Are Japanese people satisfied with their health care system and services? Empirical evidence from survey data

Masako,; Bing, Niu

doi:10.1016/j.healthpol.2018.11.008

Cited by 10 publications

(4 citation statements)

References 3 publications

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“…HD hemodialysis, PD peritoneal dialysis, eGFR estimated glomerular filtration rate. www.nature.com/scientificreports/ health insurance system, similar to South Korea 26 . Therefore, planned dialysis would benefit the financial stability of the long-term national healthcare system in South Korea.…”

Section: Discussionmentioning

confidence: 99%

The benefit of planned dialysis to early survival on hemodialysis versus peritoneal dialysis: a nationwide prospective multicenter study in Korea

Lim

Kim

Jeon

et al. 2023

Sci Rep

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Optimal preparation is recommended for patients with advanced chronic kidney disease to minimize complications during dialysis initiation. This study evaluated the effects of planned dialysis initiation on survival in patients undergoing incident hemodialysis and peritoneal dialysis. Patients newly diagnosed with end-stage kidney disease who started dialysis were enrolled in a multicenter prospective cohort study in Korea. Planned dialysis was defined as dialysis therapy initiated with permanent access and maintenance of the initial dialysis modality. A total of 2892 patients were followed up for a mean duration of 71.9 ± 36.7 months and 1280 (44.3%) patients initiated planned dialysis. The planned dialysis group showed lower mortality than the unplanned dialysis group during the 1st and 2nd years after dialysis initiation (1st year: adjusted hazard ratio [aHR] 0.51; 95% confidence interval [CI] 0.37–0.72; P < 0.001; 2nd year: aHR 0.71; 95% CI 0.52–0.98, P = 0.037). However, 2 years after dialysis initiation, mortality did not differ between the groups. Planned dialysis showed a better early survival rate in hemodialysis patients, but not in peritoneal dialysis patients. Particularly, infection-related mortality was reduced only in patients undergoing hemodialysis with planned dialysis initiation. Planned dialysis has survival benefits over unplanned dialysis in the first 2 years after dialysis initiation, especially in patients undergoing hemodialysis. It improved infection-related mortality during the early dialysis period.

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Section: Discussionmentioning

confidence: 99%

The benefit of planned dialysis to early survival on hemodialysis versus peritoneal dialysis: a nationwide prospective multicenter study in Korea

Lim

Kim

Jeon

et al. 2023

Sci Rep

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“…Furthermore, we must take the differences in healthcare system between Japan and other countries into consideration. The Japanese healthcare system generally secures 'free access' to healthcare services, regardless of facility level, and there is no limitation on the frequency of ambulatory care visit [18]. This implies that a larger number of URI patients tends to visit ambulatory care although URI is basically a self-limited disease and there are substantial numbers of URI patients amongst patients admitted to healthcare facilities [19,20].…”

Section: Discussionmentioning

confidence: 99%

Cost of inappropriate antimicrobial use for upper respiratory infection in Japan

Tsuzuki

Kimura

Ishikane

et al. 2020

BMC Health Serv Res

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Background: Antibiotics are often prescribed inappropriately to patients with upper respiratory infection (URI) in ambulatory care settings; however, the economic burden of such prescription has not been quantitatively assessed. Here, we aimed to evaluate the additional cost of antimicrobial prescription for URI at the population level in Japan. Methods:We conducted a retrospective observational survey using longitudinal claims data between 2013 and 2016 obtained from JMDC Claims Database, which contains data from 5·1 million corporate employees and family members under the age of 65 years. Appropriateness of antibiotic prescription was assessed by a panel of six infectious disease physicians according to ICD-10 code in JMDC Claims Database. Total additional cost of antibiotic prescription for URI at the national level was estimated by weighting of age-structured population data. Results:The annual additional cost of inappropriate antibiotic prescription for URI was estimated at 423·6 (95% CI: 416·8-430·5) million USD in 2013, 340·9 (95% CI: 335·7-346·2) million USD in 2014, 349·9 (95% CI: 344·5-355·3) million USD in 2015, and 297·1 (95% CI: 292·4-301·9) million USD in 2016. Three classes of broad-spectrum oral antibiotics (third-generation cephalosporins, macrolides, and fluoroquinolones) accounted for > 90% of the total additional cost.Conclusions: Although a decreasing trend was observed, annual additional costs of inappropriate antibiotic prescriptions for URI could be a substantial economic burden in Japan. Appropriately prescribing broad-spectrum oral antibiotics might be an important issue to reduce unnecessary medical costs in Japanese ambulatory care.

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“…In the first stage, we focused on the need to evaluate one's CM. We adopted methods from previous studies on satisfaction [27] and assigned a dummy variable representing the behavior of the care recipient's evaluation. We set it to 0 if there was no evaluation (respondent either answered "Not sure" or gave no response) and 1 if there was an evaluation (respondent either answered "Satisfied", "Satisfied, if I have to choose", "Dissatisfied, if I have to choose", or "Dissatisfied").…”

Section: Measurement Of Satisfaction With CMmentioning

confidence: 99%

Does Long-Term Care Literacy Matter in Evaluating Older Care Recipients’ Satisfaction with Care Managers? Empirical Evidence from Japanese Survey Data

Wang¹,

Fukayama

Bing³

2023

IJERPH

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In this study, we focused on the long-term care literacy of care recipients (older adults currently receiving formal care services) and examined its relationship with satisfaction with their care managers by using a unique individual dataset of Japanese people aged 65 years and older. To address the problem of non-respondent bias, we applied inverse probability weighting and the Heckman probit model for estimation. We found that the probability of older adults evaluating their satisfaction regarding the six aspects of care manager measurement increased with an increasing level of care literacy. However, concerning the level of satisfaction with their care managers, we only observed significant increases in the aspects of “Explanation power” and “Attitude and manners” as the level of care literacy increased. Covariates, such as age, gender, family structure, level of certification for long-term care, reasons for choosing the care manager, utilization of long-term care services, and the manner in which older respondents answered the survey questions, also mattered regarding the evaluation process of satisfaction of older adults. In Japan, utilizing formal care services based on the long-term care insurance system is complicated and sometimes difficult for older adults to understand. In this survey, 35% of older care recipients had inadequate care literacy. Improving the care literacy of older adults is important for better use of formal care services and increased satisfaction.

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Are Japanese people satisfied with their health care system and services? Empirical evidence from survey data

Cited by 10 publications

References 3 publications

The benefit of planned dialysis to early survival on hemodialysis versus peritoneal dialysis: a nationwide prospective multicenter study in Korea

The benefit of planned dialysis to early survival on hemodialysis versus peritoneal dialysis: a nationwide prospective multicenter study in Korea

Cost of inappropriate antimicrobial use for upper respiratory infection in Japan

Does Long-Term Care Literacy Matter in Evaluating Older Care Recipients’ Satisfaction with Care Managers? Empirical Evidence from Japanese Survey Data

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