Analysis of the evidence-practice gap to facilitate proper medical care for the elderly: Investigation, using databases, of utilization measures for National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB)

on behalf of BiDAME: Big Data Analysis of Medical Care for the Elderly in Kyoto

研究成果: Article

5 引用 (Scopus)

抄録

As Japan becomes a super-aging society, presentation of the best ways to provide medical care for the elderly, and the direction of that care, are important national issues. Elderly people have multi-morbidity with numerous medical conditions and use many medical resources for complex treatment patterns. This increases the likelihood of inappropriate medical practices and an evidence-practice gap. The present study aimed to: derive findings that are applicable to policy from an elucidation of the actual state of medical care for the elderly; establish a foundation for the utilization of National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), and present measures for the utilization of existing databases in parallel with NDB validation. Cross-sectional and retrospective cohort studies were conducted using the NDB built by the Ministry of Health, Labor and Welfare of Japan, private health insurance claims databases, and the Kyoto University Hospital database (including related hospitals). Medical practices (drug prescription, interventional procedures, testing) related to four issues-potential inappropriate medication, cancer therapy, chronic kidney disease treatment, and end-of-life care-will be described. The relationships between these issues and clinical outcomes (death, initiation of dialysis and other adverse events) will be evaluated, if possible.

元の言語English
記事番号51
ジャーナルEnvironmental Health and Preventive Medicine
22
発行部数1
DOI
出版物ステータスPublished - 2017

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National Health Programs
Japan
Databases
Health
Drug Prescriptions
Terminal Care
Health Insurance
Chronic Renal Insufficiency
Dialysis
Cohort Studies
Therapeutics
Retrospective Studies
Morbidity
Professional Practice Gaps
Neoplasms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

これを引用

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title = "Analysis of the evidence-practice gap to facilitate proper medical care for the elderly: Investigation, using databases, of utilization measures for National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB)",
abstract = "As Japan becomes a super-aging society, presentation of the best ways to provide medical care for the elderly, and the direction of that care, are important national issues. Elderly people have multi-morbidity with numerous medical conditions and use many medical resources for complex treatment patterns. This increases the likelihood of inappropriate medical practices and an evidence-practice gap. The present study aimed to: derive findings that are applicable to policy from an elucidation of the actual state of medical care for the elderly; establish a foundation for the utilization of National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), and present measures for the utilization of existing databases in parallel with NDB validation. Cross-sectional and retrospective cohort studies were conducted using the NDB built by the Ministry of Health, Labor and Welfare of Japan, private health insurance claims databases, and the Kyoto University Hospital database (including related hospitals). Medical practices (drug prescription, interventional procedures, testing) related to four issues-potential inappropriate medication, cancer therapy, chronic kidney disease treatment, and end-of-life care-will be described. The relationships between these issues and clinical outcomes (death, initiation of dialysis and other adverse events) will be evaluated, if possible.",
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T2 - Investigation, using databases, of utilization measures for National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB)

AU - on behalf of BiDAME: Big Data Analysis of Medical Care for the Elderly in Kyoto

AU - Nakayama, Takeo

AU - Imanaka, Yuichi

AU - Okuno, Yasushi

AU - Kato, Genta

AU - Kuroda, Tomohiro

AU - Goto, Rei

AU - Tanaka, Shiro

AU - Tamura, Hiroshi

AU - Fukuhara, Shunichi

AU - Fukuma, Shingo

AU - Muto, Manabu

AU - Yanagita, Motoko

AU - Yamamoto, Yosuke

AU - Funakoshi, T.

AU - Goto, Y.

AU - Goto, E.

AU - Hanaki, N.

AU - Hiragi, S.

AU - Ikenoue, T.

AU - Iwao, T.

AU - Kawakami, K.

AU - Kondo, N.

AU - Kunisawa, S.

AU - Mori, Y.

AU - Nakatsui, M.

AU - Neff, Y.

AU - Ohtera, S.

AU - Okamoto, K.

AU - Otsubo, T.

AU - Saito, H.

AU - Saito, Y.

AU - Sakai, M.

AU - Sato, I.

AU - Seto, K.

AU - Shimizu, S.

AU - Takahashi, Y.

AU - Yamashita, K.

AU - Yoshida, S.

PY - 2017

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N2 - As Japan becomes a super-aging society, presentation of the best ways to provide medical care for the elderly, and the direction of that care, are important national issues. Elderly people have multi-morbidity with numerous medical conditions and use many medical resources for complex treatment patterns. This increases the likelihood of inappropriate medical practices and an evidence-practice gap. The present study aimed to: derive findings that are applicable to policy from an elucidation of the actual state of medical care for the elderly; establish a foundation for the utilization of National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), and present measures for the utilization of existing databases in parallel with NDB validation. Cross-sectional and retrospective cohort studies were conducted using the NDB built by the Ministry of Health, Labor and Welfare of Japan, private health insurance claims databases, and the Kyoto University Hospital database (including related hospitals). Medical practices (drug prescription, interventional procedures, testing) related to four issues-potential inappropriate medication, cancer therapy, chronic kidney disease treatment, and end-of-life care-will be described. The relationships between these issues and clinical outcomes (death, initiation of dialysis and other adverse events) will be evaluated, if possible.

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KW - Validation

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