Advertisement

Sustainable Medical Care Systems in Areas with a Declining and Ageing Population: A Consideration of the Northern Part of Kyoto Prefecture as a Case Study

  • Nao Toyoda
  • Hiroshi Yahagi
Chapter

Abstract

In regional cities, human and material resources are ageing and heading towards decline. Continuing the competition among cities with the same living spheres simply because a neighbouring municipality built a facility will bring about the exhaustion of the area. The current state of affairs at public hospitals in regional cities is perhaps a prime example of this. This chapter examines the situation so far from the perspective of community healthcare. The location of hospitals with the municipality as the unit undermines the sustainability of medical care in the secondary medical area overall, as well as the existence of local communities. This chapter lays out the necessity of hospital reorganization to get the maximum out of economies of scale and of governance functions to make use of medical resources without waste.

Bibliography

  1. Cohen, J. P., & Morrison Paul, C. (2008). Do Agglomeration and Cost Economies Exist in the Hospital Service Industry? Regional Science and Urban Economics, 38, 553.CrossRefGoogle Scholar
  2. Director General for Economic and Fiscal Management, Cabinet Office. (2017). Koritsu Byoin Keiei no Jokyo to Shokibo Koritsu Byoin no Keiei Kadai. Tokyo: Cabinet Office. [in Japanese].Google Scholar
  3. Ito, Y. (2010). Centrally Clustered Health Care: Why Agglomelation of Health Care Resources Is Effective Strategy. NIRA Research Report, 46–63, Tokyo: Nippon Institute for Research Advancement. [in Japanese].Google Scholar
  4. Kyoto Prefecture. (2017). Kyotofu Chiiki Hokatsu Care Koso (Chiiki Iryo Vision). Kyoto Prefecture. [in Japanese].Google Scholar
  5. OECD. (2004). Towards High-Performing Health Systems: Policy Studies. Paris: OECD.CrossRefGoogle Scholar
  6. OECD. (2016). OECD Health Statistics 2016 on the oecd.org website.Google Scholar
  7. Toyoda, N., Nakagawa, M., & Matsuura, K. (2017). Efficiency of Japanese Public Hospitals: The unprofitable Area and Physician Induced Demand. JCER economic journal, 74, 84–97. [in Japanese].Google Scholar
  8. Yahagi, H. (2014). Shukusho Toshi no Chosen. Tokyo: Iwanami Shoten, Publishers. [in Japanese].Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Nao Toyoda
    • 1
  • Hiroshi Yahagi
    • 2
  1. 1.Kanto Gakuin UniversityYokohamaJapan
  2. 2.Ryukoku UniversityKyotoJapan

Personalised recommendations