2011 Fiscal Year Final Research Report
Analysis of evidence-practice gap using healthcare claims(receipts) database : with special reference to implementation of the recommendations in the clinical practice guidelines and adherence to the alert in package insert.
| Project/Area Number |
22659102
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Single-year Grants |
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| Research Field |
Medical sociology
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| Research Institution | Kyoto University |
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Principal Investigator |
NAKAYAMA Takeo 京都大学, 大学院・医学研究科, 教授 (70217933)
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| Co-Investigator(Renkei-kenkyūsha) |
ISHIZAKI Tatsuro 東京都健康長寿医療センター, 東京都健康長寿医療センター研究所, 研究部長 (30246045)
HIGASHI Takahiro 東京大学, 医学系研究科, 准教授 (10402851)
NODA Mitsuhiko 独立行政法人国立国際医療研究センタ-研究所, 糖尿病研究連携部, 部長 (90237850)
MIYAZAKI Kikuko 京都大学, 医学研究科, 助手 (70464229)
SATOU Toshihiko 北里大学, 医学部, 教授 (10225972)
IKEDA Shunya 国際医療福祉大学, 薬学部, 教授 (90193200)
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| Research Collaborator |
SUZUKI Hiromichi 財団法人国際医学情報センター, 主席研究員 (50524089)
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| Project Period (FY) |
2010 – 2011
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| Keywords | J医療の質 |
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| Research Abstract |
In recent years, the problem of underuse of useful clinical evidence is coming to be important-evidence-practice gap. The major concern about evidence-practice gap is insufficient implementation of evidence-based effective treatment, however, the perspective can be extended to measures to improve drug safety and prevention of drug related adverse events. At first, this study characterized the database of receipt(healthcare claims) and the usefulness for research purpose. Afterwards, two cases(implementation of recommendation of preventive drug use against steroid-induced osteoporosis, adherence to the alert indicated in revised package insert for ergot-derived anti-Parkinson drugs, of which risk of valvulopathy has been identified) were examined using this database. Through these analyses, the receipt database was proved to be useful to study evidence-practice gap.
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