Regional variations in the process of care for patients undergoing percutaneous coronary intervention in Japan

Shoji, Shuichi; Yamaji, Kyohei; Sandhu, Alexander T.; Ikemura, Nobuhiro; Inohara, Taku; Heidenreich, Paul A.; Amano, Tetsuya; Ikari, Yuji; Kohsaka, Shun

doi:10.1016/j.lanwpc.2022.100425

Cited by 7 publications

(6 citation statements)

References 52 publications

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“…The correctional system consists of various units of criminal law enforcement. 13 An order regarding the directions and boundaries as well as the method of fostering correctional inmates based on Pancasila is carried out in an integrated manner between the coaches, those who are being fostered, and the community in order to improve the quality of correctional inmates so that they are aware of their mistakes, improve themselves, and do not repeat criminal acts so that they can be re-accepted by society and the community, can play an active role in development, and c. Correctional can be compared to resocialization if everything is understood to be situated inside the Indonesian cultural framework. 14 Resocialization is the process of preparing inmates for a successful return to society, in the sense that they can once again live in society without committing another offense.…”

Section: Resultsmentioning

confidence: 99%

The Model of Coaching Narcotics Prisoners in the Correctional Penitentiary

Eviningrum

Fronzoni

2022

JHCLS

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The development of narcotics convicts differs from the development of other criminal convicts. This research uses a normative-juridical approach by reviewing the laws and regulations relevant to the legal issues to be solved and discussing the ideal coaching model for victims of narcotics users in prisons today. From this research, it can be concluded that the coaching model for narcotics abuse victims must be oriented towards healing and recovery, either through medical institutions, hospitals, health centers, or social institutions. Thus giving birth to a model of handling that can be applied to victims of narcotics users.

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Section: Resultsmentioning

confidence: 99%

The Model of Coaching Narcotics Prisoners in the Correctional Penitentiary

Eviningrum

Fronzoni

2022

JHCLS

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“…Geographical variations in medical costs and quality of care have been reported for a range of conditions, including myocardial infarction, heart failure, surgery, trauma, and sepsis [15,[40][41][42][43][44][45][46][47][48]. With regard to trauma, the distance between the scene of the accident and the nearest hospital has been found to have a negative correlation with clinical outcomes [45,46], as critical interventions such as transfusion, tracheal intubation, and surgical procedures are likely to be delayed in accordance with the arrival time.…”

Section: Discussionmentioning

confidence: 99%

Association between hospital spending and in-hospital mortality of patients with sepsis based on a Japanese nationwide medical claims database study—the Japan Sepsis Alliance study group

Oami

Abe

Nakada

et al. 2023

Preprint

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Background: The effect of hospital spending on the mortality rate of patients with sepsis has not yet been fully elucidated. We hypothesized that hospitals that consume more medical resources would have lower mortality rates among patients with sepsis. Methods: This retrospective study used administrative data from 2010 to 2017. The enrolled hospitals were divided into quartiles based on average daily medical cost per sepsis case. The primary and secondary outcomes were the average in-hospital mortality rate of patients with sepsis and the effective cost per survivor among the enrolled hospitals, respectively. A multiple regression model was used to determine the significance of the differences among hospital categories to adjust for baseline imbalances. Fractional polynomials and restricted cubic splines were used to determine the significance of the association between hospital spending and in-hospital mortality. Subgroup and sensitivity analyses were performed for the primary outcome. Results: Among 997 hospitals enrolled in this study, the crude in-hospital mortality rates were 15.7% and 13.2% in the lowest and highest quartiles of hospital spending, respectively. After adjusting for confounding factors, the highest hospital spending group demonstrated a significantly lower in-hospital mortality rate than the lowest hospital spending group (coefficient = − 0.025, 95% confidence interval [CI] − 0.034 to − 0.015; p < 0.0001). Similarly, the highest hospital spending group was associated with a significantly higher effective cost per survivor than the lowest hospital spending group (coefficient = 77.7, 95% CI 73.1 to 82.3; p < 0.0001). Analyses using fractional polynomials and restricted cubic splines revealed an inverse correlation between hospital spending and in-hospital mortality. In subgroup analyses, hospitals with a small or medium number of beds demonstrated a consistent pattern with the primary test, whereas those with a large number of beds or academic affiliations displayed no association. Conclusions: Using a nationwide Japanese medical claims database, this study indicated that hospitals with greater expenditures were associated with a superior survival rate and a higher effective cost per survivor in patients with sepsis than those with lower expenditures. In contrast, no correlations between hospital spending and mortality were observed in hospitals with a large number of beds or academic affiliations.

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“… 19 It covers >90% of the PCI procedures performed in Japan. 4 , 20 The National Clinical Database, a Japanese nationwide prospective internet-based registry, incorporated the J-PCI registry in 2013. Each institution has a data manager responsible for collecting and entering data into an online database system.…”

Section: Methodsmentioning

confidence: 99%

“…Nevertheless, significant variations in the quality of care have been observed among physicians, hospitals, and regions. 1 , 2 , 3 , 4 , 5 , 6 To achieve clinical improvements and standardize the quality of care, implementing benchmarking for quality indicators (QIs) within the health care system is effective. 7 QI initiatives have been proposed and implemented in various areas of medicine to promote the delivery of evidence-based care.…”

mentioning

confidence: 99%

Benchmarking System Monitoring on Quality Improvement in Percutaneous Coronary Intervention

Saito,

Inohara,

Kohsaka

et al. 2024

JACC: Asia

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Regional variations in the process of care for patients undergoing percutaneous coronary intervention in Japan

Cited by 7 publications

References 52 publications

The Model of Coaching Narcotics Prisoners in the Correctional Penitentiary

The Model of Coaching Narcotics Prisoners in the Correctional Penitentiary

Association between hospital spending and in-hospital mortality of patients with sepsis based on a Japanese nationwide medical claims database study—the Japan Sepsis Alliance study group

Benchmarking System Monitoring on Quality Improvement in Percutaneous Coronary Intervention

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