Policy preferences for medical access in Japan’s remote aging municipalities: Insights from a randomized conjoint experiment

Matsumoto Azusa

Oku Kenji

Nakagawa Mariko

Saito Hisamitsu

Khan Ghulam Dastgir

Kawata Keisuke

Oki Ichiro

Atsumi Tatsuya

Yoshida Yuichiro

Social Science Japan Journal

Improved means of transportation play a vital role in accessing medical services, particularly in remote and ageing municipalities. In this study, we identify crucial attributes for improving access to medical services in the Shinhidaka and Urakawa municipalities in Japan. Using a randomised conjoint field experiment, we identify individuals’ preferences regarding the time and means of transportation to hospitals that can provide high-level medical services, along with additional tax payments to support these services. We find, inter alia, that respondents have the highest preference for reducing emergency ambulance transportation time to high-function hospitals. We also estimate the minimum average willingness to pay for these services; respondents are willing to pay at least JPY 60,000 (approximately USD 500) additional tax per year to the municipal government if the emergency transportation time to high-function hospitals is reduced. The findings of this study provide valuable insights into addressing the challenges of improving access to medical services in remote areas with an ageing population.

Hokkaido

medical services

transportation

conjoint experiment

ageing

英語

Oxford

This is a pre-copyedited, author-produced version of an article accepted for publication in Social Science Japan Journal following peer review. The version of record Azusa Matsumoto, Kenji Oku, Mariko Nakagawa, Hisamitsu Saito, Ghulam Dastgir Khan, Keisuke Kawata, Ichiro Oki, Tatsuya Atsumi, Yuichiro Yoshida, Policy preferences for medical access in Japan’s remote aging municipalities: Insights from a randomized conjoint experiment, Social Science Japan Journal, 2024;, jyae022 is available online at: https://doi.org/10.1093/ssjj/jyae022.

This is not the published version. Please cite only the published version.

この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。

[DOI] https://doi.org/10.1093/ssjj/jyae022 ～の異版である

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