The future of medical reimbursement for orthopedic surgery in Japan from the viewpoint of the health economy

Takura, Tomoyuki; Miki, Kenji

doi:10.1016/j.jos.2016.02.007

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…Our findings concur that some patients with spinal stenosis may face high treatment costs, require frequent medical visits, and need to seek financial supports. Although our results cannot be generalized to all patients with spinal stenosis, it underscores the importance of proper social welfare support, reasonable healthcare costs, effective diagnosis and treatments, as well as sharing decision making for patients with spinal stenosis [10,[60][61][62][63][64][65].…”

Section: Discussionmentioning

confidence: 81%

An exploratory study to understand how people use Twitter to share experiences or information about spinal stenosis

Wong

Kawchuk

2022

Chiropr Man Therap

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Background Spinal stenosis is a narrowing of the spinal canal that may compress neurological tissues resulting in pain and disability. Although previous qualitative studies have solicited data regarding the life experience of patients with spinal stenosis or their opinions on relevant non-surgical treatments, their data was collected from participants in a controlled setting. Therefore, it remains unclear whether patients’ or caregivers’ concerns/opinions about spinal stenosis would be different in a non-experimental environment. Since Twitter is a popular online platform for people to share information and interact, it may reveal people’s thoughts and attitudes about spinal stenosis. This study aimed to identify tweets that are related to spinal stenosis on Twitter, and to categorize them into common themes. Methods A social media monitoring and analysis software program (TalkWalker) was used to search relevant tweets using the keywords 'spinal stenosis' and 'stenosis' between 29 May 2019 and 24 June 2020. Two independent reviewers screened and conducted content analysis of the tweets and classified the tweets into different themes. Results Of 510 identified tweets, 362 tweets met the selection criteria. Five themes were identified: (1) compromised physical, psychological, and social wellbeing (n = 173); (2) diverse treatment options (n = 69); (3) coping strategies (n = 30); (4) dissemination of scientific information (n = 86); and (5) health policy (n = 4). Most of the tweets revealed negative impacts of spinal stenosis on patients' physical and psychosocial wellbeing. People with spinal stenosis shared their experiences and sought helps from others, while some people used Twitter to disseminate relevant information and research findings. Conclusions This is the first study exploring Twitter using an online analytical tool to identify themes related to spinal stenosis. The approach not only helps understand people’s concerns about spinal stenosis in an uncontrolled environment, but also can be adopted to monitor influences of diseases or public health education on Twitter users.

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Section: Discussionmentioning

confidence: 81%

An exploratory study to understand how people use Twitter to share experiences or information about spinal stenosis

Wong

Kawchuk

2022

Chiropr Man Therap

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“…With the global economic recession, the burden of medical expenses has become a social problem. 17 Compared with other cuff repair patterns, the suture-bridge procedure has a greater surgical cost. 18 Terhune et al.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Double-Pulley Suture-Bridge Repair of Supraspinatus Tendon Tear

Huang,

Tang

2024

Arthroscopy Techniques

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“…Such high costs laid heavy burdens on individuals and the society, which also demonstrated that the distribution of medical resources was not so fair. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Research on 2041 Cases of High Inpatient Expenditure and Influence Factors during 3 Years in a Single Center

Pan

Wei

et al. 2016

Chinese Medical Journal

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Background:The study was to explore the causes of high inpatient expenditure through analyzing the distribution characteristics as well as the influence factors of high inpatient expenditure cases during 3 years within a Grade-A tertiary hospital through various aspects and multiple angles, thus identifying the major influence factors for high medical expenditure to develop further research.Methods:We retrospectively studied 2041 inpatient cases which cost more than RMB 100,000 Yuan per case in a Grade-A tertiary hospital from 2013 to 2015. We analyzed the compositions of the medical cost to evaluate the major factors that cause the high inpatient expenditure. All the data and materials were collected from medical record system, and the statistical methods included t-test, variance of analysis, and multivariate linear regression.Results:The average cost of the 2,041 cases was RMB 152,173 Yuan for medicines and materials of medical costs, which respectively accounted for 33.03% and 32.32% of the total cost; and the average length of hospital stay was 28.39 days/person. Diseases of skeletal and muscular system, circulatory system, and tumor were the top three disease categories of high inpatient expenditure, which accounted for 39.00%, 33.46%, and 18.03%, respectively. Complications, criticality of the disease, gender of the patients, the occurrence of death, and the excessive length of hospital stay all had great impacts on average medical expenditure, while age, hospital infection, and surgery showed no significant impact on average medical cost.Conclusions:The main factors for high inpatient expenditure included the inadequate use of high-value medicines and materials, lacking cost control measures within the hospital, the excessive length of hospital stay for inpatients, and the unnecessary treatment for the patients.

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The future of medical reimbursement for orthopedic surgery in Japan from the viewpoint of the health economy

Cited by 9 publications

References 19 publications

An exploratory study to understand how people use Twitter to share experiences or information about spinal stenosis

An exploratory study to understand how people use Twitter to share experiences or information about spinal stenosis

Arthroscopic Double-Pulley Suture-Bridge Repair of Supraspinatus Tendon Tear

Research on 2041 Cases of High Inpatient Expenditure and Influence Factors during 3 Years in a Single Center

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