| Project/Area Number |
18H03028
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Review Section |
Basic Section 58010:Medical management and medical sociology-related
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| Research Institution | Saitama Medical University |
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Principal Investigator |
Iwase Satoru 埼玉医科大学, 医学部, 教授 (60372372)
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| Co-Investigator(Kenkyū-buntansha) |
上條 吉人 埼玉医科大学, 医学部, 教授 (90255266)
松本 佳祐 埼玉医科大学, 医学部, 助教 (50846871)
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| Project Period (FY) |
2018-04-01 – 2021-03-31
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| Project Status |
Completed (Fiscal Year 2020)
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| Budget Amount *help |
¥17,290,000 (Direct Cost: ¥13,300,000、Indirect Cost: ¥3,990,000)
Fiscal Year 2020: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2019: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2018: ¥6,890,000 (Direct Cost: ¥5,300,000、Indirect Cost: ¥1,590,000)
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| Keywords | 遠隔医療 / 高齢者救急搬送予防 / 高齢者医療費削減 / 遠隔診療 / 日常生活動作 / 緊急入院 / ADL / Telemedicine / Emergent Admission / 高齢者 / 救急搬送 / 再搬送率 / Accountable Care / Palliative Care |
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| Outline of Final Research Achievements |
In 2018, an Independent Data Monitoring Committee and Data Center were set up for this randomized controlled trial. The trial protocol was completed and the principal investigators selected a strategic information platform. In addition, an Electric Data Capture for this study was constructed. An ethical review of the protocol for this study was submitted to the Saitama Medical University Ethics Review Board. The protocol was approved by the Institutional Review Board. In 2019, enrollment of patients who meet the eligibility criteria for this study began. However, from April 2020, it was decided to suspend clinical trial registration as a countermeasure against the COVID-19. In March 2021, the target number of registrations was 100, while the number of registrations for this study was 37. Therefore, the extension of registration for this study was applied to the Institutional Review Board, and the extension of registration for this study was approved.
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| Academic Significance and Societal Importance of the Research Achievements |
本研究では急性期病院に緊急入院し、退院時に「緊急搬送のハイリスク」と判断される患者を対象とする。そして、「退院後30日の緊急入院率」をプライマリー・エンドポイントに、情報プラットホームを用いた「遠隔在宅支援システム」(Telemedicine) を導入して、その有用性を検証する。本研究の出口は、本研究で有用性が検証されたTelemedicineのガイドライン収載と緊急搬送ハイリスク患者における医療費削減のための償還制度を提言することである。
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