A prospective cohort study of the relationship between the rate of undergoing Special Health Checkups and medical expenditure

Research Project

Project/Area Number	21790512
Research Category	Grant-in-Aid for Young Scientists (B)
Allocation Type	Single-year Grants
Research Field	Medical sociology
Research Institution	College of Heathcare Management
Principal Investigator	ISHIHARA Reiko 保健医療経営大学, 保健医療経営学部, 講師 (70516971)
Project Period (FY)	2009-04-01 – 2015-03-31
Project Status	Completed (Fiscal Year 2014)
Budget Amount *help	¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000) Fiscal Year 2014: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000) Fiscal Year 2013: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000) Fiscal Year 2012: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2009: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords	特定健診・保健指導 / レセプト / 医療費 / 生活習慣病 / コホート
Outline of Final Research Achievements	The present study focused on the behaviors of the subjects after undergoing Special Health Checkups, and compared differences in medical expenditure between groups of people who had and had not: undergone the checkups; received healthcare guidance; and consulted a physician after being diagnosed as requiring treatment. The medical expenditure (excluding those for hospitalization) after the checkup for the checkup group was significantly higher than the medical expenditure for the no-checkup group . However, the medical expenditure for hospitalization after the checkup for the checkup group was significantly lower than the medical expenditure for the no-checkup group.Such changes were more pronounced in comparison with the continuous non-consultation group 4 consecutive years consultation group.