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Analyses of Medical Checkup Data and Possibility of Controlling Medical Expenses

Research Project

Project/Area Number 17H02509
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Economic statistics
Research InstitutionThe University of Tokyo

Principal Investigator

Nawata Kazumitsu  東京大学, 大学院工学系研究科(工学部), 教授 (00218067)

Co-Investigator(Kenkyū-buntansha) 中村 良太  一橋大学, 社会科学高等研究院, 准教授 (00717209)
関沢 洋一  独立行政法人経済産業研究所, 研究グループ, 上席研究員 (60444098)
松本 章邦  東京大学, 大学院工学系研究科(工学部), 助教 (80579714)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥8,580,000 (Direct Cost: ¥6,600,000、Indirect Cost: ¥1,980,000)
Fiscal Year 2019: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2018: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2017: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Keywords医療データの分析 / 健康診断データ / 医療資源の有効利用 / レセプトデータ / 生活習慣病 / 糖尿病 / 高血圧症 / 医療データの統計分析 / 経済統計学 / 計量経済学 / 医療データ / 大規模個票データ / 医療経済学分析
Outline of Final Research Achievements

In this study, we evaluated medical payments combining the data of medical checkups and receipts, and we could get important results. We forced on analyzed the lifestyle-related diseases. Among these diseases, we analyzed diabetes and hypertension. The factors that led to a person having diabetes to reduce its prevalence were analyzed. The diabetes might be a costlier disease than previously thought in Japan. However, overall prevalence could be recused by efforts such as prevention of overweight and obesity.
Next, we evaluated about the problems of high blood pressure, i.e. hypertension. The American College of Cardiology (ACC), American Heart Association (AHA) and other organizations announced a new hypertension guideline in November 2017. It is necessary to evaluate the effects of hypertension. The results of this study did not support the new 2017 ACC/AHA Guideline. It is necessary to choose proper drugs and methods to reduce the risks of side effects.

Academic Significance and Societal Importance of the Research Achievements

本研究では、健康保険組合から提供された健康診断とレセプトを統合したビッグデータを分析することにより、総合的に生活習慣病の予防など医療資源の効率的利用や持続可能な医療保険に関する分析を行い、重要な成果を得た。健康保険組合等が保有するデータの情報の有効利用は、国民の健康状況の改善、医療資源の有効利用に繋がるが、これまでほとんど利用されておらず、これらのデータを用いて生活習慣病等の改善評価に提言を行った。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (29 results)

All 2020 2019 2018 2017 Other

All Journal Article (23 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 20 results,  Open Access: 17 results) Presentation (5 results) (of which Int'l Joint Research: 1 results,  Invited: 2 results) Remarks (1 results)

  • [Journal Article] Reforms for financial protection schemes towards universal health coverage, Senegal2020

    • Author(s)
      Daff, M., S. Diouf, E.S.M. Diop, Y. Mano, R. Nakamura, M.M. Sy, M. Tobe, S. Togawa, and M. Ngom
    • Journal Title

      Bulletin of the World Health Organization

      Volume: 98 Issue: 2 Pages: 100-108

    • DOI

      10.2471/blt.19.239665

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Effects of a sugar-sweetened beverage tax on prices and affordability of soft drinks in Chile: A time series analysis2020

    • Author(s)
      Cristobal Cuadradoa, Jocelyn Dunstana, Nicolas Silva-Illanesa, Andrew J. Mirelmanb,
    • Journal Title

      Social Science & Medicine

      Volume: 245 Pages: 1-1

    • DOI

      10.1016/j.socscimed.2019.112708

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Prevention of non-communicable disease: best buys, wasted buys, and contestable buys2020

    • Author(s)
      Wanrudee Isaranuwatchai,Yot Teerawattananon, Nakamura Ryota
    • Journal Title

      The BMJ

      Volume: 368-m141 Pages: 1-1

    • DOI

      10.1136/bmj.m141

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] An Exploration and Confirmation of the Factors Influencing Adoption of IoT-Based Wearable Fitness Trackers,2019

    • Author(s)
      Kao Y.S., Nawata, K., C. Y. Huang,
    • Journal Title

      International Journal of Environmental Research and Public Health

      Volume: 16(18) Issue: 18 Pages: 3227-3227

    • DOI

      10.3390/ijerph16183227

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Systemic Functions Evaluation based Technological Innovation System for the Sustainability of IoT in the Manufacturing Industry,2019

    • Author(s)
      Kao Y.S., Nawata, K., C. Y. Huang
    • Journal Title

      Sustainability,

      Volume: 11 Issue: 8 Pages: 2342-2342

    • DOI

      10.3390/su11082342

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] An analysis of the effects of blood pressure and antihypertensive drugs on heart disease,2019

    • Author(s)
      Nawata, K., Sugano, H., and Kimura, M.
    • Journal Title

      Health

      Volume: 11 Issue: 06 Pages: 792-816

    • DOI

      10.4236/health.2019.116064

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ad-TSNE Visualizing High Dimensional Data Based On Adversarial Neural Networks2019

    • Author(s)
      He H., K. Nawata
    • Journal Title

      International Core Journal of Engineering

      Volume: 5-3 Pages: 42-51

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Probabilistic Regression and Missing Values Compensation for P2P Lending2019

    • Author(s)
      He H., K. Nawata
    • Journal Title

      Advances in Economics, Business and Management Research

      Volume: 91 Pages: 571-575

    • DOI

      10.2991/edmi-19.2019.96

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluating the Performance of Systemic Innovation Problems of the IoT in Manufacturing Industries by Novel MCDM Methods,2019

    • Author(s)
      Kao Y.S., Nawata, K., C. Y. Huang
    • Journal Title

      Sustainability

      Volume: 11(18) Issue: 18 Pages: 4970-4970

    • DOI

      10.3390/su11184970

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Landscape analysis of health technology assessment (HTA): systems and practices in Asia.2019

    • Author(s)
      Teerawattananon Y, Rattanavipapong W, Lin LW, Dabak SV, Gibbons B, Isaranuwatchai W, Toh KY, Cher BP, Pearce F, Bayani DBS, Nakamura R, Pwu RF, Shafie AA, Adhikari D, Prinja S, Babidge W
    • Journal Title

      International Journal of Technology Assessment in Health Care

      Volume: 35(6) Issue: 6 Pages: 416-421

    • DOI

      10.1017/s0266462319000667

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The educational gap in tar and nicotine content in purchases of cigarettes: An observational study using large-scale representative survey data from Japan2019

    • Author(s)
      Ying Yao, Ryota Nakamura, Nazmi Sari
    • Journal Title

      Preventive Medicine

      Volume: 129 Pages: 105828-105828

    • DOI

      10.1016/j.ypmed.2019.105828

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Power transformation tobit model による健康診断・レセプトデータを使った医療費と生活習慣病の関連の分析2019

    • Author(s)
      縄田 和満, 森野 雄貴, 木村 もりよ
    • Journal Title

      RIETI Discussion Paper Series

      Volume: 19-J-025 Pages: 1-1

    • Related Report
      2019 Annual Research Report
    • Open Access
  • [Journal Article] 健康診断・レセプトデータを用いた血圧と医療費の関連に関する分析2019

    • Author(s)
      縄田 和満, 松本章邦, 木村 もりよ
    • Journal Title

      RIETI Discussion Paper Series

      Volume: 19-J-031 Pages: 1-1

    • Related Report
      2019 Annual Research Report
    • Open Access
  • [Journal Article] Evaluation of Blood Pressure Control Medicines Using Health and Medical Checkup Data in Japan: Alternative Methods for Randomized Controlled Trials2018

    • Author(s)
      Nawata Kazumitsu、Sekizawa Yoichi、Kimura Moriyo
    • Journal Title

      Health

      Volume: 10 Issue: 05 Pages: 587-603

    • DOI

      10.4236/health.2018.105047

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Multi-step prediction for influenza outbreak by an adjusted long short-term memory2018

    • Author(s)
      Zhang J.、Nawata K.
    • Journal Title

      Epidemiology and Infection

      Volume: 146 Issue: 7 Pages: 809-816

    • DOI

      10.1017/s0950268818000705

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Does High Systolic Blood Pressure Truly Increase Medical Expenditure??An Empirical Analysis of the New 2017 ACC/AHA Hypertension Guideline2018

    • Author(s)
      Nawata Kazumitsu、Kimura Moriyo
    • Journal Title

      Health

      Volume: 10 Issue: 08 Pages: 1044-1065

    • DOI

      10.4236/health.2018.108079

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Empirical Studies of Effects of High Blood Pressure on Medical Costs and Heart Disease: Is the 2017 ACC/AHA Guideline Supported by Enough Evidence?2018

    • Author(s)
      Nawata Kazumitsu、Kimura Moriyo
    • Journal Title

      Health

      Volume: 10 Issue: 11 Pages: 1498-1519

    • DOI

      10.4236/health.2018.1011115

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of the distribution of and factors affecting blood pressure using medical checkup data in Japan2017

    • Author(s)
      Nawata, K., A. Matsumoto, K. Kajihara and M. Kimura
    • Journal Title

      Health

      Volume: 9 Issue: 01 Pages: 124-137

    • DOI

      10.4236/health.2017.91009

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reliability of blood pressure measurements: An analysis of the white coat effect and its fluctuations2017

    • Author(s)
      Nawata, K. and M. Kimura
    • Journal Title

      Health

      Volume: 9 Issue: 03 Pages: 506-519

    • DOI

      10.4236/health.2017.93036

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] An analysis of the medical costs of and factors affecting diabetes using the medical checkup and payment dataset in Japan: Can we reduce the prevalence of diabetes?2017

    • Author(s)
      Nawata, K. and M. Kimura
    • Journal Title

      Health

      Volume: 9 Issue: 08 Pages: 1113-1127

    • DOI

      10.4236/health.2017.98081

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evaluation of medical costs of kidney diseases and risk factors in Japan,” 20172017

    • Author(s)
      Nawata, K. and M. Kimura
    • Journal Title

      Health

      Volume: 9 Issue: 13 Pages: 1734-1749

    • DOI

      10.4236/health.2017.913127

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A triple test for behavioral economics models and public health policy2017

    • Author(s)
      Nakamura, R., Suhrcke M. and Zizzo D.
    • Journal Title

      Theory and Decision

      Volume: 83 Issue: 4 Pages: 513-533

    • DOI

      10.1007/s11238-017-9625-9

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 医療資源配分における健康機会費用アプローチ2017

    • Author(s)
      中村良太
    • Journal Title

      医療経済研究

      Volume: 29 Pages: 18-32

    • NAID

      40021386724

    • Related Report
      2017 Annual Research Report
  • [Presentation] 健康診断・レセプトデータを用いた血圧と医療費の関連に関する分析2019

    • Author(s)
      縄田和満、松本章邦、木村もりよ
    • Organizer
      一般社団法人日本経済学会 2019年度秋季大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] An analysis of the blood pressure and hypertension using the dataset of medical checkups2017

    • Author(s)
      縄田和満
    • Organizer
      日本経済学学会秋季大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] エビデンスに基づく医療(EBM)について2017

    • Author(s)
      関沢洋一
    • Organizer
      (独)経済産業研究所山口一男プロジェクト
    • Related Report
      2017 Annual Research Report
  • [Presentation] Japan’s experience in monitoring and evaluating health benefit package implementation2017

    • Author(s)
      Nakamura R.
    • Organizer
      HTAsiaLink Annual Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 費用対効果に拠る医療資源配分、価値に基づく価格付け2017

    • Author(s)
      中村良太
    • Organizer
      医療経済学会大会シンポジウム
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Remarks] RIETI 独立行政法人経済産業研究所

    • URL

      https://www.rieti.go.jp/users/nawata-kazumitsu/

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2021-02-19  

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