| Budget Amount *help |
¥15,860,000 (Direct Cost: ¥12,200,000、Indirect Cost: ¥3,660,000)
Fiscal Year 2020: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2019: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2018: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
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| Outline of Final Research Achievements |
We conducted the following two research projects. Since Kaigo DB became available during the research period, I restructured the projects, and revised ones are underway.
[Issue 1] We analyzed the impacts of vertical integration (VI) of care managers (CMs) and service providers on the costs and outcomes of long-term care (LTC) services using individual-level claims data and ownership information. We found that VI CMs are more likely to create care plans that include services provided by co-owned providers.
[Issue 2] Using Kaigo DB, we examined the impact of additional preventive LTC services on LTC expenditure and health outcomes. Preventive services significantly increased at the threshold between AR1 and AR2 care levels, but we found no significant difference in care outcomes in terms of care minutes in the following year.
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