患者の魅力度評価による診療所最適配置の研究

抄録

This research delves into the contemporary challenges of the aging population and escalating healthcare costs, with a specific focus on the critical issue of elderly healthcare expenses. In the aftermath of the COVID-19 pandemic and amidst complex influences such as rising prices, healthcare reforms, and the promotion of primary care systems, clinics face an increased risk of bankruptcy. The paper centers on developing new strategies for clinic administrators amid the demanding conditions brought about by the 2024 medical fee revision. The primary emphasis is on optimizing clinic placement for sustained growth and survival. Recognizing the urgency of addressing diverse regional healthcare needs efficiently, the study considers the impact of perceived "attractiveness" from the patient's perspective on clinic success. The research aims to understand patients' decision -making processes in selecting healthcare institutions through real-world surveys and evaluates optimal clinic placement using attractiv eness assessments.The methodology involves dividing the analysis area into 500 -meter meshes, and synthesizing resident and household information from aggregated population data. Patient estimates for specific conditions are calculatedutilizingprescriptiondataatmunicipalandmesh levels.Aquestionnairesurvey,employingthe Analytic Hierarchy Process (AHP), explores patients' preferences for healthcare institutions. Distances from existing competitor medical facilities and a hypothetical clinic are calculated, incorpora ting AHP- derived attractiveness into the Huff model. Ultimately, the Huff model is expected to identify optimal locations for new clinic openings, providing valuable support for physicians in enhancing clinic management and sustaining operations amidst the dynamic healthcare landscape.