Examination of the Factor Exerted on the All-prefectures Gap of a Medical Expenditure for the Elderly : Experiences of Nurse Administrators and Factors Regarding the Mentor
アイテムタイプ
学術雑誌論文 / Journal Article
言語
日本語
キーワード
medical expenses for the elderly, all-prefectures gap, according to the degree of (medical expenses), factors, multiple regression analysis, 老人医療費, 都道府県格差, 多寡別, 要因, 重回帰分析
To identify factors that contribute to regional differences in medical expenses, this study divided all prefectures into three groups of high, medium, and low medical costs according to the degree of medical expenses for each elderly in each prefecture. Medical expenses for the elderly in each prefecture were analyzed based on medical expense-related data and eight indexes: “number of hospital beds,” “enrollment limit in long-term care insurance facilities,” “number of physicians,” “number of public health nurses,” “average family size,” “owned housing ratio,” “annual health examination ratio,” and “annual prefectural income.” The findings are as follows: There is little difference in outpatient expenses among the three groups. Inpatient expenses are higher with the high medical costs group, with a large difference between outpatient and inpatient expenses. This demonstrates that the degree of inpatient expenses is the cause of regional differences. Based on results of a multiple regression analysis performed on each group, the cost structure varies depending on the factors affecting a given group. For the high/medium medical costs groups, the factors causing an increase in medical expenses are the “number of hospital beds” and “enrollment limit in long-term care insurance facility,” while “owned housing ratio” and “number of public health nurses” show lower expenses. Thus, intervention in social/financial problems is also needed. The cost structure for the low medical costs group cannot be explained by analyzing the eight indexes, and it is thought that more complex factors are involved. This indicates that a reduction in “number of hospital beds” is not a consideration for moderating medical expenses.
老人医療費の都道府県格差に及ぼす要因の検討 : 老人医療費の多寡によるグループ分けからみた分析
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