| Project/Area Number |
16K19284
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical and hospital managemen
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| Research Institution | National Center for Child Health and Development (2017-2018)
The University of Tokyo (2016) |
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Principal Investigator |
Shinjo Daisuke 国立研究開発法人国立成育医療研究センター, その他, 情報解析室長 (10707285)
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| Project Period (FY) |
2016-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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| Keywords | 地域医療 / 医療資源 / 医療の質の評価 / DPC / DPCデータ / 双極性障害 / 再入院 / 社会医学 / 医療・福祉 |
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| Outline of Final Research Achievements |
We have investigated the association between regional healthcare resources and procedures/outcomes using administrative inpatient database and public survey data. The results showed that healthcare resources affect prolonged length of stay (psychiatric patients), unplanned 30-day readmission (bipolar patients), and in-hospital mortality (pediatric patients who underwent brain tumor resection surgery).
These results indicated that healthcare resources affected healthcare procedures/outcomes in several kinds of diseases. Improvements in the disparity of healthcare resources or in delivery system would contribute to better outcomes.
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| Academic Significance and Societal Importance of the Research Achievements |
本研究では、地域医療資源の多い・少ないことが、患者さんへのアウトカムや診療内容にどのような影響を与えているのかを分析しました。例えば、精神科領域においては長期在院日数の患者が増加し、双極性障害患者においては退院30日以内の計画外再入院が増加します。小児脳腫瘍摘出術においては、集約化施設の方が死亡率が低く、診療内容の差があることが分かりました。これらの研究成果は、医療資源配置を見直す際のエビデンスとして役立つことが期待されます。
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