| Project/Area Number |
01570312
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| Research Category |
Grant-in-Aid for General Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Research Field |
公衆衛生学
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| Research Institution | Osaka University |
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Principal Investigator |
TATARA Kozo Osaka University, Department of Public, Professor, 医学部, 教授 (20107022)
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| Co-Investigator(Kenkyū-buntansha) |
NAKANISHI Noriyuki Osaka University, Department of Public, Lecturer, 医学部, 助手 (90207829)
SHINSHO Fumiaki Osaka University, Department of Public, Lecturer, 医学部, 助手 (30154389)
KURODA Kenji Osaka University, Department of Public, Senior Lecturer, 医学部, 講師 (70144491)
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| Project Period (FY) |
1989 – 1990
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| Project Status |
Completed (Fiscal Year 1990)
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| Budget Amount *help |
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1990: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1989: ¥1,100,000 (Direct Cost: ¥1,100,000)
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| Keywords | Health services for the elderly / Rate of use of general health check-ups / National Health Insurance / Hospital care for the elderly / Bed-days per insured elderly / In-patient fee per insured elderly / Number of public health nurses |
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| Research Abstract |
Objective--The Health Services for the Elderly Act in Japan provides for general health check-ups. We looked for a correlation between the use of these check-ups by adults (40 or older) and demand for in-patient care of the elderly (70 or older).
Design and setting--For this survey, a questionnaires was mailed in 1988 to all 509 Japanese cities with a population of 30,000-199,999. They were all returned with data for 1983 and 1986.
Measurements--We calculated correlation coefficients between the logarithmic rates of use of general health check-ups and logarithmic mean bed-days by size of cities and certain categories of number of beds per population. To compare relative changes rather than absolute ones, we analyzed correlation between improvement indices (ratio of change from 1983 to 1986 times the percentage of achievement of a goal or national mean.)
Main results--In cities with relatively high rates of use of health check-ups, both the mean bed-days and the mean in-patient fee tended to be low. Correlation coefficients between the logarithmic rates of use of check-ups and logarithmic mean bed-days were all minus values by sizes of cities and certain categories of number of beds. There tended to be more correlation for higher rates of use in 1983 of these check-ups, and the correlation was significant for the rate of 60% or more.
Conclusions--Strong health-service programs for starting in middle age decrease the demand for in-patient care of the elderly. In a single year, an increase in the rate of use from 25.5% to 27.6% was calculated to have saved 2.26 million bed-days for the total of 8.5 million of elderly persons.
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