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Development of IT infrastructure for active disease surveillance

Research Project

Project/Area Number 19390181
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionNational Institute of Public Health

Principal Investigator

OKAMOTO Etsuji  国立保健医療科学院, 経営科学部・経営管理室, 室長 (90247974)

Co-Investigator(Kenkyū-buntansha) TACHIBANA Tomoko  国立保健医療科学院, 研究情報センター情報デザイン, 室長 (40221387)
TANAKA Hiroshi  東京医科歯科大学, 教授 (60155158)
TANIHARA Shinichi  福岡大学, 医学部, 准教授 (40285771)
Project Period (FY) 2007 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥18,720,000 (Direct Cost: ¥14,400,000、Indirect Cost: ¥4,320,000)
Fiscal Year 2010: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2009: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2008: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2007: ¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Keywords積極的サーベイランス / レセプトナショナルデータベース / 新型インフルエンザ / オントロジー / ファーマコビジランス / 疾病サーベイランス / 健康危機管理 / レセプト / 感染症 / がん登録 / インフルエンザ / 感梁症
Research Abstract

Accurate and prompt surveillance and/or monitoring of the number of patients diagnosed with target diseases are indispensable for any public health activities. A variety of surveillance/monitoring are instituted by law, for example, the sentinel surveillance for infectious disease pursuant to the Infectious Diseases Control Act, mandatory reporting of food poisoning pursuant to the Food Safety Act, spontaneous reporting of drug adverse events pursuant to the Pharmaceutical Affairs Act and regional cancer registry as a voluntary reporting. Unfortunately, however, these surveillance/monitoring may not be exhaustive and prompt because not all doctors/providers report what they are required to do particularly in the absence of penalty. Rather than waiting passively for voluntary reporting, the possibility of active surveillance on the administrative data such as the national claims database(NDB) was investigated through this project. The NDB may be exhaustive give the universal coverage of … More Japan's health insurance system, but there may be technical difficulties when one tries to use the claims data for disease surveillance/monitoring. 1) Claims tend to include numerous diagnoses, some of which are rule-out diagnoses to justify the clinical services rendered. Also, the rate of such rule-out diagnoses vary from diagnostic categories to diagnostic categories. Once must take into consideration the inter-category variance of such rule-out diagnoses when estimating the real incidence. 2) To make accurate estimates of diagnosed patients, it is better to combine not only diagnoses but also pharmaceutical data and clinical procedures, the"Claims ontology" combining multiple dimensions of data included in claims. And, 3) statistical and geographical method to determine the onset of epidemic of acute infections like influenza using daily data in a small geographical area such as cities, towns and villages. The newly created NDB contained claims since April 2009, an ideal timing to evaluate the novel(swine) influenza epidemic starting from Kansai area. Unfortunately, NDB was not available for research use due to privacy restrictions and an alternative surveillance system using pharmaceutical claims data of Kumamoto prefecture was developed with. Less

Report

(6 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report   Self-evaluation Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (57 results)

All 2011 2010 2009 2008 2007 Other

All Journal Article (31 results) (of which Peer Reviewed: 4 results) Presentation (19 results) Book (2 results) Remarks (5 results)

  • [Journal Article] Age-specific incidence/fatality of novel influenza during the 2009 epidemic in Japan2011

    • Author(s)
      Okamoto E.
    • Journal Title

      Health Science & Health Care

      Volume: 11(2) Pages: 15-24

    • Related Report
      2010 Final Research Report
  • [Journal Article] 診療報酬明細書における性感染症の記載状況に関する検討2011

    • Author(s)
      谷原真一,岡本悦司,今任拓也,百瀬義人,宮崎元伸,畝博
    • Journal Title

      厚生の指標

      Volume: 58(6) Pages: 21-26

    • NAID

      40018881974

    • Related Report
      2010 Final Research Report
  • [Journal Article] Declining Accuracy in disease classification on health insurance claims : Should we reconsider classification by principal diagnoses?2010

    • Author(s)
      Okamoto E.
    • Journal Title

      J of Epidemiology

      Volume: 20(2) Pages: 166-175

    • Related Report
      2010 Final Research Report
  • [Journal Article] Is oseltamivir(Tamiflu) safe. Reexamining the Tamiflu 'ado' from Japan2010

    • Author(s)
      Okamoto E.
    • Journal Title

      Expert Review of Pharmacoeconomics & Outcome Research

      Volume: 10(1) Pages: 17-24

    • Related Report
      2010 Final Research Report
  • [Journal Article] A statistical analysis of 'rule-out' diagnoses in outpatient health insurance claims in Japan2010

    • Author(s)
      Tanihara S, Okamoto E, Une H.
    • Journal Title

      J of Evaluation of Clinical Practice

    • Related Report
      2010 Final Research Report
  • [Journal Article] Evaluating measles surveillance : comparison of sentinel surveillance, mandatory notification, and data from health insurance claims2010

    • Author(s)
      Tanihara S, Okamoto E, Imatoh T, Momose Y, Kaetsu A, Miyazaki M, Une H.
    • Journal Title

      Epidemiology and Infection

    • Related Report
      2010 Final Research Report
  • [Journal Article] 地域社会におけるヘルスケアシステムの平時・発災時・復興期モデルの検討2010

    • Author(s)
      橘とも子,鈴木晃,奥田博子,曽根智史
    • Journal Title

      保健医療科学

      Volume: 59(2) Pages: 125-138

    • Related Report
      2010 Final Research Report
  • [Journal Article] Is oseltamivir (Tamiflu) safe? : Reexamining the Tamiflu 'ado' from Japan2010

    • Author(s)
      岡本悦司
    • Journal Title

      Expert Review of Pharmacoeconomics & Outcome Research 10

      Pages: 17-24

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] Declining accuracy in disease classification of health insurance claims2010

    • Author(s)
      岡本悦司
    • Journal Title

      Journal of Epidemiology 20

      Pages: 166-175

    • Related Report
      2009 Annual Research Report 2009 Self-evaluation Report
  • [Journal Article] Is oseltamivir(Tamiflu)safe? : Reexamining the Tamiflu 'ado' from Japan2010

    • Author(s)
      岡本悦司
    • Journal Title

      Expert Review of Pharmacoeconomics & Outcome Research 10

      Pages: 17-24

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 米国における医療情報の研究利用ルール2009

    • Author(s)
      岡本悦司
    • Journal Title

      健康開発

      Volume: 13 Pages: 42-49

    • Related Report
      2010 Final Research Report
  • [Journal Article] 傷病統計と国民医療費推計に関する考察2009

    • Author(s)
      岡本悦司
    • Journal Title

      社会保険旬報

      Volume: 2376 Pages: 10-15

    • Related Report
      2010 Final Research Report
  • [Journal Article] 新型インフルエンザ(ブタ由来インフンザA/H1N1)の流行に関する情報のWeb配信. H-CRISISの役割に関する考察2009

    • Author(s)
      橘とも子,泉峰子,緒方裕光
    • Journal Title

      保健医療科学

      Volume: 58(3) Pages: 207-214

    • Related Report
      2010 Final Research Report
  • [Journal Article] レセプト情報によるインフルエンザ罹患直後の外傷発生状況第3報2009

    • Author(s)
      岡本悦司
    • Journal Title

      薬剤疫学 14

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] レセプト情報によるインフルエンザ罹患直後の外傷発生状況―オセルタミビル(タミフル)の安全性評価の試み2009

    • Author(s)
      岡本悦司
    • Journal Title

      薬剤疫学 14

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 米国における医療情報の研究利用ルール2009

    • Author(s)
      岡本悦司
    • Journal Title

      健康開発 13

      Pages: 42-49

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 診療報酬明細書における主傷病のみの統計情報の妥当性の検証2008

    • Author(s)
      谷原真一,山縣然太朗,畝博
    • Journal Title

      日本衛生学雑誌

      Volume: 63(1) Pages: 29-35

    • NAID

      10024477195

    • Related Report
      2010 Final Research Report
  • [Journal Article] レセプトナショナルデータベースと研究利用の可能性2008

    • Author(s)
      岡本悦司
    • Journal Title

      公衆衛生

      Volume: 72 Pages: 230-235

    • Related Report
      2010 Final Research Report
  • [Journal Article] レセプトナショナルデータベースと研究利用の可能性2008

    • Author(s)
      岡本悦司
    • Journal Title

      公衆衛生 72

      Pages: 230-235

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] 米国における医療情報の研究利用ルール2008

    • Author(s)
      岡本悦司
    • Journal Title

      健康開発 13(2)

      Pages: 42-49

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] 傷病統計と国民医療費推計に関する考察2008

    • Author(s)
      岡本悦司
    • Journal Title

      社会保険旬報 2376号

      Pages: 10-15

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] レセプト情報によるインフルエンザ罹患直後の外傷発生状況第2報2008

    • Author(s)
      岡本悦司
    • Journal Title

      薬剤疫学 13

    • Related Report
      2009 Self-evaluation Report 2008 Annual Research Report
  • [Journal Article] レセプトナショナルデータベースと研究利用の可能性2008

    • Author(s)
      岡本 悦司
    • Journal Title

      公衆衛生 72

      Pages: 230-235

    • Related Report
      2007 Annual Research Report
  • [Journal Article] レセプトオンライン化はいかに決定されたか?2007

    • Author(s)
      岡本悦司
    • Journal Title

      ヘルスサイエンス・ヘルスケア

      Volume: 7 Pages: 10-22

    • Related Report
      2010 Final Research Report
  • [Journal Article] 新しいエイズ対策に何を期待するか2007

    • Author(s)
      橘とも子
    • Journal Title

      保健医療科学

      Volume: 56(4) Pages: 177-177

    • Related Report
      2010 Final Research Report
  • [Journal Article] HIV感染予防対策とヘルスプロモーション2007

    • Author(s)
      橘とも子,西塚至
    • Journal Title

      保健医療科学

      Volume: 56(4) Pages: 210-223

    • Related Report
      2010 Final Research Report
  • [Journal Article] レセプトオンライン化はいかに決定されたか?2007

    • Author(s)
      岡本悦司
    • Journal Title

      ヘルスサイエンス・ヘルスケア 7

      Pages: 10-22

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] レセプト清報によるインフルエンザ罹患直後の外傷発生状況2007

    • Author(s)
      岡本悦司, 瀬戸口聡子
    • Journal Title

      薬剤疫学 12

    • Related Report
      2009 Self-evaluation Report
  • [Journal Article] レセプトオンライン化はいかに決定されたか?2007

    • Author(s)
      岡本 悦司
    • Journal Title

      ヘルスサイエンス・ヘルスケア 7

      Pages: 10-22

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] レセプト清報によるインフルエンザ罹患直後の外傷発生状況2007

    • Author(s)
      岡本 悦司, 瀬戸口 聡子
    • Journal Title

      薬剤疫学 12

    • Related Report
      2007 Annual Research Report
  • [Journal Article] A comparison of disease-specific medical expenditure in Japan using the principal diagnosis method and the proportional distribution method

    • Author(s)
      Tanihara S, Okamoto E, Une H.
    • Journal Title

      J of Evaluation of Clinical Practice

    • Related Report
      2010 Final Research Report
  • [Presentation] 調剤レセプトを活用したインフルエンザサーベイランスシステム構築の試み2011

    • Author(s)
      岡本悦司, 谷原真一
    • Organizer
      第70回日本公衆衛生学会総会
    • Place of Presentation
      秋田
    • Year and Date
      2011-10-21
    • Related Report
      2010 Annual Research Report
  • [Presentation] Derivation of distribution functions of laboratory data among healthy adult subjects2010

    • Author(s)
      Okamoto E.
    • Organizer
      日本疫学会総会
    • Place of Presentation
      埼玉
    • Year and Date
      2010-01-10
    • Related Report
      2010 Final Research Report 2009 Annual Research Report 2009 Self-evaluation Report
  • [Presentation] レセプトナショナルデータベース活用に向けたレセプト情報モデルの検討2010

    • Author(s)
      広井嘉栄,中谷純,岡本悦司,田中博
    • Organizer
      第30回医療情報学連合大会医療情報学
    • Place of Presentation
      浜松
    • Related Report
      2010 Final Research Report
  • [Presentation] 標準病名集を用いた電子レセプト未コード化傷病名コーディングの試み2010

    • Author(s)
      岡本悦司
    • Organizer
      第30回医療情報学連合大会医療情報学
    • Place of Presentation
      浜松
    • Related Report
      2010 Final Research Report
  • [Presentation] レセプトデータベースによる麻疹受診状況の分析2009

    • Author(s)
      谷原真一
    • Organizer
      日本公衆衛生学会総会
    • Place of Presentation
      奈良
    • Year and Date
      2009-10-23
    • Related Report
      2009 Annual Research Report 2009 Self-evaluation Report
  • [Presentation] 医療計画策定のためのレセプトデータによる病院間連携把握の試み2009

    • Author(s)
      岡本悦司
    • Organizer
      日本医療・病院管理学会学術総会
    • Place of Presentation
      東京
    • Year and Date
      2009-10-17
    • Related Report
      2009 Annual Research Report 2009 Self-evaluation Report
  • [Presentation] Accuracy of estimation of disease-specific costs in national health care expenditure. An example of renal failure and dialysis2009

    • Author(s)
      Okamoto E.
    • Organizer
      The 7^<th> World Congress of the International Health Economics Association(iHEA)
    • Place of Presentation
      北京
    • Year and Date
      2009-07-15
    • Related Report
      2010 Final Research Report
  • [Presentation] Accuracy of estimation of disease-specific costs in national health expenditure : An example of renal failure and dialysis2009

    • Author(s)
      岡本悦司
    • Organizer
      The 7th World congress of International Health Economics Association
    • Place of Presentation
      北京
    • Year and Date
      2009-07-15
    • Related Report
      2009 Self-evaluation Report
  • [Presentation] Accuracy of estimation of disease-specific costs in national health expend iture : An example of renal failure and dialysis2009

    • Author(s)
      岡本悦司
    • Organizer
      The 7^<th> World congress of International Health Economics Association
    • Place of Presentation
      北京
    • Year and Date
      2009-07-15
    • Related Report
      2009 Annual Research Report
  • [Presentation] レセプト点数の傷病別幾何平均, 標準偏比推計の試み2009

    • Author(s)
      岡本悦司
    • Organizer
      日本衛生学会学術総会
    • Place of Presentation
      東京
    • Year and Date
      2009-04-01
    • Related Report
      2009 Annual Research Report 2009 Self-evaluation Report
  • [Presentation] 入院外レセプトにおける疑い病名の分布2009

    • Author(s)
      谷原真一
    • Organizer
      日本衛生学会学術総会
    • Place of Presentation
      東京
    • Year and Date
      2009-04-01
    • Related Report
      2009 Annual Research Report 2009 Self-evaluation Report
  • [Presentation] レセプト情報によるインフルエンザ罹患直後の外傷発生状況第3報2009

    • Author(s)
      岡本悦司
    • Organizer
      薬剤疫学
    • Related Report
      2010 Final Research Report
  • [Presentation] Safety of oseltamivir as measured by incidence of injuries2008

    • Author(s)
      Okamoto E.
    • Organizer
      The 3^<rd> Asia-Pacific conference of the International Society of Pharmacoepidemiology and Outcome Research(ISPOR)
    • Place of Presentation
      ソウル
    • Year and Date
      2008-09-08
    • Related Report
      2010 Final Research Report
  • [Presentation] Safety of Oseltamivir as measured by incidence of injuries2008

    • Author(s)
      岡本悦司
    • Organizer
      国際薬剤経済学会 (ISPOR) 第三回アジア太平洋大会
    • Place of Presentation
      ソウル(韓国)
    • Year and Date
      2008-09-08
    • Related Report
      2009 Self-evaluation Report
  • [Presentation] Safety of Oseltamivir as measured by incidence of injuries2008

    • Author(s)
      岡本悦司
    • Organizer
      国際薬剤経済学会(ISPOR)第三回アジア太平洋大会
    • Place of Presentation
      ソウル大学(韓国)
    • Year and Date
      2008-09-08
    • Related Report
      2008 Annual Research Report
  • [Presentation] レセプト情報によるインフルエンザ罹患直後の外傷発生状況第2報2008

    • Author(s)
      岡本悦司
    • Organizer
      薬剤疫学
    • Related Report
      2010 Final Research Report
  • [Presentation] タミフルの安全性評価の試み2007

    • Author(s)
      岡本 悦司
    • Organizer
      日本薬剤疫学会学術総会
    • Place of Presentation
      東京大学
    • Year and Date
      2007-10-20
    • Related Report
      2007 Annual Research Report
  • [Presentation] レセプト清報によるインフルエンザ罹患直後の外傷発生状況2007

    • Author(s)
      岡本悦司,瀬戸口聡子
    • Organizer
      薬剤疫学
    • Related Report
      2010 Final Research Report
  • [Presentation] 調剤レセプトを活用したインフルエンザサーベイランスシステム構築の試み

    • Author(s)
      岡本悦司,谷原真一
    • Organizer
      第70回日本公衆衛生学会総会-日本公衆衛生雑誌
    • Related Report
      2010 Final Research Report
  • [Book] 公共機関・企業のための新型インフルエンザ対策2009

    • Author(s)
      橘とも子, 他
    • Publisher
      ぎょうせい
    • Related Report
      2010 Final Research Report
  • [Book] 公共機関・企業のための新型インフルエンザ対策-住民をパンデミックから守るには2009

    • Author(s)
      橘とも子, 他
    • Total Pages
      164
    • Publisher
      ぎょうせい
    • Related Report
      2009 Self-evaluation Report 2008 Annual Research Report
  • [Remarks]

    • URL

      http://www.jhealth.com/

    • Related Report
      2010 Final Research Report
  • [Remarks]

    • URL

      http://www.jhealth.com

    • Related Report
      2010 Annual Research Report
  • [Remarks]

    • URL

      http://jhealth.com

    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://jhealth.com

    • Related Report
      2008 Annual Research Report
  • [Remarks]

    • URL

      http://jhealth.com

    • Related Report
      2007 Annual Research Report

URL: 

Published: 2007-04-01   Modified: 2016-04-21  

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