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2010 Fiscal Year Final Research Report

The effect of multiple-facility visiting by patients on quality of care assessment

Research Project

  • PDF
Project/Area Number 21790514
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Medical sociology
Research InstitutionThe University of Tokyo

Principal Investigator

HIGASHI Takahiro  The University of Tokyo, 大学院・医学系研究科, 准教授 (10402851)

Project Period (FY) 2009 – 2010
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
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.

  • Research Products

    (10 results)

All 2011 2010

All Journal Article (8 results) (of which Peer Reviewed: 5 results) Presentation (1 results) Book (1 results)

  • [Journal Article] Opinion of Japanese Rheumatology Physicians on Methods of Assessing the Quality of Rheumatoid Arthritis Care2011

    • Author(s)
      Higashi T, Fukuhara S, Nakayama T.
    • Journal Title

      J Eval Clin Pract.

      Pages: doi:10.1111/j.1365-2753

    • Peer Reviewed
  • [Journal Article] Lessons learned in the development of process quality indicators for cancer care in Japan2010

    • Author(s)
      Higashi T.
    • Journal Title

      BioPsychoSocial Medicine 4(1)

      Pages: 14

    • Peer Reviewed
  • [Journal Article] Evaluation and revision of checklists for screening facilities and municipal governmental programs for gastric cancer and colorectal cancer screening in Japan.2010

    • Author(s)
      Higashi T, Machii R, Aoki A, Hamashima C, Saito H.
    • Journal Title

      Jpn J Clin Oncol. 40(11)

      Pages: 1021-1030

    • Peer Reviewed
  • [Journal Article] 医療の質の評価方法2010

    • Author(s)
      東尚弘, 祖父江友孝
    • Journal Title

      Surgery Frontier 17(4)

      Pages: 28-31

  • [Journal Article] 統計データの新たな活用法としての「診療の質」指標の可能性2010

    • Author(s)
      東尚弘
    • Journal Title

      大腸癌FRONTIER 3(4)

      Pages: 73

  • [Journal Article] イギリスのNational Cancer Intelligence Networkにおける情報収集と活用2010

    • Author(s)
      東尚弘
    • Journal Title

      癌の臨床 56(3)

      Pages: 261-265

  • [Journal Article] Concordance of hospital-based cancer registry data with a clinicians' database for breast cancer.2010

    • Author(s)
      Zhang M, Higashi, T, Nishimoto H, Kinoshita T, Sobue T.
    • Journal Title

      J Eval Clin Pract.

      Pages: doi:10.1111/j.1365-2753.

    • Peer Reviewed
  • [Journal Article] Opinions of Japanese Rheumatology Physicians Regarding Clinical Practice Guidelines.2010

    • Author(s)
      Higashi T, Nakayama T,Fukuhara S, Yamanaka H,Mimori T, Ryu J, Yonenobu K, Murata N, Matsuno H, Ishikawa H, Ochi T, et al.
    • Journal Title

      International Journal for Quality in Healthcare. 22(2)

      Pages: 78-85

    • Peer Reviewed
  • [Presentation] Patterns of Drug Therapy and Laboratory Test for Rheumatoid Arthritis in Japan2010

    • Author(s)
      Higashi T, Nakayama T.
    • Organizer
      日本疫学会
    • Place of Presentation
      埼玉県立大学(埼玉県)
    • Year and Date
      2010-01-10
  • [Book] 臨床医のためのパブリックヘルス(相沢好治監修)(第4章)2010

    • Author(s)
      東尚弘
    • Total Pages
      96-105
    • Publisher
      中外医学社

URL: 

Published: 2012-02-13   Modified: 2016-04-21  

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