Relationship between Having a Home Doctor and Outpatient Utilization
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概要
- 論文の詳細を見る
While universal insurance coverage should eliminate or substantially reduce financial and certain structural barriers to medical care, inequity in utilization of care may continue to exist. We conducted a questionnaire survey of a national random sample of 4500 Japanese age16 or over in October, 1995. Separate analyses were conducted to predict the physician visit rates for the entire respondents (N=3395) and for those with chronic conditions (N=777). Forty-three percent of the total subjects reported an ambulatory physician visit within the past three months. About 17% of subjects with one chronic condition and 14% of those with two or more chronic conditions did not have any physician visits within recent three months. The regression model demonstrated that having a home doctor, as well as comorbidity and perceived health status, is significantly associated with outpatient visit both among all subjects (p< 0.0001) and among those with chronic conditions (p< 0.01). The Japanese health system still has unevenness in outpatient resource utilization. This mainly pertains to whether they have their own regular physician. The failure of some persons with chronic diseases to be seen requires further investigation. J Epidemiol, 2001 ; 11 : 160-169
- 日本疫学会の論文
著者
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Hashimoto Hideki
Department of Health Economics and Epidemiology Research, School of Public Health, The University of
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Fukuhara Shunichi
Department Of Epidemiology & Healthcare Research Kyoto University
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Fukuhara Shunichi
Department Of Epidemiology And Health Care Research Kyoto University Graduate School Of Medicine And
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KUROKAWA Kiyoshi
School of Medicine, Tokai University
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Shapiro Martin
Department Of Medicine University Of California
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Bito Seiji
Department Of General Internal Medicine National Tokyo Medical Center
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Bito Seiji
Department Of General Internal Medicine National Hospital Organization Tokyo Medical Center
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Hashimoto Hideki
Department Of Health Economics And Epidemiology Research (h. Hashimoto) School Of Public Health Univ
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Kurokawa Kiyoshi
School Of Medicine Tokai University
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Hashimoto Hideki
Department Of Public Health School Of Medicine
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Hashimoto Hideki
Department Of Applied Mathematics And Physics Graduate School Of Informatics Kyoto University
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Bito Seiji
Department Of Clinical Epidemiology National Hospital Organization Tokyo Medical Center
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Kurokawa Kiyoshi
School of Medicine
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