Show simple item record

dc.contributor.authorSakai, Rie
dc.contributor.authorGünther Fink
dc.contributor.authorKumamaru, Hiraku
dc.contributor.authorKawachi, Ichiro
dc.date.accessioned2019-08-29T04:59:28Z
dc.date.issued2016
dc.identifier.citationSakai, Rie, Günther Fink, Hiraku Kumamaru, and Ichiro Kawachi. 2015. “The Impact of Pediatrician Supply on Child Health Outcomes: Longitudinal Evidence from Japan.” Health Services Research 51 (2): 530–49. https://doi.org/10.1111/1475-6773.12354.
dc.identifier.issn0017-9124
dc.identifier.issn1475-6773
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:41275579*
dc.description.abstractObjective: To investigate the effect of pediatrician supply on under-5 mortality over the period 2000-2010. Data Sources: Multiple publicly available data sources were used. Study Design: Japan's 366 Secondary Tier of Medical Care Units (STMCU) were used as study units. To evaluate the association between under-5 mortality and pediatrician supply, we explored time and area fixed-effects Poisson regression model. The following factors were introduced into the models as time-varying controls: (1) number of physicians other than pediatricians per total population except for under-5-year-old population, and (2) income per total population by year and STMCU. Extensive sensitivity analyses were conducted to assess robustness of results. Principal Findings: Pediatrician density was inversely associated with under-5 mortality. We estimated that a unit increase in pediatrician density was associated with a 7 percent (95 percent CI: 2-12 percent) reduction in the child mortality rate after adjustment for all other variables. The results were consistent and robust across all specifications tested. Conclusions The results suggest that increasing human health resources can have positive effects on child health, even in settings where child mortality of less than 5 per 1,000 has been achieved.
dc.language.isoen_US
dc.publisher
dash.licenseMETA_ONLY
dc.titleThe Impact of Pediatrician Supply on Child Health Outcomes: Longitudinal Evidence from Japan
dc.typeJournal Article
dc.description.versionVersion of Record
dc.relation.journalHealth Services Research
dash.depositing.authorKawachi, Ichiro::3b17e788dad605ac69e3dd457b6c41ac::600
dc.date.available2019-08-29T04:59:28Z
dash.workflow.comments1Science Serial ID 40485
dc.identifier.doi10.1111/1475-6773.12354
dash.source.volume51;2
dash.source.page530


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record