後期高齢者医療費, 地理的不均一分布（西高東低）, 地域集積性, 需要要因, 供給要因, cost of medical care for adults aged 75 years and older, uneven geographic distribution (high in the west/low in the east), geographic clustering, demand factors, supply factors
タイトル（英）
Geographic disparities in the average cost of medical care for adults aged 75 years or older in secondary medical areas and their association with medical, socioeconomic, and lifestyle-related indicators
The geographic distribution of the average cost of medical care for adults aged 75 years or older in individual secondary medical areas (ME75) across Japan is uneven: costs are high in western Japan and northern Japan (Hokkaido), and low in eastern Japan. However, this uneven geographic distribution has mainly been confirmed by visualization on a map and has not been objectively confirmed by statistics. Moreover, there has not been sufficient statistical analysis of causative factors such as supply and demand. This study aimed to confirm the uneven geographic distribution of ME75 and analyze the causes. The uneven geographic distribution was confirmed by the chi-squared test, bivariate Moran’s I, and quantitative analysis of multivariate geographic clustering with adjustment for confounding factors using spatial multiple regression analysis. The GeoDa system was used for this analysis. The geographic clustering of ME75 in individual secondary medical areas across Japan clearly showed costs were high in western and northern Japan and low in eastern Japan. The numbers of long-term care beds and psychiatric care beds relative to population size were identified as the main medical economic factors explaining this difference. The high level of accessibility of hospitals to the elderly that is demanded of integrated community care systems further supports the high ME75 in western Japan. It may be desirable to implement the western Japanese system in eastern Japan to achieve integrated community care systems, or perhaps costs in western Japan could be reduced to the level of eastern Japan as a precaution to prevent Japan’s medical care system from exhausting its funding and collapsing due to soaring medical costs. Further research will be necessary to determine the appropriate approach.
内容記述
原著論文
雑誌名
新潟医療福祉学会誌
巻
20
号
2
ページ
16 - 24
発行年
2020-11-30
出版者
新潟医療福祉学会
ISSN
1346-8774
ONLINE ISSN
2435-9777
書誌レコードID
AA11614531
フォーマット
application/pdf
著者版フラグ
publisher
資源タイプ
論文(Article)
資源タイプ・NII
Journal Article
資源タイプ・DCMI
text
お知らせ
2022/06/24【事業創造大学院大学】紀要第13巻第1号を公開しました。
2021/07/27【事業創造大学院大学】紀要第12巻第1号を公開しました。
2020/12/24 【新潟医療福祉大学】Niigata journal of health and welfare Vol.20 No.1 を公開しました。
一人平均後期高齢者医療費の二次医療圏における地域偏在と医療・社会経済・生活習慣指標との関連
016_024_w2002.pdf
(2.02MB)
