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A Proposal for Effective Use and Reduction of Medical and Long-Term Care Expenditures: Big Data Analysis of Claims Data for Those Who Had Hip Fracture

Research Project

Project/Area Number 17K08899
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionUniversity of Tsukuba

Principal Investigator

Mori Takahiro  筑波大学, 医学医療系, 准教授 (50384780)

Co-Investigator(Kenkyū-buntansha) 田宮 菜奈子  筑波大学, 医学医療系, 教授 (20236748)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords費用対効果分析 / 医療介護レセプト研究 / 医療経済学 / 骨粗鬆症 / 骨折予防 / 医療経済研究 / 大腿骨骨折 / 医療費 / 介護費 / レセプトデータ研究 / レセプトデータ
Outline of Final Research Achievements

As the 2017 project, we conducted research using the medical and long-term care claims data and estimated the medical and annual long-term care expenditures after hip fracture in Japan were US$29,500 and US$15,500, respectively. Using these results, we performed cost-effectiveness analyses regarding 4 types of fracture prevention interventions in Japan as the 2018-19 project. Furthermore, we conducted international joint research about cost-effectiveness analyses regarding fracture prevention in the United States and in China.

Academic Significance and Societal Importance of the Research Achievements

我が国における超高齢化社会において年間の医療・介護給付費の合計は50億円を超え大きな社会問題となっており、医療経済研究は更に重要性を増している。平成29年度事業の研究結果を元に施行した平成30-31年度の我が国における骨折予防に関する費用対効果分析の研究は、“医療、介護給付費の有効利用、削減方法を社会に提言”という本研究事業の主目的に合致する。更に骨折予防の費用対効果分析は我が国に留まらず世界的に重要なテーマであり、当初の研究計画を発展させ2件の国際共同研究(アメリカを舞台とした解析と中国を舞台とした解析)を施行したことは、学術的・社会的意義が大きい。

Report

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

    (14 results)

All 2020 2019 2018 Other

All Int'l Joint Research (4 results) Journal Article (3 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (4 results) Remarks (3 results)

  • [Int'l Joint Research] UCLA(米国)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Tongji Medical College(中国)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Monash University(マレーシア)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] National University of Singapore(シンガポール)

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Cost-effectiveness of zoledronic acid versus oral alendronate for postmenopausal osteoporotic women in China2020

    • Author(s)
      Ruxu You, Yu Zhang, David Bin-Chia Wu, Jinyu Liu, Xinyu Qian, Nan Luo and Takahiro Mori
    • Journal Title

      Frontier in Pharmacology

      Volume: 11 Pages: 456-456

    • DOI

      10.3389/fphar.2020.00456

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Sequential Teriparatide/Alendronate versus Alendronate-only Strategies in High-risk Osteoporotic Women in the US: Analyzing the Impact of Generic or Biosimilar Teriparatide2019

    • Author(s)
      Mori T, Crandall C.J., and Ganz A.D
    • Journal Title

      JBMR Plus

      Volume: 3(11) Issue: 11

    • DOI

      10.1002/jbm4.10233

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Estimated expenditures for hip fractures using merged healthcare insurance data for individuals aged ≧75 years and long-term care insurance claims data in Japan2018

    • Author(s)
      Takahiro Mori, Nanako Tamiya, Xueying Jin, Boyoung Jeon, Satoru Yoshie, Katsuya Iijima, Tatsuro Ishizaki
    • Journal Title

      Archives of Osteoporosis

      Volume: 13:37 Issue: 1

    • DOI

      10.1007/s11657-018-0448-2

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Cost-effectiveness of sequential daily teriparatide/alendronate compared with alendronate alone for older osteoporotic women with prior vertebral fracture in Japan2019

    • Author(s)
      森 隆浩
    • Organizer
      医療経済学会第14回研究大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Cost-effectiveness of alendronate for 10 years compared with 5 years in Japan,2019

    • Author(s)
      森 隆浩
    • Organizer
      第78回日本公衆衛生学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 椎体骨折の既往のある骨折ハイリスク群の高齢女性を対象とした、テリパラチドに関する費用対効果分析2018

    • Author(s)
      森 隆浩
    • Organizer
      日本骨粗鬆症学会
    • Related Report
      2018 Research-status Report
  • [Presentation] Cost-effectiveness of intravenous zoledronic acid compared with oral alendronate for elderly osteoporotic women in Japan2018

    • Author(s)
      森 隆浩
    • Organizer
      日本プライマリ・ケア連合学会学術大会
    • Related Report
      2018 Research-status Report
  • [Remarks] 筑波大学医学医療系ヘルスサービスリサーチ分野

    • URL

      http://www.md.tsukuba.ac.jp/hsr/

    • Related Report
      2019 Annual Research Report
  • [Remarks]

    • URL

      https://hsr-d-c-tsukuba.net

    • Related Report
      2018 Research-status Report
  • [Remarks] 筑波大学医学医療系ヘルスサービスリサーチ分野

    • URL

      http://www.md.tsukuba.ac.jp/hsr/#research

    • Related Report
      2017 Research-status Report

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

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