| Project/Area Number |
25860380
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical sociology
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| Research Institution | Kyoto University |
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Principal Investigator |
TETSUYA OTSUBO 京都大学, 医学(系)研究科(研究院), 助教 (80551796)
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| Project Period (FY) |
2013-04-01 – 2016-03-31
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| Project Status |
Completed (Fiscal Year 2015)
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| Budget Amount *help |
¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
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| Keywords | 医療経済学 / 医療政策 / 医療計画 / レセプトデータ / 脳梗塞 / 評価指標 / 地域格差 / 小地域分析 / 地域医療計画 / 脳卒中 / 医療費 / 地域医療提供体制 / 地域医療政策 / 地域差分析 / 国際情報交換 / アメリカ合衆国 / カナダ / 医療資源 |
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| Outline of Final Research Achievements |
In this study, I quantitatively examined the regional healthcare systems in various countries through in-depth literature review. Based on this examination, I subsequently conducted a conceptual organization of performance indicators for evaluating regional healthcare systems in Japan. With a focus on acute stroke, I then developed a method for calculating these indicators that takes into account the limitations of available data, and applied this method in a cross-sectional analysis in Japan. The results revealed regional disparities in healthcare resource distribution, treatment processes, and outcomes in the treatment of acute stroke in Japan’s regional healthcare system. Furthermore, the study indicated that improvements in healthcare quality may be achieved by ensuring an adequate supply of healthcare resources in regions with a relatively low performance in outcomes. This research further develops the systematic evaluation methodology for assessing regional healthcare systems.
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