{"created":"2023-05-15T16:29:21.831400+00:00","id":78,"links":{},"metadata":{"_buckets":{"deposit":"6b775860-9472-47e8-9646-84a656a4d51b"},"_deposit":{"created_by":2,"id":"78","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"78"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00000078","sets":["8:9"]},"author_link":["389","384","383","391","385","388","386","390","387"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-08-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"458","bibliographicPageStart":"453","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"Family Practice"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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 \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 < 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":[{}]},{"creatorNames":[{"creatorName":"Nobusue, Kenichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nonaka, Fumiaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Honda, Yukiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Shimizu, Yuji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Akabame, Shogo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sugimoto, Takashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nagata, Yasuhiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Maeda, Takahiro"}],"nameIdentifiers":[{}]}]},"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","filename":"FP37_453.pdf","filesize":[{"value":"247.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-12-16"},"publish_date":"2020-12-16","publish_status":"0","recid":"78","relation_version_is_last":true,"title":["The role of mental disease on the association between multimorbidity and medical expenditure"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2023-05-15T22:59:47.692983+00:00"}