メンタルヘルスと医療費の指標との関連に関する研究

• 石原 礼子

  九州大学大学院医学系学府医療経営管理学専攻

• 馬場園 明

  九州大学大学院医学研究院医療経営管理学講座

• 亀 千保子

  九州大学大学院医学系学府医療経営管理学専攻

• 西岡 和男

  九州大学大学院医学研究院医療経営管理学講座

書誌事項

タイトル別名

• Study of Relationships between State of Mental Health and Indicators of Medical Expenses
• メンタルヘルス ト イリョウヒ ノ シヒョウ ト ノ カンレン ニ カンスル ケンキュウ

抄録

Objective: The purpose of this study is to determine the relationships between the state of mental health and indicators of medical expenses for inpatient, outpatient and dental services.<br>Methods: This study was conducted using data from 140 people (54 males and 86 females) who participated in a lifestyle intervention program. The result of General Health Questionnaire (GHQ)-30 survey performed in August 2003 was used as the indicator of mental health, whereas diagnoses based on International Classification of Diseases (ICD) 10 from medical expense claims in the 2003 fiscal year were used for disease classification by the Proportional Disease Magnitude (PDM) method. The subjects were classified into two groups by GHQ-30 score: low-score group (n=96) and high-score group (n=44). The differences between the two groups were compared by an unpaired t-test.<br>Results: For outpatient service in the high-score group, the medical expenses and the numbers of consulting days, medical expense claims and consultation cases at least two per month were significantly higher (p<0.05) than those in the low-score group. However, there were no significant differences in the same indicators between inpatient and dental services. In the high-score group, the medical expenses of the XVIII group (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified) of ICD10 were also significantly higher (p<0.05) than those of the low-score group.<br>Conclusions: The state of mental health is significantly associated with indicators of medical expenses for outpatient service. The medical expenses of a problematic non-mentally healthy group are significantly higher than those of a mentally healthy group.

収録刊行物

• 日本衛生学雑誌

  日本衛生学雑誌 61 (4), 400-406, 2006

  一般社団法人日本衛生学会

キーワード

• メンタルヘルス
• レセプト
• 医療費
• 傷病分析
• PDM法

詳細情報

• CRID: 1390001206363593984
• NII論文ID: 10018256520
• NII書誌ID: AN00185923
• DOI: 10.1265/jjh.61.400
• COI: 1:STN:280:DC%2BD28rptl2ltw%3D%3D
• ISSN: 18826482
• ISSN: 00215082
• ISSN: http://id.crossref.org/issn/00215082
• NDL書誌ID: 8526025
• PubMed: 17025217
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8526025
• Web Site: http://www.jstage.jst.go.jp/article/jjh1946/61/4/61_4_400/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007038443
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可