Using health insurance claim information for evacuee medical support and reconstruction after the Great East Japan Earthquake.
Using health insurance claim information for evacuee medical support and reconstruction after the Great East Japan Earthquake.
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将健康保险索赔信息用于东日本大地震后避难者的医疗支援和重建。
DOI：
10.1017/dmp.2013.41
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Kobayashi Y
中科院分区：
文献类型：
--
作者：
Tanihara S;Tomio J;Kobayashi Y
目的患者信息的丢失会阻碍疏散人员的医疗救治和重大事故中受损医疗设施的重建。在日本，医疗保险覆盖范围很广，有关诊断和医疗保健服务的信息由医疗机构、健康保险索赔审查和报销服务或国家健康保险组织(NHIO)和保险公司共享。2011年3月11日日本东部大地震发生后，我们采访了3个受灾县的卫生保健机构负责人，了解了他们如何协助疏散人员的医疗护理和受损医疗设施的重建。方法对3个县的卫生保健机构负责人进行全面访谈，了解事故发生3-4个月后医疗保险索赔数据的使用和提供情况。结果3个地州的医疗保险机构总部没有受到灾难的实际影响，其医疗保险索赔信息完好无损。灾难发生前获得的病人信息是从健康保险索赔中获得的，并适用于疏散人员的医疗护理。这些信息还被用于重建在灾难中丢失的患者记录。结论从医保索赔中获得的信息被用于改善大规模灾难后的医疗保健。(灾难医学公共卫生准备。2013；0：1-5)
ObjectiveLoss of patient information can hinder medical care for evacuees and the reconstruction of medical facilities damaged by major incidents. In Japan, health insurance coverage is universal, and information about diagnoses and health care services provided is shared by the medical facilities, Health Insurance Claims Review and Reimbursement Services or the National Health Insurance Organization (NHIO), and the insurers. After the Great East Japan Earthquake on March 11, 2011, we interviewed officers in charge of NHIO in the 3 prefectures that were damaged by the earthquake and elicited how they assisted with medical care for evacuees and reconstruction of the damaged medical facilities.MethodsComprehensive interviews were conducted with officers in charge of the NHIO in the 3 prefectures to obtain information about the use and provision of health insurance claims data 3 to 4 months after the event. We then analyzed the official data concerning use of the information from the claims in chronological order.ResultsThe NHIO headquarters in the 3 prefectures were not physically affected by the disaster, and their information on the health insurance claims was intact. Patient information acquired before the disaster was obtained from the health insurance claims and applied to the medical care of the evacuees. The information also was used to reconstruct patient records lost in the disaster.ConclusionThe information that was obtained from health insurance claims was used to improve medical care after the large-scale disaster. (Disaster Med Public Health Preparedness. 2013;0:1–5)