“What discourages adults’ use of insulin-infusion pumps in Japan, habit or financial aid?”
“What discourages adults’ use of insulin-infusion pumps in Japan, habit or financial aid?”
复制标题
“是什么阻碍了日本成年人使用胰岛素输注泵，是习惯还是经济援助？”
DOI：
10.1007/s42495-022-00105-5
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Wakutsu Naohiko
中科院分区：
文献类型：
--
作者：
Sakoda Sayaka;Tamura Masaoki;Wakutsu Naohiko
在日本，成年患者不愿使用胰岛素输注泵。这篇论文确定这是因为有争议的政策，即政府在20岁时停止对患者的经济援助，还是仅仅是因为成年患者习惯了每天多次注射。我们利用日本IDDM网络，通过互联网对日本的1型糖尿病患者及其家人进行了一项原创的问卷调查。利用调查数据，我们估算了抽水机的需求函数，并对财政资助的不连续性进行了评估。我们发现，糖尿病持续时间每增加一年，泵的需求量就会减少0.69%。泵的相对价格每增加一个单位，成人对泵的需求减少32.4%，而儿童对泵的需求减少14.4%。因此，不是习惯，而是经济援助是成年人避免抽水的主要原因。此外，为成人提供的经济援助比为儿童提供的更有效。政府为20岁以上的患者提供援助，将有效地帮助他们使用水泵。最后，男性和单身人士需要家人或医生的“推荐”。
In Japan, adult patients are reluctant to insulin-infusion pumps. This paper determines whether this is due to the controversial policy that the government stops financial aids for the patients at the age of twenty, or this is simply because adult patients are accustomed to multiple daily injections. With the Japan IDDM Network, we conduct an original questionnaire survey over the Internet on type 1 diabetes patients and their families in Japan. Using survey data, we estimate the pump’s demand function and evaluate the discontinuity of financial aids. We find that a unit increase in the duration year of diabetes causes a 0.69% decrease in pump demand. A unit increase in the relative “price” of the pumps decreases the demand for the pump by 32.4% for adults, while it decreases the demand by 14.4% for children. Therefore, not habits but financial aids are the main reason for adults to avoid the pumps. Additionally, financial aids for adults are more effective than for children. Government aids for patients over 20 years old would be effective for them to use pumps. Finally, men and single people need “recommendation” from their families or physicians.
影响因子：
3.5
作者：
McKnight, J. A.;Wild, S. H.;Miller, K. M.
通讯作者：
Miller, K. M.
青少年和年轻人对胰岛素泵治疗的态度。
影响因子：
5.4
作者：
S. Seereiner;K. Neeser;C. Weber;K. Schreiber;W. Habacher;I. Rakovac;P. Beck;L. Schmidt;T. Pieber
通讯作者：
T. Pieber