Medical and long-term care resource use in older adults

• Project/Area Number: 18590596
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Public health/Health science
• Research Institution: Kyoto University
• Principal Investigator: ISHIZAKI Tatsuro Kyoto University, 医学研究科, 准教授 (30246045)
• Co-Investigator(Kenkyū-buntansha): IMANAKA Yuichi 京都大学, 医学研究科, 教授 (10256919) ; SEKIMOTO Miho 京都大学, 医学研究科, 講師 (00244583)
• Project Period (FY): 2006 – 2008
• Project Status: Completed (Fiscal Year 2008)
• Budget Amount: ¥4,060,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥660,000); Fiscal Year 2008: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2007: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2006: ¥1,200,000 (Direct Cost: ¥1,200,000)
• Keywords: 高齢者 / 医療費 / 介護費 / ローレンツ曲線 / ジニ係数 / 資源消費の不均等性 / 医療費分析 / 介護給付額 / 介護保険制度 / 入院医療 / 施設ケア / 在宅ケア / ロレンツ曲線 / 施設介護 / 居住介護

Research Abstract

本研究は、高齢者の医療・介護資源の消費状況を検討することを目的とする。某県の医療費と介護費の内訳を市町村別に比較した結果、入院医療費が低額の自治体では施設介護費が高額である傾向が認められた。次に、某市の5年間の介護給付費を分析した結果、サービス利用状況は極めて不均等であることが明らかとなった。最後に、某医療機関で入院医療を受けた患者の最終退院から1年前までの累積入院医療費を分析したところ、生存退院患者よりも死亡退院患者は累積医療費が高額で、死亡退院患者では高齢になるほど医療費が低額であることが明らかとなった。

Research Products

• [Journal Article] with the Treatment of Subarachnoid Hemorrhage Expert Group. Comparisons of risk-adjusted clinical outcomes for patients with aneurysmal subarachnoid hemorrhage across eight teaching hospitals in Japan (2008)
  • Author(s): Ishizaki T, Imanaka Y, Sekimoto M, Fukuda H, Mihara H
  • Journal Title: Journal of Evaluation in Clinical Practice 14(3) Pages: 416-421
• [Journal Article] Association between patient age and hospitalization resource use in a teaching hospital in Japan (2008)
  • Author(s): Ishizaki T, Imanaka Y, Oh EH, Sekimoto M, Hayashida K, Kobuse H
  • Journal Title: Health Policy 87(1) Pages: 20-30
• [Journal Article] Management patterns and healthcare costs for hospitalized patients with cerebral infarction (2008)
  • Author(s): Sekimoto M, Kakutani C, Inoue I, Ishizaki T, Hayashida K, Imanaka Y
  • Journal Title: Health Policy 88(1) Pages: 100-109
• [Journal Article] Association between patient age and hospitalization resource use in a teaching hospital in Japan (2008)
  • Author(s): Ishizaki T, Imanaka Y, Oh EH, Sekimoto M, Hayashida K, Kobuse H.
  • Journal Title: Health Policy 87 Pages: 20-30
  • Peer Reviewed
• [Journal Article] Management patterns and healthcare costs for hospitalized patients with cerebral infarction. (2008)
  • Author(s): Sekimoto M, Kakutani C, Inoue I, Ishizaki T, Hayashida K, Imanaka Y.
  • Journal Title: Health Policy 88 Pages: 100-109
  • Peer Reviewed
• [Journal Article] Association between patient age and hospitalization resource use in a teaching hospital in Japan (2008)
  • Author(s): Tatsuro Ishizaki, Yuichi Imanaka, Eun-Hwan Oh, Miho Sekimoto, Kenshi Hayashida, Hiroe Kobuse
  • Journal Title: Health Policy (in press)
  • Peer Reviewed
• [Journal Article] Risk adjusted resource utilization for AMI patients treated in Japanese hospitals (2007)
  • Author(s): Evans E, Imanaka Y, Sekimoto M, Ishizaki T, Hayashida K, Fukuda H, Oh EH
  • Journal Title: Health Economics 16(4) Pages: 347-359
• [Journal Article] Risk adjusted resource utilization for AMI patients treated in Japanese hospitals (2007)
  • Author(s): Edward Evans, Yuichi Imanaka, Miho Sekimoto, Tatsuro Ishizaki, Kenshi Hayashida, Haruhisa Fukuda, Eun-Hwan Oh
  • Journal Title: Health Economics 16 Pages: 347-359
  • Peer Reviewed
• [Journal Article] Quality and productive efficiency in simple laceration treatment. (2006)
  • Author(s): Kuwabara K, Imanaka Y, Ishizaki T
  • Journal Title: Journal of Evaluation in Clinical Practice 12・2 Pages: 164-173
• [Journal Article] Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals. (2006)
  • Author(s): Sekimoto M, Imanaka Y, Hirose M, Ishizaki T, et al.
  • Journal Title: BMC Health Service Research 6 Pages: 40-40