{"created":"2023-05-15T11:33:37.935130+00:00","id":4127,"links":{},"metadata":{"_buckets":{"deposit":"451cd547-07d8-4caa-a560-392b4fcea883"},"_deposit":{"created_by":1,"id":"4127","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4127"},"status":"published"},"_oai":{"id":"oai:nsg.repo.nii.ac.jp:00004127","sets":["6:10:13"]},"author_link":["15729","15730","15731","15732"],"item_19_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"66","bibliographicPageStart":"57","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"医療経済研究"}]}]},"item_19_description_16":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_19_description_45":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"論文(Article)","subitem_description_type":"Other"}]},"item_19_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"現在、脳卒中などを対象とした回復期リハビリテーション医療は、様々な病棟に入院しながら実施されているのが現状である。本研究では、平成12年度の診療報酬改定で導入された「回復期リハビリテーション病棟」で実施されているリハビリテーション医療の効果を検討するため、他の病棟で行われているリハビリテーション医療との比較を臨床経済学的に行った。対象は回復期リハ病棟3病院、一般病棟1病院、療養病棟1病院に入院する脳卒中患者128名とし、Health Utilities Indexを用いて健康効用値を評価するとともに、費用効果比を求めた。健康効用値の増分はそれぞれ回復期リハ病棟0.21、一般病棟0.29、療養病棟0.22となり病棟の遣いで差を認めなかった。入院費は回復期病棟1，347，000円、一般病棟2，223，000円、療養病棟2，104，000円と回復期病棟が最も安くなった。費用効果比は健康効用値0.1増分あたりの費用が回復期リハ病棟で2，282，000円($20，750) となり、これは一般病棟の37.5%、療養病棟の33.2%であった。今回の結果から、回復期リハ病棟で実施されているリハビリテーション医療が、費用効果的である可能性が、示唆されたが、今後はより厳密な費用効果分析を実施する必要があると考えられた。","subitem_description_type":"Abstract"},{"subitem_description":"The objective of this study was to assess the evidence on the cost-effectiveness of three rehabilitation services after stroke: sub-acute rehabilitation care units，general units，medical care units. We collected data on 128 patients with stroke. We examined utility of health status measured by Health Utilities lndex，hospital charge，and cost-effectiveness ratio. Mean gained utility were 0.21 in sub-acute rehabilitation care units，0.29 in general units and 0.22 in care units. We found no significant difference between groups in gained utility. Mean hospital charge were $12，245 for sub-acute rehabilitation care units，$20，209 for general units，$19，127 for medical care units. The cost-effectiveness ratio per 0.1 health utilities score gained in sub-acute rehabilitation care units was $20，750 there is that rehabilitation programs in sub-acute rehabilitation care units is the most cost-effective of the three strategies (and a 37.5% and a 33.2% probability that the general units and medical care units，respectively).","subitem_description_type":"Abstract"}]},"item_19_publisher_35":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"医療経済研究機構"}]},"item_19_relation_31":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"120006790781","subitem_relation_type_select":"NAID"}}]},"item_19_relation_32":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2006267490","subitem_relation_type_select":"ICHUSHI"}}]},"item_19_relation_53":{"attribute_name":"異版である","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.ihep.jp/publications/study/search.php?y=2006","subitem_relation_type_select":"URI"}}]},"item_19_rights_14":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"医療経済研究機構"}]},"item_19_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10465438","subitem_source_identifier_type":"NCID"}]},"item_19_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-895X","subitem_source_identifier_type":"ISSN"}]},"item_19_text_1":{"attribute_name":"Title in Japanese","attribute_value_mlt":[{"subitem_text_value":"回復期リハビリテーション病棟の費用効果分析"}]},"item_19_text_2":{"attribute_name":"タイトル（英）","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Cost-effectiveness Analysis of Stroke Rehabilitation in Sub-acute Rehabilitation Care Units"}]},"item_19_text_47":{"attribute_name":"資源タイプ・NII","attribute_value_mlt":[{"subitem_text_value":"Journal Article"}]},"item_19_text_48":{"attribute_name":"資源タイプ・DCMI","attribute_value_mlt":[{"subitem_text_value":"text"}]},"item_19_version_type_18":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"能登, 真一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上村, 隆元"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Noto, Shinichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Uemura, Takamoto","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-10-30"}],"displaytype":"detail","filename":"074_noto_s.pdf","filesize":[{"value":"259.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"074_noto_s.pdf","url":"https://nsg.repo.nii.ac.jp/record/4127/files/074_noto_s.pdf"},"version_id":"926893ec-0619-4a69-a55c-de0c90366b16"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脳卒中","subitem_subject_scheme":"Other"},{"subitem_subject":"リハビリテーション","subitem_subject_scheme":"Other"},{"subitem_subject":"回復期リハビリテーション病棟","subitem_subject_scheme":"Other"},{"subitem_subject":"健康関連QOL","subitem_subject_scheme":"Other"},{"subitem_subject":"健康効用値","subitem_subject_scheme":"Other"},{"subitem_subject":"Health Utilities Index","subitem_subject_scheme":"Other"},{"subitem_subject":"費用効用分析","subitem_subject_scheme":"Other"},{"subitem_subject":"stroke","subitem_subject_scheme":"Other"},{"subitem_subject":"rehabilitation","subitem_subject_scheme":"Other"},{"subitem_subject":"sub-acute rehabilitation care unit","subitem_subject_scheme":"Other"},{"subitem_subject":"health related quality of life","subitem_subject_scheme":"Other"},{"subitem_subject":"health utility","subitem_subject_scheme":"Other"},{"subitem_subject":"Health Utilities Index","subitem_subject_scheme":"Other"},{"subitem_subject":"cost-effectiveness analysis","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"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":"回復期リハビリテーション病棟の費用効果分析","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"回復期リハビリテーション病棟の費用効果分析"},{"subitem_title":"Cost-effectiveness Analysis of Stroke Rehabilitation in Sub-acute Rehabilitation Care Units","subitem_title_language":"en"}]},"item_type_id":"19","owner":"1","path":["13"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-11-14"},"publish_date":"2013-11-14","publish_status":"0","recid":"4127","relation_version_is_last":true,"title":["回復期リハビリテーション病棟の費用効果分析"],"weko_creator_id":"1","weko_shared_id":1},"updated":"2023-05-15T11:45:11.758747+00:00"}