电子健康对生活方式相关疾病医疗支出影响的实证分析

Y. Akematsu, M. Tsuji
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引用次数: 2

摘要

本研究基于2006年11月至2007年2月间对福岛县西会镇居民的邮件调查及国民健康保险收据数据,实证评估电子医疗服务的有效性。本文主要分析了在该镇,电子医疗对于哪些疾病是有效降低医疗费用的。我们的主要兴趣集中在四种与生活方式有关的疾病,即心脏病、高血压、糖尿病和中风。我们应用回归分析来估计电子健康对患有这些疾病的用户的影响,然后计算电子健康在减少医疗支出方面的货币效应。因此,电子健康被证实对心脏病、高血压、糖尿病等四种疾病具有积极作用。这些结果预计将对建立基于证据的政策非常有效,例如医疗保险报销,这在日本还没有。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Empirical analysis of the effect of eHealth to medical expendirures of lifestyle-related diseases
The objective of this research is to evaluate empirically the effectiveness of eHealth in Nishi-aizu Town, in Fukushima Prefecture, based on a mail survey to residents and their receipt data of National Health Insurance from November 2006 to February 2007. This paper mainly analyzes for what kind of diseases eHealth in this town is effective to reduce medical expenditures. Our main interests are focused on four lifestyle-related diseases, namely, heart diseases, high blood pressure, diabetes, and strokes. We apply a regression analysis to estimate the effect of eHealth to users who have these diseases and then calculate the monetary effect of eHealth in reduction of medical expenditures. As a result, eHealth is verified to provide the positive effect to heart diseases, high blood pressure, and diabetes among four diseases. These results are expected to strongly valid for establishment of evidence-based policy such as reimbursement from the medical insurance which we do not have yet in Japan.
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