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The investigation regarding the analysis of cost-effectiveness and the rationalization of medical cost with or without preventive intervention

Research Project

Project/Area Number 21390170
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionCollege of Heathcare Management

Principal Investigator

SAKAI Takaaki  保健医療経営大学, 保健医療経営部, 教授 (90389411)

Co-Investigator(Kenkyū-buntansha) 信友 浩一  九州大学, 医学(系)研究科・(研究員), 名誉教授 (90037424)
宇都 由美子  鹿児島大学, 医歯(薬)学・総合研究科, 准教授 (50223582)
朔 啓二郎  福岡大学, 医学部・心臓血管内科, 教授 (40183371)
萬代 望  保健医療経営大学, 保健医療経営学部, 講師 (80516956)
中村 康寛  保健医療経営大学, 保健医療経営学部, 教授 (90517054)
Co-Investigator(Renkei-kenkyūsha) NOBUTOMO Koichi  九州大学, 大学院・医療システム学教室, 名誉教授 (90037424)
MANDAI Nozomi  保健医療経営大学, 保健医療経営部, 講師 (80516956)
Project Period (FY) 2009 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥15,860,000 (Direct Cost: ¥12,200,000、Indirect Cost: ¥3,660,000)
Fiscal Year 2012: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2011: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2010: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2009: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Keywords生涯医療費 / 予防医学 / 医療費適正化 / 費用対効果 / DiseaseManagement / Disease Management / Disease Manaement
Research Abstract

We estimated the lifelong health expenditure of Japan based on the findings we have ever estimated in accordance with System of Health Accounts (SHA). The lifelong health expenditure reached form 16,820 thousand yen to 17,620 thousand yen, and the national lifelong healthcare expenditure accounted it for 19,240 thousand yen. Moreover, the life expectancy health expenditure was estimated 12,600 thousand yen. Through the estimation, we are able to improve the international comparability of total health expenditure, and to provide the statistics which were helpful to assess the healthcare policy. It is hoped that research about this be continued to consider the health care reform which bases the multiphase analysis over the health expenditure, and then we evaluated and picked up the appropriate diseases for disease management through behavior models on medical care and prevention. An anticipatory investment could curb medical expenses and improve the quality of health care through the preventive behavior.

Report

(5 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (18 results)

All 2012 2011 2010 2009

All Journal Article (5 results) (of which Peer Reviewed: 1 results) Presentation (13 results)

  • [Journal Article] 科学研究費補助金研究成果報 告書:データマイニングによる予防医学先行投資へのリスク予測と効率的医療資源配賦の検討.2011

    • Author(s)
      堺 孝明
    • Journal Title

      保健医療経営大学紀要

      Volume: 第3号 Pages: 1-8

    • Related Report
      2012 Final Research Report
  • [Journal Article] レセプトデータを用いた地理情報システムによるマーケティングの分析2010

    • Author(s)
      萬代 望, 堺 孝明,有吉通泰
    • Journal Title

      第30 回医療情報学連合大会論文集

      Pages: 701-704

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 療養病床の経営・診療費分析を通じて地域医療の方向性を探る事例研究2010

    • Author(s)
      堺 孝明,丑山 優, 萬代 望
    • Journal Title

      保健医療経営大学紀要

      Volume: 第2号

    • NAID

      40017399107

    • Related Report
      2012 Final Research Report
  • [Journal Article] 療養病床の経営・診療費分析を通じて地域医療の方向性を探る事例研究2010

    • Author(s)
      堺孝明, 丑山優, 萬代望
    • Journal Title

      保健医療経営大学紀要 2

      Pages: 51-64

    • NAID

      40017399107

    • Related Report
      2009 Annual Research Report
  • [Journal Article] 機能分化した病院での経営戦 略-大学病院の今後-パラダイムシフトに向けて -2009

    • Author(s)
      堺 孝明
    • Journal Title

      保健医療経営大学紀要

      Volume: 創刊号 Pages: 23-28

    • NAID

      40017377568

    • Related Report
      2012 Final Research Report
  • [Presentation] The evaluation of newer and conventional lipidemic parametersfor the development of CKD - St. Mary's Healthcare Center prospective Open Cohort and retrospective Case Control study.2012

    • Author(s)
      Sakai Takaaki, Ide Koichi
    • Organizer
      The 80th European Atherosclerosis Society Congress.
    • Place of Presentation
      Milan, Italy
    • Year and Date
      2012-05-28
    • Related Report
      2012 Final Research Report
  • [Presentation] The evaluation of newer and conventional lipidemic parameters for the development of CKD-St. Mary's Healthcare Center prospective Open Cohort and retrospective Case Control study2012

    • Author(s)
      堺孝明
    • Organizer
      The 80th European Atherosclerosis Society Congress
    • Place of Presentation
      Milan, Italy
    • Year and Date
      2012-05-28
    • Related Report
      2012 Annual Research Report
  • [Presentation] The LDL to HDL cholesterol ratio as a valuable parameter to evaluate the development of CKD.2012

    • Author(s)
      Sakai Takaaki, Ide Koichi
    • Organizer
      XVI International Symposium on Atherosclerosis
    • Place of Presentation
      Sydney, Australia
    • Related Report
      2012 Final Research Report
  • [Presentation] 自治体 病院の収益率低下の問題点およびマーケティングによる経営改善の検討2011

    • Author(s)
      赤松 誠彦、荒木 亜裕美、有馬 沙登美、島田 裕子、野口 瑛貴、堺 孝明
    • Organizer
      第37回日本診療情報管理学会学術大会
    • Place of Presentation
      福岡
    • Related Report
      2012 Final Research Report
  • [Presentation] レセプトデータを用いたGISによるマーケティング分析2010

    • Author(s)
      萬代望, 堺孝明
    • Organizer
      日本医療情報学会
    • Place of Presentation
      アクトシティ浜松(浜松市)
    • Year and Date
      2010-11-20
    • Related Report
      2010 Annual Research Report
  • [Presentation] The LDL to HDL cholesterol ratio as a valuable parameter to evaluate the development of CKD2010

    • Author(s)
      堺孝明
    • Organizer
      米国心臓病学会 (American College of Cardiology)
    • Place of Presentation
      アトランタ(Atlanta, GA USA)
    • Year and Date
      2010-03-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] 本態性高血圧症の予測因子としての代謝性因子とCAVI による動脈硬化の定量的検討2010

    • Author(s)
      堺 孝明 、朔 啓二郎
    • Organizer
      第7回血管バイオメ カニクス研究会
    • Place of Presentation
      東京
    • Related Report
      2012 Final Research Report
  • [Presentation] レセプ トデータを用いた地理情報システムによる マーケティングの分析2010

    • Author(s)
      萬代 望、堺 孝明、有吉 通泰
    • Organizer
      第30回医療情報学連合大会
    • Place of Presentation
      静岡県浜松市
    • Related Report
      2012 Final Research Report
  • [Presentation] 本態性高血圧症 患者におけるシルニジピンの血中アディポネクチン上昇作用の検討2009

    • Author(s)
      堺 孝明 、朔 啓二郎
    • Organizer
      第32回日本高血圧学会
    • Place of Presentation
      大津
    • Related Report
      2012 Final Research Report
  • [Presentation] 本態性高血圧症 の予測因子としての代謝性因子と CAVI による動脈硬化の定量的検討2009

    • Author(s)
      堺 孝明 、朔 啓二郎
    • Organizer
      第32回日本高血圧学会
    • Place of Presentation
      大津
    • Related Report
      2012 Final Research Report
  • [Presentation] CAVI による動脈 硬化性疾患の予測因子としての LDL-C・HDL-Cの重要因子としての比較検討2009

    • Author(s)
      堺 孝明 、朔 啓二郎
    • Organizer
      第57回 日本心臓病学会
    • Place of Presentation
      札幌
    • Related Report
      2012 Final Research Report
  • [Presentation] A value ofCAVI, U-Alb and eGFR as Predictive Factors for the development of atherosclerosis2009

    • Author(s)
      Sakai Takaaki, Saku Keijiro
    • Organizer
      第41回 日本動脈硬化学会
    • Place of Presentation
      下関
    • Related Report
      2012 Final Research Report
  • [Presentation] The additive effect of statin on the atherosclerotic change and autonomic function in hypercholesterolemic2009

    • Author(s)
      Sakai Takaaki, Saku Keijiro
    • Organizer
      The 15th International Symposium on Atherosclerosis
    • Place of Presentation
      Boston、 USA
    • Related Report
      2012 Final Research Report

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Published: 2009-04-01   Modified: 2019-07-29  

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