Professor Atsushi Hiraide of Kinki University, in collaboration with Harvard University in the United States, investigated the relationship between medical expenses and the survival rate of patients with cardiopulmonary arrest in each prefecture in Japan.Although less research has been done so far, this study reveals that prefectures with low per capita medical costs are less likely to survive one month after cardiopulmonary arrest.
In Japan, the problem is that the medical expenses per person vary depending on the prefecture.However, until now, little was known about how that variability affected the quality of care.Currently, it is being considered to set a target value for medical expenses for each prefecture, but the current situation is that it is not even clear whether increasing the amount of money spent on areas with low medical expenses will be effective.
In this study, we analyzed the data of about 2005 patients with cardiopulmonary arrest who were transported by emergency in Japan between 2011 and 60, and compared the quality of medical care based on the one-month survival rate.As a result, it was found that the one-month survival rate was significantly lower in prefectures with low per capita medical expenses than in prefectures with moderate or higher costs.In addition, there was not much difference between medium and high prefectures.
These results are based on data from patients with cardiopulmonary arrest and are only one indicator, but if policies are pursued solely for the purpose of curbing medical expenses, there is a risk that the health of the people will deteriorate. It was suggested that there is.On the other hand, in prefectures where medical expenses are moderate, there is a possibility that medical expenses can be suppressed efficiently, so it can be expected to be a model case for suppressing medical expenses without degrading quality.It may lead to policies to curb medical costs while maintaining high quality in many prefectures.
Source:[News Release Portal] First elucidation of the relationship between medical expenses and survival rate of patients with cardiopulmonary arrest