WHAT HAS INFLUENCED PATIENT HEALTH-CARE EXPENDITURES IN JAPAN?: VARIABLES OF AGE, DEATH, LENGTH OF STAY, AND MEDICAL CARE
WHAT HAS INFLUENCED PATIENT HEALTH-CARE EXPENDITURES IN JAPAN?: VARIABLES OF AGE, DEATH, LENGTH OF STAY, AND MEDICAL CARE
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DOI：
10.1002/hec.1410
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发表时间：
2009-07-01
期刊：
影响因子：
2.1
通讯作者：
Fushimi, Kiyohide
中科院分区：
文献类型：
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作者：
Sato, Emi;Fushimi, Kiyohide
本研究考虑了与日本老龄化和长期住院相关的医疗保健支出相关的变量。我们重点关注每日人均住院医疗费用，并研究了住院患者特征（如性别、年龄、存活或死亡、住院时间、成人疾病和每次住院期间接受的医疗护理类型）的影响。我们使用多项逻辑回归分析来分析公共健康保险医疗活动调查的数据。患者年龄对人均住院日医疗费用的影响不大。至于住院时间，8-14天的住院对保健支出的影响不大。这项研究表明，这些结果可能是由于所接受的医疗护理的种类。需要更多的研究来确定适当的医疗服务，以减少长期住院。在对死亡病人进行护理的最后一个月，医疗检查对保健支出有很大影响。这项研究表明，增加医疗检查在临终关怀需要进一步调查。版权所有（C）2008约翰威利父子有限公司
This study considers variables related to health-care expenditures associated with aging and long-term hospitalization in Japan. We focused on daily per capita inpatient health-care expenditures, and examined the impact of inpatient characteristics such as sex, age, survived or deceased, length of stay, adult disease, and type of medical care received during the duration of each stay. We analyzed data from the Survey of Medical-Care Activities in Public Health Insurance by multinomial logistic regression analyses. Age of patient had little impact on per capita inpatient health-care expenditures per day. As regards length of stay, inpatient stays of 8-14 days had a little impact on health-care expenditures. This study suggested that these results might be due to the kind of medical care received. More research is needed to determine the appropriate medical services to reduce long-term hospitalization. In the last month of care for patients who died, medical examinations had a great influence on health-care expenditures. This study showed that increasing medical examinations in the end-of-life care needs further investigation. Copyright (C) 2008 John Wiley & Sons, Ltd.