J Telemed Telecare - Relation between telecare implementation and number of treatment days in a Japanese town.

Tópicos

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Resumo

We analysed data on the medical expenditure of 199 telecare users in Nishi-aizu Town, Fukushima Prefecture, which has one of the oldest ongoing telecare implementations in Japan. As controls, 450 out of 3528 non-users residents covered by National Health Insurance were randomly selected in the same age and sex ratios as the telecare users. An analysis by the Generalized Method of Moments (GMM) was conducted in order to examine causality, i.e. that telecare use reduces the number of treatment days. To reduce sample selection bias, the presence of chronic diseases, age and education were added as control variables in the estimation. The results show that the treatment days of those who had chronic diseases were greater than those who did not have chronic diseases by 8.7 days per year (P < 0.10), and they were increased by 5.6 days (P < 0.01) according to their age. Finally, telecare use decreased treatment days by 3.1 days (P < 0.05).

Resumo Limpo

analys data medic expenditur telecar user nishiaizu town fukushima prefectur one oldest ongo telecar implement japan control nonus resid cover nation health insur random select age sex ratio telecar user analysi general method moment gmm conduct order examin causal ie telecar use reduc number treatment day reduc sampl select bias presenc chronic diseas age educ ad control variabl estim result show treatment day chronic diseas greater chronic diseas day per year p increas day p accord age final telecar use decreas treatment day day p

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