Associations Between Healthcare Resources and Healthy Life Expectancy: A Descriptive Study across Secondary Medical Areas in Japan.
Associations Between Healthcare Resources and Healthy Life Expectancy: A Descriptive Study across Secondary Medical Areas in Japan.
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DOI：
10.3390/ijerph17176301
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发表时间：
2020-08-29
影响因子：
--
通讯作者：
Kondo N
中科院分区：
文献类型：
--
作者：
Hosokawa R;Ojima T;Myojin T;Aida J;Kondo K;Kondo N
日本是世界上预期寿命最高的国家。然而，这并不能保证生活质量的提高。预期寿命和健康预期寿命之间存在差距。本研究旨在揭示日本所有二级医疗领域（n = 344）的健康预期寿命特征，并探讨医疗保健资源、预期寿命和出生时健康预期寿命之间的关系。数据来自日本的人口登记和长期保险记录。使用沙利文方法计算不同性别的健康预期寿命差异。绘制了健康预期寿命地图。采用描述性统计和相关分析进行分析。调查结果揭示了显着的地区差异。医生和治疗师的数量、家庭医疗保健设施和上门治疗的支持诊所以及人均牙科支出与预期寿命和健康预期寿命呈正相关（相关系数> 0.2）。他们还揭示了性别差异。尽管控制了人口密度，但仍观察到健康预期寿命的不平等，这凸显了促进社会政策以缩小地区差距的必要性。日本政策制定者应考虑卫生资源的最佳水平，以提高预期寿命和健康预期寿命。医疗资源的地理分布也应该重新构建。
Japan has the highest life expectancy in the world. However, this does not guarantee an improved quality of life. There is a gap between life expectancy and healthy life expectancy. This study aimed to reveal the features of healthy life expectancy across all secondary medical areas (n = 344) in Japan and examine the relationship among healthcare resources, life expectancy, and healthy life expectancy at birth. Data were collected from Japan’s population registry and long-term insurance records. Differences in healthy life expectancy by gender were calculated using the Sullivan method. Maps of healthy life expectancy were drawn up. Descriptive statistics and correlation analysis were used for analysis. The findings revealed significant regional disparities. The number of doctors and therapists, support clinics for home healthcare facilities and home-visit treatments, and dentistry expenditure per capita were positively correlated with life expectancy and healthy life expectancy (correlation coefficients > 0.2). They also revealed gender differences. Despite controlling for population density, inequalities in healthy life expectancy were observed, highlighting the need to promote social policies to reduce regional disparities. Japanese policymakers should consider optimal levels of health resources to improve life expectancy and healthy life expectancy. The geographical distribution of healthcare resources should also be reconstituted.
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