Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/77825
Authors: 
Shen, Junyi
Fukui, On
Hashimoto, Hiroyuki
Nakashima, Takako
Kimura, Tadashi
Year of Publication: 
2012
Citation: 
[Journal:] Health Economics Review [ISSN:] 2191-1991 [Publisher:] Springer [Place:] Heidelberg [Volume:] 2 [Year:] 2012 [Issue:] 2 [Pages:] 1-10
Abstract: 
In April 2008, the specialization in departments of obstetrics and gynecology was conducted in Sennan area of Osaka prefecture in Japan, which aims at solving the problems of regional provision of obstetrical service. Under this specialization, the departments of obstetrics and gynecology in two city hospitals were combined as one medical center, whilst one hospital is in charge of the department of gynecology and the other one operates the department of obstetrics. In this paper, we implement a cost-benefit analysis to evaluate the validity of this specialization. The benefit-cost ratio is estimated at 1.367 under a basic scenario, indicating that the specialization can generate a net benefit. In addition, with a consideration of different kinds of uncertainty in the future, a number of sensitivity analyses are conducted. The results of these sensitivity analyses suggest that the specialization is valid in the sense that all the estimated benefit-cost ratios are above 1.0 in any case.
Subjects: 
cost-benefit analysis
specialization
departments of obstetrics and gynecology
sensitivity analysis
benefit- cost ratio
Persistent Identifier of the first edition: 
Creative Commons License: 
http://creativecommons.org/licenses/by/2.0/
Document Type: 
Article

Files in This Item:
File
Size
427.64 kB





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.