A prospective cohort study on National Health Insurance beneficiaries in Ohsaki, Miyagi Prefecture, Japan: study design, profiles of the subjects and medical cost during the first year.
A prospective cohort study on National Health Insurance beneficiaries in Ohsaki, Miyagi Prefecture, Japan: study design, profiles of the subjects and medical cost during the first year.
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日本宫城县大崎市国民健康保险受益人的前瞻性队列研究：研究设计、受试者概况和第一年的医疗费用。
DOI：
10.2188/jea.8.258
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发表时间：
1998
影响因子：
4.7
通讯作者：
S. Hisamichi
中科院分区：
文献类型：
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作者：
I. Tsuji;Y. Nishino;T. Ohkubo;A. Kuwahara;K. Ogawa;Yoko Watanabe;Y. Tsubono;Takehiko Bando;Seiki Kanemura;Y. Izumi;Atsushi Sasaki;A. Fukao;M. Nishikori;S. Hisamichi
为了研究与健康相关的生活方式对医疗保健利用及其费用的影响，我们对居住在日本宫城县大崎公共卫生中心辖区的所有年龄在 40 至 79 岁的国民健康保险受益人进行了一项队列研究。基线调查于 1994 年 10 月至 12 月期间进行，使用自行填写的有关健康相关生活方式的问卷。在 54,996 名符合条件的受试者中，有 52,029 名（94.6%）做出回应并形成了研究队列。自 1995 年 1 月以来，从国民健康保险索赔历史档案中获得了医疗保健利用率（门诊次数和住院天数）以及每个受试者的费用。研究受试者的健康相关生活方式和病史的基线特征与我们的另一个队列受试者（所谓的宫城队列研究；N = 47,605）一致，该队列研究包括日本宫城县 14 个市镇的所有 40 至 64 岁居民1990年。该人群的人均医疗费用与全国平均水平相当。这项前瞻性队列研究将定量证明与健康相关的生活方式的经济影响，从而引导我们更好地提供具有成本效益的预防性健康服务。
To examine the impact of health-related lifestyle upon medical care utilization and its costs, we conducted a cohort study among all National Health Insurance beneficiaries aged from 40 to 79 years living in the catchment area of Ohsaki Public Health Center, Miyagi, Japan. The baseline survey, using self-completed questionnaire regarding health-related lifestyle, was conducted between October and December 1994. Out of 54,996 eligible subjects, 52,029 (94.6%) responded and formed the cohort under study. Medical care utilization (number of outpatient visits and days of inpatient care) and the costs for each subject have been obtained from National Health Insurance Claim History files since January 1995. The baseline characteristics of health-related lifestyle and medical history at the study subjects were consistent with those at our another cohort subjects (so-called Miyagi cohort study; N = 47,605), which included all the residents aged from 40 to 64 years at 14 municipalities in Miyagi Prefecture, Japan conducted in 1990. The medical costs per capita in this cohort was quite compatible with the national average. This prospective cohort study would quantitatively demonstrate the economic impact of health-related lifestyle, thus would lead us to better provision of cost-effective preventive health services.
Akira Fukao：“日本宫城县的一项关于生活方式、性格、生物标志物和癌症的队列研究：研究设计、队列受试者的反应率和概况。”
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