Do Interventions to Prevent Lifestyle-Related Diseases Reduce Healthcare Expenditures? A Randomized Controlled Clinical Trial

スポンサーリンク

概要

• 論文の詳細を見る

• Background: In 2008, the Japanese government implemented a program of health lifestyle interventions to reduce health care expenditure. This study evaluated whether these interventions decreased health care expenditures.Methods: The study enrolled 99 participants insured by Japanese National Health Insurance, who, in our previous study conducted in 2004, were allocated by random sampling into an intervention group (50 participants) and a control group (49 participants). In the intervention group, we used a health support method that facilitated the attainment of goals established by each participant. The control group received instruction in exercise, as well as health support using publically available media. Although 3 participants in the intervention group and 9 participants in the control group did not participate in a follow-up health examination 1 year after the intervention, the health care expenditures of all initial participants were assessed. Expenditures before and after the intervention were compared within and between groups. Data on health care expenditures were obtained from inpatient, outpatient, pharmacy, and dental health insurance claims.Results: After the intervention, the pharmacy and dental expenditures were significantly higher in the intervention group, while the pharmacy expenditure was significantly higher in the control group. However, there was no significant difference in any medical expenditure item between the intervention and control groups before or after the intervention.Conclusions: No significant differences were observed in short-term medical expenses for any medical expenditure item after a lifestyle intervention.

著者

• KUWABARA KAZUAKI

  Department of Health Care Administration and Management, Kyushu University

• Babazono Akira

  Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu

• Hagiihara Akihito

  Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu

• Nagano Jun

  Institute of Health Science, Kyushu University

• Ishihara Reiko

  Department of Healthcare Management, College of Healthcare Management

関連論文

• Differences in Practice Patterns and Costs between Small Cell and Non-Small Cell Lung Cancer Patients in Japan
• Do Interventions to Prevent Lifestyle-Related Diseases Reduce Healthcare Expenditures? A Randomized Controlled Clinical Trial
• The association of the number of comorbidities and complications with length of stay, hospital mortality and LOS high outlier, based on administrative data
• Two Thirds of Forest Walkers with Japanese Cedar Pollinosis Visit Forests even During the Pollen Season
• Rectal Gangrene ; A Rare Complication of Infected Hemorrhoid
• Variations in the Preoperative Resources Use and the Practice Pattern in Japanese Cholecystectomy Patients
• Impact of hospital volume on clinical outcomes of endoscopic biliary drainage for acute cholangitis based on the Japanese administrative database associated with the diagnosis procedure combination system
• Profiling of the Care Processes for Laryngeal Cancer with the Japanese Administrative Database
• Equivalent Clinical Outcomes of Bleeding Peptic Ulcers in Teaching and Non-Teaching Hospitals : Evidence for Standardization of Medical Care in Japan
• Do Interventions to Prevent Lifestyle-Related Diseases Reduce Healthcare Expenditures? A Randomized Controlled Clinical Trial

スポンサーリンク