Construction of effect indicator for medical home visit among children with severe medical care dependency

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K18841
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: University of Tsukuba
• Principal Investigator: Kido Takahiro 筑波大学, 附属病院, 病院講師 (90868621)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: 小児 / 在宅医療 / 訪問診療 / 医療的ケア児 / データベース / レセプトデータ

Outline of Final Research Achievements

Analysis was conducted using large-scale receipt data purchased from JMDC, Inc. to obtain data on the percentage of home care (home medical care or home nursing) adoption among all 2,680 medically cared children. The results are summarized and an English paper is being prepared and submitted for publication. This paper would be the first report describing the use of home care among children with medical care in Japan.
In the process of preparing this analysis, we also found that there is a very large group of children who are introduced to home care but do not have a medical care device. We also examined whether or not the children with underlying medical conditions using ICD-10 disease codes, and found that 5079 (53.1%) of the 9557 children receiving home care (home medical care or home nursing care) had no underlying medical conditions.

Free Research Field

小児科学

Academic Significance and Societal Importance of the Research Achievements

国内の大規模医療レセプトを用いて医療的ケア児の在宅医療の利用状況を明らかにした、初めての研究である。今後、増加しつつある医療的ケア児についての政策を考える上で有用な資料となる。
また基礎疾患の無い、いわゆる健常児が在宅医療リソースの過半数を占める可能性があるというのはこれまでにない知見であり、今後は小児在宅医療を語る上で、健常児に対する在宅医療の有様についても合わせて考え行く必要性が示された。