The study on integrated community based program of health promotion

基于社区的综合健康促进计划研究

• 批准号: 15590566
• 负责人: MATSUDA Shinya
• 金额: $ 2.3万
• 依托单位: University of Occupational and Environmental Health, Japan
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15590566/
• 关键词: Long term care insurance; Health insurance; Osteo-muscular diseases; Cerebro-vascular diseases; OLAP; Evaluation sheet of home doctor; 健康日本21; データベース; 老人保健法; ICD10; ADL; IADL

In order to implement an integrated health promotion program at community level, it is necessary to construct the screening system of the target population. In this analysis we have constructed such a system with the assistance of a local government in Kyushu area. The system composes of medical insurance claim and long term care insurance (LTCI) claim (including the evaluation sheet of home doctor) for the 6582 assistant required level elderly persons in 2002 and 2003.Based on this data base, we have constructed the OLAP based analysis system. The followings are major findings ;1)Osteo-muscular diseases (OMD), Cerebro-vascular diseases (CVD) and cardiac diseases are three major causes for dependency.2)Although the per-capita medical and LTCI expenditures of aged with OMD are rather law, the total expenditure due to OMD was the most important because of its high prevalence rate.3)OMB is the most important cause of medical and LTCI expenditures for female, and CVD for male.4)There is very week negative correlation between per capita medical and LTCI expenditures.5)The factors significantly associated with the increase in medical and LTCI expenditures are aged household and higher age.As shown in our study, the integrated health information system is very useful tool for the comprehensive analyses for policy making. This system make it possible to screen the high risk population and at the same time to evaluate the effectiveness of health programs. In order to facilitate the construction of this kind of health information system, the complete implementation of e-claim is indispensable.

为了在社区层面实施综合性健康促进计划，有必要建立目标人群的筛查系统。在本分析中，我们在九州地区的地方政府的协助下构建了这样一个系统。该系统由2002年和2003年6582名助理级老年人的医疗保险索赔和长期护理保险索赔（包括家庭医生的评估表）组成。以下是主要调查结果：1）骨肌肉疾病（OMD）、脑血管疾病（CVD）和心脏病是老年人依赖的三大主要原因; 2）老年人OMD的人均医疗和LTCI支出虽然相对较少，但由于其患病率高，OMD的总支出是最重要的; 3）女性OMB是老年人医疗和LTCI支出的最重要原因，4）人均医疗费用与LTCI支出呈极弱的负相关关系; 5）与医疗费用和LTCI支出增长显著相关的因素是家庭老龄化和较高的年龄。该系统可以筛查高危人群，同时评估健康计划的有效性。为了促进这种卫生信息系统的建设，电子索赔的完整实施是必不可少的。

项目成果

介護予防を考える(下)

关于护理预防的思考（二）

• 发表时间: 2004
• 期刊: 介護保険情報 2004・8
• 作者: Ishizaki T;et al.;Hida Ayumi;筒井隆夫;松田 晋哉
• 通讯作者: 松田 晋哉

介護予防入門

护理预防简介

• 发表时间: 2005
• 作者: 松田晋哉;Shinya MATSUDA;松田晋哉;Shinya MATSUDA;松田 晋哉;松田 晋哉
• 通讯作者: 松田 晋哉

医療保険における予防給付のあり方に関する一考察

医疗保险预防性给付性质研究

• 发表时间: 2005
• 期刊: 社会保険旬報 No.2230
• 作者: 吉江 悟;他;松田 晋哉
• 通讯作者: 松田 晋哉

健康づくり推進のための総合データベース構築の必要性

建立综合数据库促进健康促进的必要性

• 发表时间: 2005
• 期刊: 社会保険旬報 2256
• 作者: Miyasaki M;et al.;高橋 都;Kobayashi F.;竹森幸一;松田晋哉
• 通讯作者: 松田晋哉

Importance of preventive activities under the medical and long term care

医疗和长期护理中预防活动的重要性

• 发表时间: 2004
• 期刊: ESP 04.12
• 作者: 松田晋哉;Shinya MATSUDA;松田晋哉;Shinya MATSUDA
• 通讯作者: Shinya MATSUDA