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Research concerning the effects of long-term care and health cost containment based on the extension of healthy life expectancy

Research Project

Project/Area Number 17K19870
Research Category

Grant-in-Aid for Challenging Research (Exploratory)

Allocation TypeMulti-year Fund
Research Field Society medicine, Nursing, and related fields
Research InstitutionKagoshima University

Principal Investigator

Makizako Hyuma  鹿児島大学, 医歯学域医学系, 教授 (70510303)

Research Collaborator SHIMADA hiroyuki  
LEE sangyoon  
DOI takehiko  
TSUTSUMIMOTO kota  
Project Period (FY) 2017-06-30 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000)
Fiscal Year 2018: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2017: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Keywords介護保険 / 健康長寿 / 老化 / 介護 / 社会保障
Outline of Final Research Achievements

Analysis of 29 months of tracking data revealed that subjects who were physically frail at the time of the baseline survey received long-term care benefits about 20 times more expensive than those received by healthy subjects. This difference was especially striking among adults 75 years and older: approximately 200,000 yen per person over the 29 months. Next, five years of tracking data was used to analyze those subjects who survived for a year or more after their first use of long-term care services, revealing a significant negative correlation between their long-term care expenses while alive, and their age when they first used such a service. Meanwhile, no such significant correlation between long-term care expenses and age of first use was observed among subjects who died within a year after their first use.

Academic Significance and Societal Importance of the Research Achievements

本研究の結果から、地域在住高齢者において、現在は要支援・要介護の認定に至らずとも、身体的フレイル(虚弱)に該当する状態では、近い将来に要介護認定の発生リスクが高く、介護給付費が必要となる可能性が高いことが示され、身体的フレイル(虚弱)の改善や予防は社会保障費の側面からも重要となることが示された。また、介護サービス利用が1年以上に及んで死亡した者では、初回の介護サービス利用開始年齢が高いほど、生涯で必要とする介護給付費が抑制できる可能性が示唆され、健康寿命を延伸することの社会保障費に対する効果についても有益な結果が示された。

Report

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

    (12 results)

All 2019 2018 2017

All Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (7 results) (of which Invited: 5 results)

  • [Journal Article] 理学療法に関するガイドラインupdate―老年症候群2019

    • Author(s)
      牧迫飛雄馬
    • Journal Title

      PTジャーナル

      Volume: 53 Pages: 71-77

    • Related Report
      2018 Annual Research Report
  • [Journal Article] サルコペニア、フレイルに対する運動療法の標準化2019

    • Author(s)
      牧迫飛雄馬
    • Journal Title

      Therapeutic Research

      Volume: 40 Pages: 21-23

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Combined effects of mild cognitive impairment and slow gait on risk of dementia2018

    • Author(s)
      Doi Takehiko、Makizako Hyuma、Tsutsumimoto Kota、Hotta Ryo、Nakakubo Sho、Makino Keitaro、Suzuki Takao、Shimada Hiroyuki
    • Journal Title

      Experimental Gerontology

      Volume: 110 Pages: 146-150

    • DOI

      10.1016/j.exger.2018.06.002

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cognitive Frailty Predicts Incident Dementia among Community-Dwelling Older People2018

    • Author(s)
      Shimada Hiroyuki、Doi Takehiko、Lee Sangyoon、Makizako Hyuma、Chen Liang-Kung、Arai Hidenori
    • Journal Title

      Journal of Clinical Medicine

      Volume: 7 Issue: 9 Pages: 250-250

    • DOI

      10.3390/jcm7090250

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Lifestyle activities and the risk of dementia in older Japanese adults.2018

    • Author(s)
      Shimada H, Makizako H, Lee S, Doi T, Lee S
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 10 Issue: 10 Pages: 1491-1496

    • DOI

      10.1111/ggi.13504

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] エビデンスに基づいた脳の診方、鍛え方.2018

    • Author(s)
      牧迫飛雄馬
    • Organizer
      第19回早期認知症学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] フレイルの包括的な理解と介入2018

    • Author(s)
      牧迫飛雄馬
    • Organizer
      第98回理学療法科学学会学術大会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 慢性疼痛の予防対策2018

    • Author(s)
      牧迫飛雄馬
    • Organizer
      第23回日本ペインリハビリテーション学会学術大会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] ロボットによる地域支援~理学療法士からの視点~2018

    • Author(s)
      牧迫飛雄馬
    • Organizer
      第55回日本リハビリテーション医学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 認知症に対する理学療法2018

    • Author(s)
      牧迫飛雄馬
    • Organizer
      第53回日本理学療法学術大会研修大会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 身体的フレイルが将来の介護給付額に及ぼす影響2017

    • Author(s)
      牧迫飛雄馬, 島田裕之, 土井剛彦, 堤本広大, 堀田亮, 中窪翔, 牧野圭太郎, 李相侖, 李成喆, 鈴木隆雄.
    • Organizer
      第59回日本老年医学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 身体的フレイル高齢者における身体活動量と要介護の新規発生2017

    • Author(s)
      牧迫飛雄馬, 島田裕之, 土井剛彦, 堤本広大, 堀田亮, 中窪翔, 牧野圭太郎, 裵成琉, 鄭松伊, 今岡真和.
    • Organizer
      第59回日本老年医学会学術集会
    • Related Report
      2017 Research-status Report

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Published: 2017-07-21   Modified: 2020-03-30  

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