoph & Rombey, Tanja & Busse, Reinhard, 2022. "A country-level analysis comparing hospital capacity and utilisation during the first COVID-19 wave across Europe," Health Policy, Elsevier, vol. 126(5), pages 373-381.
    12. Qi Li & Jeffrey Scott Racine, 2006. "Nonparametric Econometrics: Theory and Practice," Economics Books, Princeton University Press, edition 1, volume 1, number 8355.
    13. Robert Summers & Alan Heston, 1991. "The Penn World Table (Mark 5): An Expanded Set of International Comparisons, 1950–1988," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 106(2), pages 327-368.
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