| Project/Area Number |
21790514
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Single-year Grants |
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| Research Field |
Medical sociology
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| Research Institution | The University of Tokyo |
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Principal Investigator |
HIGASHI Takahiro The University of Tokyo, 大学院・医学系研究科, 准教授 (10402851)
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| Project Period (FY) |
2009 – 2010
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| Project Status |
Completed (Fiscal Year 2010)
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| Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2009: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
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| Keywords | 診療の質 / 標準医療 / 診療報酬請求明細書 / ヘルスサービス / 診療評価 / 患者受診行動 / 保険者機能 / ヘルスサービス研究 |
|---|
| Research Abstract |
Although process of care quality assessment often take place on a facility basis, in a management chronic illness such as cancer, patients often receive treatment in multiple facilities. Such patient visit patterns can affect observed performance score if the treatment provided in other facilities are missing. This study used insurance claims data obtained from insurance companies, in which patients can be traced for visits to multiple facilities, and analyzed the influence of patients' visiting multiple facilities on the quality scores. We found, for example, a 14 percentage-point difference on a performance of radiation therapy after breast conserving surgery for breast cancer, a typical quality criteria in the area of care. When we measure quality of care, enough attention should be paid to patients receiving care in multiple facilities.
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