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Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost
http://hdl.handle.net/10069/36236
http://hdl.handle.net/10069/3623615d2b26e-f633-4c51-88ad-007c475e0698
名前 / ファイル | ライセンス | アクション |
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ISYK819_Tawara.pdf (491.5 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2016-03-23 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | chronic obstructive pulmonary disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | systematic intervention | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | case detection rate | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | medical cost | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | longitudinal study | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
俵, 祐一
× 俵, 祐一 |
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著者別名 | ||||||
姓名 | Tawara, Yuichi | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective: We established a COPD taskforce for early detection, diagnosis, treatment, and intervention. We implemented a pilot intervention with a prospective and longitudinal design in a regional city. This study evaluates the usefulness of the COPD taskforce and intervention based on COPD case detection rate and per capita medical costs. Method: We distributed a questionnaire to all 8,878 inhabitants aged 50?89 years, resident in Matsuura, Nagasaki Prefecture in 2006. Potentially COPD-positive persons received a pulmonary function test and diagnosis. We implemented ongoing detection, examination, education, and treatment interventions, performed follow-up examinations or respiratory lessons yearly, and supported the health maintenance of each patient. We compared COPD medical costs in Matsuura and in the rest of Nagasaki Prefecture using data from 2004 to 2013 recorded by the association of Nagasaki National Health Insurance Organization, assessing 10-year means and annual change. Results: As of 2014, 256 people have received a definitive diagnosis of COPD; representing 31% of the estimated total number of COPD patients. Of the cases detected, 87.5% were mild or moderate in severity. COPD medical costs per patient in Matsuura were significantly lower than the rest of Nagasaki Prefecture, as was rate of increase in cost over time. Conclusion: The COPD program in Matsuura enabled early detection and treatment of COPD patients and helped to lower the associated burden of medical costs. The success of this program suggests that a similar program could reduce the economic and human costs of COPD morbidity throughout Japan. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 長崎大学学位論文 学位記番号:博(医歯薬)甲第819号 学位授与年月日:平成28年3月18日 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Author: Yuichi Tawara, Hideaki Senjyu, Kenichiro Tanaka, Takako Tanaka, Masaharu Asai, Ryo Kozu, Mitsuru Tabusadani, Sumihisa Honda, Terumitsu Sawai | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: International Journal of Chronic Obstructive Pulmonary Disease, 10(1), pp.1531-1542; 2015 | |||||
書誌情報 |
International Journal of Chronic Obstructive Pulmonary Disease 巻 10, 号 1, p. 1531-1542, 発行日 2016-03-18 |
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EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 11782005 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.2147/COPD.S82872 | |||||
権利 | ||||||
権利情報 | (C) 2015 Tawara et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution ? Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | 患者発見率と医療費からみた日本の一地方都市におけるCOPDへの組織的介入の有用性について | |||||
出版者 | ||||||
出版者 | Dove Press Ltd | |||||
関係URI | ||||||
識別子タイプ | HDL | |||||
関連識別子 | http://hdl.handle.net/10069/36227 | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17301 | |||||
学位授与機関名 | Nagasaki University (長崎大学) | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2016-03-18 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲医歯薬第819号 | |||||
学位の種類 | ||||||
課程博士 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Nagasaki University (長崎大学), 博士(医学) (2016-03-18) |