運動介入の医療経済効果の評価方法の検討

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We tested the possible usefulness of new evaluation methods of the effects of exercise intervention on the medical economy, focusing on medical costs of the elderly who participated in the exercise group compared with control subjects (or estimated values) in four local self-governing bodies. In village A we compared the yearly medical costs between 20 participants of the exercise group (aerobics and muscle exercise using a weight machine) and 20 control subjects. We compared not only yearly medical costs but also cumulative medical costs from the entry year. In city B, we compared the medical costs of May of each year between 74 participants of the exercise group (aerobics and muscle exercise using their own body weights) and 210 control subjects. We compared not only the medical costs of each May but also the cumulative medical costs from the previous periods. In town C we compared the medical costs of each May between 16 participants of an exercise group (muscle exercise using their own body weights), 23 participants of another exercise group (exercise using exercise balls), 8 quoits players, and 46 control subjects, using cumulative costs. In ward D we tried estimating values of the controls calculated from the entire medical costs of the national health insurance system, and compared the medical costs of 13 participants of the exercise group (muscle exercise using their own body weights) and the estimated values, using cumulative costs. Results show that the cumulative medical costs of the control subjects increased more than the exercise groups in village A. Similar tendencies were shown in cumulative medical costs of May of each year in city B, town C, and ward D. In conclusion cumulative medical costs might be useful for evaluating the effects of exercise on the medical economy.
学校法人昭和大学・昭和医学会の論文

運動介入の医療経済効果の評価方法の検討

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