Development of methods for risk adjustment and quality evaluation of health care by administrative data
Project/Area Number |
21590556
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Medical sociology
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Research Institution | Tokyo Medical and Dental University |
Principal Investigator |
FUSHIMI Kiyohide 東京医科歯科大学, 医学部・附属病院, 教授 (50270913)
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Project Period (FY) |
2009 – 2011
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Project Status |
Completed (Fiscal Year 2011)
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Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2011: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2010: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2009: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
|
Keywords | 医療の質 / 診断群分類 / 医療データ / 医療サービス研究 / 診療プロセス分析 / 患者リスク調整 |
Research Abstract |
DPC data is administrative data of acute care hospitals in Japan potentially useful for the analysis of health care quality and the assessment of hospital functions. The purpose of this study was to develop methodology for health care quality analysis by DPC administrative data. We have shown successful outcome assessment including hospital death rate after acute coronary interventions and the length of hospital stay after hip fracture surgery by case-mix adjustment with DPC process data. We have shown that DPC data is highly valuable for health care quality assessment and clinical epidemiology. The construction and maintenance of comprehensive and representative DPC data base for clinical research use is mandatory for high quality clinical investigations and evidence-based health policy in Japan.
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Report
(4 results)
Research Products
(45 results)
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[Journal Article] Community-based evaluation of laparoscopic versus open simple closure of perforated peptic ulcers2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
World J Surg
Volume: 35(11)
Pages: 2485-2492
Related Report
Peer Reviewed
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[Journal Article] Early crystalloid fluid volume management in acute pancreatitis : association with mortality and organ failure2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Pancreatology
Volume: 11(3)
Issue: 3
Pages: 351-361
DOI
Related Report
Peer Reviewed
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[Journal Article] Relationships of age, cholecystectomy approach and timing with the surgical and functional outcomes of elderly patients with cholecystitis2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Int J Surg
Volume: 9(5)
Issue: 5
Pages: 392-399
DOI
Related Report
Peer Reviewed
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[Journal Article] Reappraising the Surgical Approach on the Perforated Gastroduodenal Ulcer : Should Gastric Resection Be Abandoned?2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Journal of Clinical Medicine Research
Volume: 3(5)
Pages: 213-222
DOI
Related Report
Peer Reviewed
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[Journal Article] Quantification of Resource Utilization to Obtain Functional Recovery in Strokes2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Journal of Neurology Research
Volume: 1(3)
Pages: 96-104
DOI
Related Report
Peer Reviewed
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[Journal Article] Re-Justification for Reducing the Length of Hospital Stay Based on Community-Based Appraisal of Functional Recovery of Cerebrovascular Disease Patient2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Journal of Neurology Research
Volume: 1(2)
Pages: 59-68
DOI
Related Report
Peer Reviewed
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[Journal Article] Community-Based Appraisal of the Effects of Parenteral Nutrition Versus Enteral Nutrition on the Quality of Care for Patients With Acute Pancreatitis2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Gastroenterology Research
Volume: 4(1)
Pages: 1-8
DOI
Related Report
Peer Reviewed
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[Journal Article] Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries2011
Author(s)
Quan, H., Li, B., Couris, CM., Fushimi, K., Graham, P., Hider, P., Januel, JM., Sundararajan, V.
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Journal Title
Am J Epidemiol
Volume: 173(6)
Pages: 676-682
Related Report
Peer Reviewed
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[Journal Article] Quantitative evaluation of age disparities in the quality of geriatric acute medical care in Japan2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
International Journal of Gerontology
Volume: 5(3)
Issue: 3
Pages: 139-145
DOI
Related Report
Peer Reviewed
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[Journal Article] Community-Based Appraisal of Laparoscopic Abdominal Surgery in Japan2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Journal of Surgical Research
Volume: 165(1)
Related Report
Peer Reviewed
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[Journal Article] Quantitative assessment of the advantages of laparoscopic gastrectomy and the impact of volume-related hospital characteristics on resource use and outcomes of gastrectomy patients in Japan2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K..B., Horiguchi, H., Fujimori, K., Yasunaga, H., Miyata, H.
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Journal Title
Annals of Surgery
Volume: 253(1)
Pages: 64-70
Related Report
Peer Reviewed
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[Journal Article] Reconsidering the value of rehabilitation for patients with cerebrovascular disease in Japanese acute health care hospitals2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Fujimori, K.
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Journal Title
Value in Health
Volume: 14(1)
Pages: 166-176
Related Report
Peer Reviewed
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[Journal Article] Contribution of case-mix classification to profiling hospital characteristics and productivity2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K.B., Horiguchi, H., Hayashida, K., Fujimori, K.
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Journal Title
International Journal of Health Planning and Management
Volume: 26(3)
Related Report
Peer Reviewed
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[Presentation] A look at the use of the Japaneses administrative database and the geographical information system in the management of disaster medicine and regional medical care planning2011
Author(s)
Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K., Horiguchi, H., fujimori, K., Tasaki, T.
Organizer
27th PCS/I Conference
Place of Presentation
Le Westin Montreal (Montreal, Quebec, Canada)
Year and Date
2011-10-19
Related Report
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