Journal article
The association between health care spending and quality of care for stroke patients in Japan
Journal of health services research & policy, v 18(2), pp 77-82
01 Apr 2013
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective To elucidate the association between health care spending and the quality of care in ischaemic stroke patients in Kyoto prefecture, Japan.
Methods Municipalities in Kyoto were categorized into quartiles based on age-sex adjusted spending for ischaemic stroke admissions. We used logistic regression models to analyse if patients from lower spending municipalities were less likely to obtain high-quality care. The sample consisted of patients admitted to hospitals in Kyoto prefecture due to ischaemic stroke between February 2009 and March 2010. Quality measures included process indicators such as diagnostic tests, recommended medications, and rehabilitation services; and outcome measures of in-hospital mortality and 30-day mortality rates.
Results Mean health care spending per patient ranged from 9749 US dollars (USD) to USD 14,303 from the lowest to highest municipalities. Patients from municipalities in the lowest spending quartile were significantly associated with poorer performance in the majority of the process indicators but had similar mortality rates to patients from high-spending municipalities.
Conclusions Spending was found to be unevenly associated with the quality of care provided and may be indicative of an insufficient provision of resources and specialist expertise in the lower spending municipalities. Further efforts must be made to improve the quality of care in lower spending regions in Japan.
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Details
- Title
- The association between health care spending and quality of care for stroke patients in Japan
- Creators
- Jason Lee - Kyoto UniversityToshitaka Morishima - Kyoto UniversitySungchul Park - Kyoto UniversityTetsuya Otsubo - Kyoto UniversityHiroshi Ikai - Kyoto UniversityYuichi Imanaka - Kyoto University
- Publication Details
- Journal of health services research & policy, v 18(2), pp 77-82
- Publisher
- Sage
- Number of pages
- 6
- Grant note
- 13J01335 / Grants-in-Aid for Scientific Research; Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT); Japan Society for the Promotion of Science; Grants-in-Aid for Scientific Research (KAKENHI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000324883200004
- Scopus ID
- 2-s2.0-84890230517
- Other Identifier
- 991019296741604721
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- Health Policy & Services