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Managing Integration of Long Term Care for elderly and Policy Implication

Research Project

Project/Area Number 24243039
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Economic policy
Research InstitutionSeijo University

Principal Investigator

KAWAGUCHI Hiroyuki  成城大学, 経済学部, 教授 (40364666)

Co-Investigator(Kenkyū-buntansha) TAJIKA Eiji  成城大学, 経済学部, 特任教授 (10179723)
KIKUCHI Jun  国立社会保障・人口問題研究所, 社会保障基礎理論研究部, 第3室長 (30506481)
II Masako  一橋大学, 経済学研究科, 教授 (50272787)
HASHIMOTO Hideki  東京大学, 医学研究科, 教授 (50317682)
MORIYAMA Michiko  広島大学, 医歯薬保健学研究院, 教授 (80264977)
OGATA Hiroya  東京大学, 政策ビジョン研究センター, 特任教授 (90336016)
Co-Investigator(Renkei-kenkyūsha) YUI Yuji  成城大学, 経済学部, 教授 (70115153)
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥36,660,000 (Direct Cost: ¥28,200,000、Indirect Cost: ¥8,460,000)
Fiscal Year 2015: ¥8,970,000 (Direct Cost: ¥6,900,000、Indirect Cost: ¥2,070,000)
Fiscal Year 2014: ¥8,970,000 (Direct Cost: ¥6,900,000、Indirect Cost: ¥2,070,000)
Fiscal Year 2013: ¥8,840,000 (Direct Cost: ¥6,800,000、Indirect Cost: ¥2,040,000)
Fiscal Year 2012: ¥9,880,000 (Direct Cost: ¥7,600,000、Indirect Cost: ¥2,280,000)
Keywords高齢者ケア / 医療介護連携 / 疾病管理 / プライマリケア / 財政シミュレーション / 国際研究者交流
Outline of Final Research Achievements

In order to efficient supply both health care and long-term care services in the aging society, the model for the integration of the two is necessary. This challenge has been a problem in many developed countries. Therefore, the development of innovative new integrated model is the matter. In this study , one of the model which focus on the main disease-related medical care services to integrate is "disease management model" at Kure sity in Hiroshima prefecture. On the other hand, as a "chronic disease model " to target a wide range of medical and nursing care services is Kotitori model at Tempere city in Finland. In addition , it was also carried out a policy research for the financing system and primary care field for that models.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Annual Research Report
  • 2013 Annual Research Report
  • 2012 Annual Research Report
  • Research Products

    (31 results)

All 2016 2015 2014 2013 Other

All Journal Article (17 results) (of which Int'l Joint Research: 2 results,  Open Access: 7 results,  Acknowledgement Compliant: 5 results,  Peer Reviewed: 5 results) Presentation (8 results) (of which Int'l Joint Research: 1 results) Book (2 results) Remarks (4 results)

  • [Journal Article] The role of primary care and its incentivizing policy outcomes: The lessons from the U.K. experiance2016

    • Author(s)
      Hiroyuki Kawaguchi and Peter C. Smith
    • Journal Title

      Japanese Journal of Health Economics and Policy

      Volume: E3

    • Related Report
      2015 Annual Research Report
    • Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Long term care in the Neitherlands: Towards managed competition?2016

    • Author(s)
      Richard van Kleef and Hiroyuki Kawaguchi
    • Journal Title

      Japanese Journal of Health Economics and Policy

      Volume: E3

    • Related Report
      2015 Annual Research Report
    • Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Kotitori: The Service Integrator Model for Home Care2016

    • Author(s)
      Paul Lillrank
    • Journal Title

      Japanese Journal of Health Economics and Policy

      Volume: E3

    • Related Report
      2015 Annual Research Report
    • Open Access / Acknowledgement Compliant
  • [Journal Article] 大病院の外来受診に関する仮想的効用値の測定に関する研究2015

    • Author(s)
      河口洋行・菅原琢磨
    • Journal Title

      経済研究

      Volume: 210 Pages: 163-196

    • Related Report
      2015 Annual Research Report
    • Open Access
  • [Journal Article] 日本のプライマリ・ケア制度の特徴と問題点2015

    • Author(s)
      井伊雅子・関本美穂
    • Journal Title

      フィナンシャル・レビュー

      Volume: 123 Pages: 6-63

    • Related Report
      2015 Annual Research Report
    • Open Access
  • [Journal Article] 地域医療構想と保険者の役割2015

    • Author(s)
      尾形裕也
    • Journal Title

      健康保険

      Volume: 69 Pages: 18-21

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Estimation of the efficiency of Japanese hospitals using a dynamic and network data envelopment analysis model2014

    • Author(s)
      Hiroyuki Kawaguchi, Tone Kaoru, Miki Tsutsui
    • Journal Title

      Health Care Management Science

      Volume: 17 Issue: 2 Pages: 101-112

    • DOI

      10.1007/s10729-013-9248-9

    • NAID

      120006683683

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy of a disease management program focused on acquisition of selfmanagement skills in pre-dialysis patients with diabetic nephropathy:24 months follow-up.2014

    • Author(s)
      Kana Kazawa, Yae Takeshita, Noriaki Yorioka, Michiko Moriyama
    • Journal Title

      Journal of Nephrology

      Volume: なし Issue: 3 Pages: 329-338

    • DOI

      10.1007/s40620-014-0144-2

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Protecting Our Lives through Healthcare Reform2014

    • Author(s)
      Masako Ii
    • Journal Title

      Japan SPOTLIGHT

      Volume: なし Pages: 16-19

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 日本の患者は幸せか?【医療経済から見たプライマリ・ケアの重要性】2014

    • Author(s)
      井伊雅子
    • Journal Title

      環

      Volume: 56 Pages: 174-185

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 社会保障財政における番号制の活用と課題2014

    • Author(s)
      吉識宗佳・井伊雅子
    • Journal Title

      病院

      Volume: 73 Pages: 440-444

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 高齢者に必要な医療・介護とは?国民健康保険のデータ分析からの提案2014

    • Author(s)
      井伊雅子、森山美知子
    • Journal Title

      ECO-FORUM

      Volume: 29 Pages: 11-18

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 新たな高齢者向けケアモデルの国際的動向に関する研究-フィンランドのPALKOモデルと日本の公的介護保険制度2013

    • Author(s)
      河口洋行
    • Journal Title

      慶応経営論集

      Volume: 31 Pages: 25-35

    • Related Report
      2013 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] 高齢者向け長期ケアの地域マネジメントに関する研究-ブループリント手法を利用した日本の3事例の比較より-2013

    • Author(s)
      河口洋行
    • Journal Title

      医療と社会

      Volume: 22 Pages: 309-328

    • NAID

      130004547682

    • Related Report
      2013 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] Effects of a self-management skills-acquisition program on pre-dialysis patients with diabetic nephropathy2013

    • Author(s)
      Kazawa K, Moriyama M.
    • Journal Title

      Nephrology Nursing Journal

      Volume: 40 Pages: 141-149

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 医師数,医療機関数,病床数,患者数のバランスから評価した医療資源の地域格差とその推移2013

    • Author(s)
      関本美穂・井伊雅子
    • Journal Title

      厚生の指標

      Volume: 60 Pages: 1-8

    • NAID

      40019803192

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Research on Regional Healthcare Management of Long-Term Care for the Elderly:2013

    • Author(s)
      河口洋行
    • Journal Title

      Iryo To Shakai

      Volume: 22 Issue: 4 Pages: 309-328

    • DOI

      10.4091/iken.22.309

    • NAID

      130004547682

    • ISSN
      0916-9202, 1883-4477
    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Presentation] 医療のあり方を経済学で考える2015

    • Author(s)
      井伊雅子
    • Organizer
      第25回日本医療薬学会年会
    • Place of Presentation
      神奈川県横浜市・パシフィコ横浜
    • Year and Date
      2015-11-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] 健康経営と病院経営:総論2015

    • Author(s)
      尾形裕也
    • Organizer
      第53回日本医療・病院管理学会学術総会シンポジウム
    • Place of Presentation
      福岡県福岡市・アクロス福岡
    • Year and Date
      2015-11-06
    • Related Report
      2015 Annual Research Report
  • [Presentation] Is Disease Management Effective for Cost Containment? New Evidence using Difference in Difference Analysis from Panel Data in Japan2015

    • Author(s)
      河口洋行
    • Organizer
      国際医療経済学会(第11回国際大会)
    • Place of Presentation
      イタリア国ミラノ市・ボッコーニ大学
    • Year and Date
      2015-07-15
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Is disease management effective for cost containment? New evidence using difference in difference analysis from panel data in Japan2015

    • Author(s)
      Hiroyuki Kawaguchi, Michiko Moriyama
    • Organizer
      International Health Economics Association, 11th World Congress
    • Place of Presentation
      Bocconi University, Milan, Italy
    • Year and Date
      2015-07-13 – 2015-07-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] 新しいケア提供体制における疾病管理ナースの役割2015

    • Author(s)
      加澤佳奈,森山美知子
    • Organizer
      日本医工学治療学会第31回学術大会
    • Place of Presentation
      広島国際会議場(広島市中区)
    • Year and Date
      2015-03-29
    • Related Report
      2014 Annual Research Report
  • [Presentation] 保険者・医療機関と連携した慢性疾患重症化予防プログラムの効果2014

    • Author(s)
      加澤佳奈,鶴見恵子,沖田真奈美,森山美知子
    • Organizer
      日本医療病院管理学会第52回学術総会
    • Place of Presentation
      TOCアリアケコンベンションホール(東京都江東区)
    • Year and Date
      2014-09-13
    • Related Report
      2014 Annual Research Report
  • [Presentation] Development of a screening system for elderly who are at high risk of severe chronic disease at community-base in Japan2013

    • Author(s)
      Yae Takeshita,Michiko Moriyama
    • Organizer
      3rd World academy of Nursing Science
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2013-10-18
    • Related Report
      2013 Annual Research Report
  • [Presentation] Estimation of the efficiency of Japanese hospitals using a dynamic and network DEA model2013

    • Author(s)
      Hiroyuki Kawaguchi, Kaoru Tone, Miki Tsutsui
    • Organizer
      International Health Economics Association, 9th World Congress
    • Place of Presentation
      The Sydney convention and exhibition centre, Sydney, Australia
    • Year and Date
      2013-07-09
    • Related Report
      2013 Annual Research Report
  • [Book] 医療の経済学(第3版)第6章「ダイエットはなぜいつも先送りされるのか」2015

    • Author(s)
      河口洋行
    • Total Pages
      264
    • Publisher
      日本評論社
    • Related Report
      2015 Annual Research Report
  • [Book] 看護管理者のための医療経営学(第2版)2015

    • Author(s)
      尾形裕也
    • Total Pages
      160
    • Publisher
      日本看護協会出版会
    • Related Report
      2015 Annual Research Report
  • [Remarks] 高齢者医療・介護統合モデルの構築と政策への応用(1)

    • URL

      http://www.managed-integration.jp/access.html

    • Related Report
      2014 Annual Research Report
  • [Remarks] 河口洋行のホームページ(2)

    • URL

      http://www.geocities.jp/bxxcb215/

    • Related Report
      2014 Annual Research Report
  • [Remarks] 高齢者医療・介護統合モデルの構築と政策への応用

    • URL

      http://www.managed-integration.jp/access.html

    • Related Report
      2013 Annual Research Report
  • [Remarks] 高齢者医療・介護統合モデルの構築と政策への適用

    • URL

      http://www.managed-integration.jp/

    • Related Report
      2012 Annual Research Report

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Published: 2013-05-15   Modified: 2019-07-29  

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