An analysis of the length of stay and effectiveness of treatment for hip fracture patients in Japan: Evaluation of the 2002 revision of the medical service fee schedule

Nawata, Kan; Nitta, Ayako; Watanabe, Sonoko; Kawabuchi, Koichi

doi:10.1016/j.jhealeco.2005.11.002

Cited by 17 publications

(10 citation statements)

References 8 publications

(5 reference statements)

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“…Furthermore, LOS in acute hospital care and LOS including days in rehabilitation units were prolonged for those patients. Earlier studies have focused on the patients prefracture medical condition related to mortality (Parker et al, 2000;Roche et al, 2005) and/or LOS (Beaupre et al, 2006;Nawata et al, 2006). In this study no significant difference was found between patients characteristics at admission compared to patients treated at an orthopaedic department and patients treated at other departments or between patients in the control and intervention groups.…”

Section: Discussionmentioning

confidence: 57%

Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Hommel

Björkelund

Thorngren

et al. 2008

Journal of Orthopaedic Nursing

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Section: Discussionmentioning

confidence: 57%

Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Hommel

Björkelund

Thorngren

et al. 2008

Journal of Orthopaedic Nursing

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“…In Japan, medical costs are measured by points rather than yen, and medical institutes are paid 10 yen per point [52]. The average and standard deviations (SD) were 13,672 and 39,576 points, respectively, and the total cost was 1558 million points.…”

Section: Distribution Of Medical Costs For All Casesmentioning

confidence: 99%

Evaluation of Medical Costs of Kidney Diseases and Risk Factors in Japan

Nawata¹,

Kimura²

2017

Health

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Background: Kidney (renal) diseases and dialysis are among the most costly disorders and represent a worldwide burden. In this study, we evaluate the medical costs for individuals with kidney diseases and risk factors for the diseases in Japan. Data and Methods: The dataset used contained 113,979 medical checkups and 3,172,066 medical cost records obtained from 48,022 individuals in one health insurance society. The sample period was April 2013 to March 2016. We evaluated the distribution of all medical costs, and those of kidney diseases specifically. Then the power transformation Tobit model was used to remove the effects of other variables. Finally, a probit analysis was used to analyze the risk factors. Results: In 0.25% of all cases, individuals were diagnosed with kidney diseases. An individual with kidney disease cost 14.5 times more than those without kidney disease. If the diseases progressed into chronic kidney disease (CKD), the medical costs increased substantially. Even disregarding various characteristics of individuals, this conclusion did not vary. We found important risk factors included diabetes and blood pressure problems. In particular, an individual with both factors had a high probability of developing kidney disease. Conclusion: Kidney diseases are much costlier than other diseases. Screening high-risk individuals, educating patients, and ensuring that treatment begins at an early stage are critically important to controlling medical costs. Limitations: The dataset was observatory, and the sample period was only 3 years.

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“…10 yen per point is payed to medical institutes. For details, see Nawata et al [46] In the national survey [33], the total payment to hospitals, clinics, and pharmacies was 36.5 trillion yen, and the medical expenditure for diabetes was 3.3% of this total; this implies that diabetes might be a much costlier disease than generally thought.…”

Section: Medical Paymentsmentioning

confidence: 99%

An Analysis of the Medical Costs of and Factors Affecting Diabetes Using the Medical Checkup and Payment Dataset in Japan: Can We Reduce the Prevalence of Diabetes?

Nawata¹,

Kimura²

2017

Health

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Background: The cost and economic burden of diabetes are a serious worldwide issue. In this study, we evaluated medical payments for persons diagnosed with diabetes and the factors that led to a person having diabetes to reduce its prevalence. Methods: A dataset containing 113,979 medical checkups and 3,671,783 monthly medical, dental, care-giving and pharmacy payment records of one health insurance society was used. The dataset contains information of normal and healthy persons. The sample period ran from April, 2013 to March, 2016. The medical payments for persons diagnosed with diabetes were calculated. The regression analysis was used to remove the effects of age and gender. The probit analysis was used to analyze the factors that led to a person having diabetes. Results: In 2.9% of cases, the person undergoing the checkup was diagnosed with diabetes, and the medical payments for these patients were 2.7 times as much as the average medical payment per person. This result did not change significantly even if age and gender were considered. The results of the probit analysis suggested that body mass index, high systolic blood pressure, low diastolic blood pressure, eating habits, physical activities, smoking, drinking alcohol and sleeping were important factors for diabetes. Conclusion: The diabetes might be a costlier disease than previously thought in Japan. By the estimation, 8% of all medical payments were made for these persons with diabetes, which is much higher than the result shown by national survey data. However, overall prevalence could be recused by efforts such as prevention of overweight and obesity.

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An analysis of the length of stay and effectiveness of treatment for hip fracture patients in Japan: Evaluation of the 2002 revision of the medical service fee schedule

Cited by 17 publications

References 8 publications

Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Evaluation of Medical Costs of Kidney Diseases and Risk Factors in Japan

An Analysis of the Medical Costs of and Factors Affecting Diabetes Using the Medical Checkup and Payment Dataset in Japan: Can We Reduce the Prevalence of Diabetes?

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