|
|
Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Health Sciences / Faculty of Health Sciences >
Peer-reviewed Journal Articles, etc >
Characteristics of Type-2 Diabetics Who are Prone to High-Cost Medical Care Expenses by Bayesian Network
| Title: | Characteristics of Type-2 Diabetics Who are Prone to High-Cost Medical Care Expenses by Bayesian Network |
| Authors: | Sase, Yuji Browse this author | | Kumagai, Daiki Browse this author | | Suzuki, Teppei Browse this author | | Yamashina, Hiroko Browse this author →KAKEN DB | | Tani, Yuji Browse this author →KAKEN DB | | Fujiwara, Kensuke Browse this author | | Tanikawa, Takumi Browse this author →KAKEN DB | | Enomoto, Hisashi Browse this author | | Aoyama, Takeshi Browse this author | | Nagai, Wataru Browse this author | | Ogasawara, Katsuhiko Browse this author →KAKEN DB |
| Keywords: | health economics | | bayesian network | | diabetes | | National Health Insurance | | medical costs | | specific health checkups |
| Issue Date: | 22-Jul-2020 |
| Publisher: | MDPI |
| Journal Title: | International journal of environmental research and public health |
| Volume: | 17 |
| Issue: | 15 |
| Start Page: | 5271 |
| Publisher DOI: | 10.3390/ijerph17155271 |
| PMID: | 32707809 |
| Abstract: | Objective: This study aims to determine the characteristics of Type 2 diabetic patients who are more likely to cause high-cost medical expenses using the Bayesian network model.Methods: The 2011-2015 receipt data of Iwamizawa city, Japan were collected from the National Health Insurance Database. From the record, we identified patients with Type 2 diabetes with the following items: age, gender, area, number of days provided medical services, number of diseases, number of medical examinations, annual healthcare expenditures, and the presence or absence of hospitalization. The Bayesian network model was applied to identify the characteristics of the patients, and four observed values were changed using a model for patients who paid at least 3607 USD a year for medical expenses. The changes in the conditional probability of the annual healthcare expenditures and changes in the percentage of patients with high-cost medical expenses were analyzed.Results: After changing the observed value, the percentage of patients with high-cost medical expense reimbursement increased when the following four conditions were applied: the patient "has ever been hospitalized", "had been provided medical services at least 18 days a year", "had at least 14 diseases listed on medical insurance receipts", and "has not had specific health checkups in five years".Conclusions: To prevent an excessive rise in healthcare expenditures in Type 2 diabetic patients, measures against complications and promoting encouragement for them to undergo specific health checkups are considered as effective. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/79590 |
| Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
|
