2015 Fiscal Year Final Research Report
the association between the high medical expenditure and social capital
| Project/Area Number |
25460646
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Fukuoka University |
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Principal Investigator |
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| Project Period (FY) |
2013-04-01 – 2016-03-31
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| Keywords | ソーシャルキャピタル / 医療費 / 介護費用 / 診療報酬明細書 / 国民健康保険 / 後期高齢者医療制度 |
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| Outline of Final Research Achievements |
We evaluated the association between the medical expenditure and social capital among Japanese community-dwelling adults in a prospective cohort study. The subjects of this study are the person that responded the mail survey conducted by a town in Fukuoka Prefecture, Japan in October 2011. The number of the respondents insured by the National Health Insurance or the medical system for the elderly aged 75 years and older was 8092 and 4177 gave written consent to this study. We excluded 364 subjects because of loss of follow up.
The sum of total direct medical expense obtained from health insurance claims and the cost of long-term care insurance from April 2013 to March 2014 were evaluated. Logistic regression model adjusting sex, age, social capital ,and self-rated health were used for calculating odds ratios for top 10% high medical expenditure. Age and self-rated health were significantly associated with the risk of Individuals with the top 10% highest medical expenditure.
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| Free Research Field |
医療社会学
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