2023 Fiscal Year Final Research Report

Laying the foundations for health economic evaluation in rehabilitation medicine

Research Project

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Project/Area Number	19K10493
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58010:Medical management and medical sociology-related
Research Institution	Seirei Christopher University
Principal Investigator	Izumi Ryota 聖隷クリストファー大学, リハビリテーション学部, 教授 (80436980)
Co-Investigator(Kenkyū-buntansha)	能登真一新潟医療福祉大学, リハビリテーション学部, 教授 (00339954) 長山洋史神奈川県立保健福祉大学, 保健福祉学部, 准教授 (00552697)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	医療経済学 / 効用値尺度 / リハビリテーション / 健康関連QOL / 費用対効果
Outline of Final Research Achievements	This study demonstrates that statistical tests alone are not sufficient to interpret assessment results on health-related quality of life scales, which are part of well-being. In particular, for motor disorders, five items did not exceed the minimal clinically important difference (MCID), which should be kept in mind when using them to verify the effectiveness of rehabilitation. In motor disorders, interventions for physical function and pain are more likely to be prioritized, and the five items that did not exceed the MCID in this study were inferred to be less likely to be intervened with from the beginning.
Free Research Field	作業療法学
Academic Significance and Societal Importance of the Research Achievements	運動器および心大血管疾患における健康関連QOL尺度のMCIDが明らかとなり，健康関連QOL改善の基準を示すことができた．今後は，MCIDについて国外のものと比較することにより，民族間の比較や翻訳における程度副詞の問題について議論することが可能となると考えられる．また，国内における最初の研究となるため，医療技術評価の際に用いる健康関連QOL尺度についての研究の発展に寄与することが予測される．