EVALUATION OF THE STROKE REGISTRY SYSTEM FOR STROKE PREVENTION AND PROMOTION OF SOCIAL SERVICES

摘要本研究旨在探讨脑卒中登记制度对居家长者社会服务的影响。我们获得了1999财政年度在各县卫生院登记的脑卒中患者人数，并调查了登记人数与医疗费用和参保老年人就医天数的关系。此外，我们还对11个保健中心登记的266名患者进行了社会服务方面的跟踪研究。各地区各保健中心的平均住院率、就医天数和医疗费用按三类卒中挂号率的递增顺序依次递减。多元回归分析还显示卒中登记率与参保老年人住院率、就医天数、医疗费用均呈负相关。在对脑卒中患者的随访研究中，我们发现一半的社会服务是在基于脑卒中登记的医疗访问之后提供的。建议卒中登记制度有助于促进社会服务，减少卒中患者的医疗需求。

The aim of this study is to clarify the influence of stroke registry system on social services provided to the elderly at home.We obtained the numbers of stroke patients registered in each prefecture health centers in 1999 fiscal year, and investigated the relationship of the registered numbers to medical expenditure and days of medical care per insured elderly.Furthermore, we did the follow-up study concerning with social services about 266 patients registered in 11 health centers.The average hospitalization rate, days of medical care and medical expenditure among the regions of the health centers declined in the increasing order of the three categories of stroke registration rate. Multiple regression analysis also showed that stroke registration rate had a negative relationship to the hospitalization rate, days of medical care and medical expenditure per insured elderly.In the follow-up study of the stroke patients, we found that half of the social services were provided to patients after health care visits based on the stroke registry.It was suggested that the stroke registry system support the promotion of social services and reduction in medical demands of stroke.