Development of methods for risk adjustment and quality evaluation of health care by administrative data

利用行政数据开发医疗保健风险调整和质量评估方法

• 批准号: 21590556
• 负责人: FUSHIMI Kiyohide
• 金额: $ 2.91万
• 依托单位: Tokyo Medical and Dental University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2009
• 资助国家: 日本
• 起止时间: 2009 至 2011
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-21590556/
• 关键词: 医療の質; 診断群分類; 医療データ; 医療サービス研究; 診療プロセス分析; 患者リスク調整

DPC data is administrative data of acute care hospitals in Japan potentially useful for the analysis of health care quality and the assessment of hospital functions. The purpose of this study was to develop methodology for health care quality analysis by DPC administrative data. We have shown successful outcome assessment including hospital death rate after acute coronary interventions and the length of hospital stay after hip fracture surgery by case-mix adjustment with DPC process data. We have shown that DPC data is highly valuable for health care quality assessment and clinical epidemiology. The construction and maintenance of comprehensive and representative DPC data base for clinical research use is mandatory for high quality clinical investigations and evidence-based health policy in Japan.

DPC 数据是日本急症护理医院的管理数据，可用于分析医疗保健质量和评估医院功能。本研究的目的是开发通过 DPC 管理数据进行医疗保健质量分析的方法。我们通过使用 DPC 过程数据进行病例组合调整，成功评估了结果，包括急性冠状动脉介入治疗后的住院死亡率和髋部骨折手术后的住院时间。我们已经证明，DPC 数据对于医疗保健质量评估和临床流行病学非常有价值。为了保证日本高质量的临床研究和循证卫生政策，必须建设和维护用于临床研究的全面且具有代表性的 DPC 数据库。

项目成果

Health resource reallocation by casemix data in Japan

• DOI: 10.1186/1472-6963-9-s1-a10
• 发表时间: 2009-11-05
• 期刊: BMC Health Services Research
• 影响因子: 2.8
• 作者: Fushimi K;Matsuda S
• 通讯作者: Matsuda S

Re-Justification for Reducing the Length of Hospital Stay Based on Community-Based Appraisal of Functional Recovery of Cerebrovascular Disease Patient

基于社区脑血管病患者功能恢复评估的重新论证减少住院时间的理由

• DOI: 10.4021/jnr18e
• 发表时间: 2011
• 期刊: Journal of Neurology Research
• 作者: Kuwabara;K.;Matsuda;S.;Fushimi;K.;Ishikawa;K.B.;Horiguchi;H.;Fujimori;K.
• 通讯作者: K.

Application of Agency for Healthcare Research and Quality (AHRQ) patient safety indicators in Japan

日本医疗保健研究与质量机构 (AHRQ) 患者安全指标的应用

• 发表时间: 2011
• 作者: Ikeda;S.;Kobayashi;M.;Fushimi;K.;Matsuda;S.
• 通讯作者: S.

DPCで見る地域医療の通信簿第4回

通过 DPC 查看社区医疗报告卡，第 4 部分

• 发表时间: 2011
• 作者: 横尾美智代;他1名;伏見清秀;伏見清秀
• 通讯作者: 伏見清秀

Relationship Between Hospital Volume and Outcomes Following Primary Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction

• DOI: 10.1253/circj.cj-10-0556
• 发表时间: 2011-05-01
• 期刊: CIRCULATION JOURNAL
• 影响因子: 3.3
• 作者: Kuwabara, Hiroyo;Fushimi, Kiyohide;Matsuda, Shinya
• 通讯作者: Matsuda, Shinya