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17 papers found.
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Input–output analysis on the economic impact of medical care in Japan

Objectives Since the Cabinet’s decision concerning the Basic Policies 2005, the Japanese government has implemented specific measures to suppress increases in national medical care expenditure. However, we believe that the economic significance of medical care should be quantified in terms of its economic impact on national medical care expenditure. No one has examined the economic ...

The Impact of Patient Profiles and Procedures on Hospitalization Costs through Length of Stay in Community-Acquired Pneumonia Patients Based on a Japanese Administrative Database

Background Community-acquired pneumonia is a common cause of patient hospitalization, and its burden on health care systems is increasing in aging societies. In this study, we aimed to investigate the factors that affect hospitalization costs in community-acquired pneumonia patients while considering the intermediate influence of patient length of stay. Methods Using a ...

Can Experience Improve Hospital Management?

data to a third party without permission from the Project. Data are available upon request and readers who would like to request the data may contact the corresponding author, Prof. Yuichi Imanaka

Development of a risk-adjusted in-hospital mortality prediction model for community-acquired pneumonia: a retrospective analysis using a Japanese administrative database

Background Community-acquired pneumonia (CAP) is a common cause of patient hospitalization and death, and its burden on the healthcare system is increasing in aging societies. Here, we develop and internally validate risk-adjustment models and scoring systems for predicting mortality in CAP patients to enable more precise measurements of hospital performance. Methods Using a ...

Widening disparity in the geographic distribution of pediatricians in Japan

Background The shortage of physicians in Japan is a serious concern, particularly in specialties like pediatrics. The purpose of this study was to investigate recent changes in the geographic distribution of pediatricians and the factors underlying this change. Methods We investigated the numerical changes in the pediatrician workforce (2002 to 2007) per 100,000 of the population ...

Survival analyses of postoperative lung cancer patients: an investigation using Japanese administrative data

Long-term survival rates of cancer patients represent important information for policymakers and providers, but analyses from voluntary cancer registries in Japan may not reflect the overall situation. In 2003, the Diagnosis Procedure Combination Per-Diem Payment System (DPC/PDPS) for hospital reimbursement was introduced in Japan; more than half of Japan’s acute care beds are ...

Erratum to: Incidence and Prevention of Postoperative Venous Thromboembolism: Are They Meaningful Quality Indicators in Japanese Health Care Settings?

Yuichi Imanaka 0 0 S. Kunisawa H. Ikai Y. Imanaka (&) Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University , Yoshida Konoe-cho, Sakyou-ku, Kyoto 606

Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan

Background In Japan, as in many other countries, several quality and safety assurance measures have been implemented since the 1990's. This has occurred in spite of cost containment efforts. Although government and hospital decision-makers demand comprehensive analysis of these activities at the hospital-wide level, there have been few studies that actually quantify them. ...

Why are physicians not persuaded by scientific evidence? A grounded theory interview study

Background The government-led "evidence-based guidelines for cataract treatment" labelled pirenoxine and glutathione eye drops, which have been regarded as the standard care for cataracts in Japan, as lacking evidence of effectiveness, causing great upset among ophthalmologists and professional ophthalmology societies. This study investigated the reasons why such "scientific ...

Functional mapping of hospitals by diagnosis-dominant case-mix analysis

Background Principles and methods for the allocation of healthcare resources among healthcare providers have long been health policy research issues in many countries. Healthcare reforms including the development of a new case-mix system, Diagnosis Procedure Combination (DPC), and the introduction of a DPC-based payment system are currently underway in Japan, and a methodology for ...

Effects of patient demands on satisfaction with Japanese hospital care

Objective. The objective of this study was to detect whether there was any difference among the characteristics of patient satisfaction between two patient emphasis groups: patients demanding technical elements of hospital care and patients demanding interpersonal elements. Design and setting. The sample for this study was drawn from in-patients discharged from 77 voluntarily ...

Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals

Background Although currently available evidence predominantly recommends early laparoscopic cholecystectomy (LC) for the treatment of acute cholecystitis, this strategy has not been widely adopted in Japan. Herein, we describe a hospital-based study of patients with acute cholecystitis in 9 Japanese teaching hospitals in order to evaluate the impact of different institutional ...

Practice variation in perioperative antibiotic use in Japan

Care vol. 16 no. 5 International Society for Quality in Health Care and Oxford University Press 2004 ; all rights reserved 1 Address reprint requests to Yuichi Imanaka, Department of Healthcare

Patients' preferences for involvement in treatment decision making in Japan

Background A number of previous studies have suggested that the Japanese have few opportunities to participate in medical decision-making, as a result both of entrenched physician paternalism and national characteristics of dependency and passivity. The hypothesis that Japanese patients would wish to participate in treatment decision-making if adequate information were provided, ...

A first look at variations in use of breast conserving surgery at five teaching hospitals in Japan

Objective. We assessed variations in the use of breast conserving surgery (BCS) for operable breast cancer patients among hospitals in Japan, and then compared the length of stay (LOS) and total charges during hospitalization between patients who received BCS and those who received mastectomy. Setting and study participants. We used a database from the Voluntary Hospitals of Japan ...