Outpatient visit frequency and control of lifestyle-related diseases

2016 Fiscal Year Final Research Report

• Project/Area Number: 25460799
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Hygiene and public health
• Research Institution: Shiga University of Medical Science
• Principal Investigator: Shima Azusa 滋賀医科大学, 医学部, 客員助教 (20635958)
• Co-Investigator(Renkei-kenkyūsha): OKAMURA Tomonori 慶應義塾大学, 医学部, 教授 (00324567)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Keywords: 職域 / コホート / 循環器疾患 / コントロール / レセプト / 健康診断

Outline of Final Research Achievements

The purpose of this study was to investigate the relationship between the outpatient visits, as determined from health insurance claim data, and consequent hypertension control among participants with hypertension.
Antihypertensive agents were taken by 66.4% of the participants and the prevalence of uncontrolled hypertension at 9 years was 62.4%. Mean annual outpatient visit days at a hospital/clinic during the 9-year period were classified within four quartiles. Uncontrolled hypertension increased significantly as the number of outpatient visits decreased
(P for trend < 0.001).Logistic regression analysis was used and the multivariable-adjusted OR for uncontrolled hypertension was approximately four times higher in group with few outpatient visits (Q1) than in the group with highest number of visits (Q4, once or twice a month). This tendency did not change when participants with baseline use of antihypertensive agents was excluded.

Free Research Field

生活習慣病看護学