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OBJECTIVE: This study aimed to describe multimorbidity patterns,determine whether multimorbidity was associated with high medical expenditure, and determine whether mental diseases had an interaction effect on this association.METHODS: We conducted a claims data-based observational study. Data were obtained \nfor 7526 individuals aged 0-75 years from a medical claims data set for Goto, Japan, \nover a 12-month period (2016-17). Annual medical expenditure was divided into quintiles; \nthe fifth quintile represented high medical expenditure. Multimorbidity status was defined \nas the occurrence of two or more health conditions from 17 specified conditions.\n Odds ratios (OR) and 95% confidence intervals (CI) for high medical expenditure were calculated \nby number of comorbidities. RESULTS: In total, 5423 (72.1%) participants had multimorbidity. \nMultimorbidity was significantly associated with high medical expenditure,\n even after adjustment for age, sex and income category (OR: 10.36, 95% CI: 7.57-14.19; P \u003c 0.001).\n Mental diseases had a significant interaction effect on the association between multimorbidity \nand high medical expenditure (P = 0.001). CONCLUSIONS: Multimorbidity is associated \nwith high medical expenditure in Japan. Mental diseases may contribute to increased medical costs.", "subitem_description_type": "Abstract"}]}, "item_2_description_63": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "Family Practice, 37(4), pp.453-458; 2020", "subitem_description_type": "Other"}]}, "item_2_publisher_33": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Oxford University Press"}]}, "item_2_relation_12": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1093/fampra/cmaa015", "subitem_relation_type_select": "DOI"}}]}, "item_2_rights_13": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "c The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Family Practice following peer review. The definitive publisher-authenticated version Family Practice, 37(4), pp.453-458; 2020 is available online at: https://doi.org/10.1093/fampra/cmaa015."}]}, "item_2_source_id_8": {"attribute_name": "EISSN", "attribute_value_mlt": [{"subitem_source_identifier": "14602229", "subitem_source_identifier_type": "ISSN"}]}, "item_2_version_type_16": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_ab4af688f83e57aa", "subitem_version_type": "AM"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Yamanashi, Hirotomo"}], "nameIdentifiers": [{"nameIdentifier": "383", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nobusue, Kenichi"}], "nameIdentifiers": [{"nameIdentifier": "384", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nonaka, Fumiaki"}], "nameIdentifiers": [{"nameIdentifier": "385", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Honda, Yukiko"}], "nameIdentifiers": [{"nameIdentifier": "386", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shimizu, Yuji"}], "nameIdentifiers": [{"nameIdentifier": "387", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Akabame, Shogo"}], "nameIdentifiers": [{"nameIdentifier": "388", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Sugimoto, Takashi"}], "nameIdentifiers": [{"nameIdentifier": "389", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nagata, Yasuhiro"}], "nameIdentifiers": [{"nameIdentifier": "390", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Maeda, Takahiro"}], "nameIdentifiers": [{"nameIdentifier": "391", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2021-08-01"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "FP37_453.pdf", "filesize": [{"value": "247.9 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 247900.0, "url": {"label": "FP37_453.pdf", "url": "https://nagasaki-u.repo.nii.ac.jp/record/78/files/FP37_453.pdf"}, "version_id": "4a2c1e4f-6ae9-4f83-b02e-dde946050f7f"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "At-risk groups", "subitem_subject_scheme": "Other"}, {"subitem_subject": "health economics", "subitem_subject_scheme": "Other"}, {"subitem_subject": "medical comorbidity", "subitem_subject_scheme": "Other"}, {"subitem_subject": "mental health", "subitem_subject_scheme": "Other"}, {"subitem_subject": "multimorbidity", "subitem_subject_scheme": "Other"}, {"subitem_subject": "population health", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "The role of mental disease on the association between multimorbidity and medical expenditure", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "The role of mental disease on the association between multimorbidity and medical expenditure"}]}, "item_type_id": "2", "owner": "2", "path": ["9"], "permalink_uri": "http://hdl.handle.net/10069/40305", "pubdate": {"attribute_name": "公開日", "attribute_value": "2020-12-16"}, "publish_date": "2020-12-16", "publish_status": "0", "recid": "78", "relation": {}, "relation_version_is_last": true, "title": ["The role of mental disease on the association between multimorbidity and medical expenditure"], "weko_shared_id": 2}
The role of mental disease on the association between multimorbidity and medical expenditure
http://hdl.handle.net/10069/40305
http://hdl.handle.net/10069/40305261c262e-e3b3-4536-86cf-df4e44cccb1e
名前 / ファイル | ライセンス | アクション |
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FP37_453.pdf (247.9 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-12-16 | |||||
タイトル | ||||||
タイトル | The role of mental disease on the association between multimorbidity and medical expenditure | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | At-risk groups | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | health economics | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | medical comorbidity | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | mental health | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | multimorbidity | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | population health | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Yamanashi, Hirotomo
× Yamanashi, Hirotomo× Nobusue, Kenichi× Nonaka, Fumiaki× Honda, Yukiko× Shimizu, Yuji× Akabame, Shogo× Sugimoto, Takashi× Nagata, Yasuhiro× Maeda, Takahiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | BACKGROUND: Multimorbidity is the presence of two or more chronic diseases and is associated with increased adverse outcomes, including hospitalization, mortality and frequency of use of medical institutions. OBJECTIVE: This study aimed to describe multimorbidity patterns,determine whether multimorbidity was associated with high medical expenditure, and determine whether mental diseases had an interaction effect on this association.METHODS: We conducted a claims data-based observational study. Data were obtained for 7526 individuals aged 0-75 years from a medical claims data set for Goto, Japan, over a 12-month period (2016-17). Annual medical expenditure was divided into quintiles; the fifth quintile represented high medical expenditure. Multimorbidity status was defined as the occurrence of two or more health conditions from 17 specified conditions. Odds ratios (OR) and 95% confidence intervals (CI) for high medical expenditure were calculated by number of comorbidities. RESULTS: In total, 5423 (72.1%) participants had multimorbidity. Multimorbidity was significantly associated with high medical expenditure, even after adjustment for age, sex and income category (OR: 10.36, 95% CI: 7.57-14.19; P < 0.001). Mental diseases had a significant interaction effect on the association between multimorbidity and high medical expenditure (P = 0.001). CONCLUSIONS: Multimorbidity is associated with high medical expenditure in Japan. Mental diseases may contribute to increased medical costs. |
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書誌情報 |
Family Practice 巻 37, 号 4, p. 453-458, 発行日 2020-08-01 |
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出版者 | ||||||
出版者 | Oxford University Press | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 14602229 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1093/fampra/cmaa015 | |||||
権利 | ||||||
権利情報 | c The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Family Practice following peer review. The definitive publisher-authenticated version Family Practice, 37(4), pp.453-458; 2020 is available online at: https://doi.org/10.1093/fampra/cmaa015. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Family Practice, 37(4), pp.453-458; 2020 |