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Development of Quality Indicators of Stroke Centers and Feasibility of Their Measurement Using a Nationwide Insurance Claims Database in Japan : J-ASPECT Study
http://hdl.handle.net/2241/00160197
http://hdl.handle.net/2241/001601973db249e5-f63a-4e65-8f5b-72b8c16258a9
名前 / ファイル | ライセンス | アクション |
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Circ_83-11-2292 (1.1 MB)
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Item type | Journal Article(1) | |||||
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公開日 | 2020-06-24 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Development of Quality Indicators of Stroke Centers and Feasibility of Their Measurement Using a Nationwide Insurance Claims Database in Japan : J-ASPECT Study | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
松丸, 祐司
× 松丸, 祐司× Nishimura, Ataru× Nishimura, Kunihiro× Onozuka, Daisuke× Matsuo, Ryu× Kada, Akiko× Kamitani, Satoru× Higashi, Takahiro× Ogasawara, Kuniaki× Shimodozono, Megumi× Harada, Masafumi× Hashimoto, Yoichiro× Hirano, Teruyuki× Hoshino, Haruhiko× Itabashi, Ryo× Itoh, Yoshiaki× Iwama, Toru× Kohriyama, Tatsuo× Osato, Toshiaki× Sasaki, Makoto× Shiokawa, Yoshiaki× Shimizu, Hiroaki× Takekawa, Hidehiro× Nishi, Toru× Uno, Masaaki× Yagita, Yoshiki× Ido, Keisuke× Kurogi, Ai× Kurogi, Ryota× Arimura, Koichi× Ren, Nice× Hagihara, Akihito× Takizawa, Shunya× Arai, Hajime× Kitazono, Takanari× Miyamoto, Susumu× Minematsu, Kazuo× Iihara, Koji |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background:We aimed to develop quality indicators (QIs) related to primary and comprehensive stroke care and examine the feasibility of their measurement using the existing Diagnosis Procedure Combination (DPC) database. Methods and Results:We conducted a systematic review of domestic and international studies using the modified Delphi method. Feasibility of measuring the QI adherence rates was examined using a DPC-based nationwide stroke database (396,350 patients admitted during 2013–2015 to 558 hospitals participating in the J-ASPECT study). Associations between adherence rates of these QIs and hospital characteristics were analyzed using hierarchical logistic regression analysis. We developed 17 and 12 measures as QIs for primary and comprehensive stroke care, respectively. We found that measurement of the adherence rates of the developed QIs using the existing DPC database was feasible for the 6 QIs (primary stroke care: early and discharge antithrombotic drugs, mean 54.6% and 58.7%; discharge anticoagulation for atrial fibrillation, 64.4%; discharge antihypertensive agents, 51.7%; comprehensive stroke care: fasudil hydrochloride or ozagrel sodium for vasospasm prevention, 86.9%; death complications of diagnostic neuroangiography, 0.4%). We found wide inter-hospital variation in QI adherence rates based on hospital characteristics. Conclusions:We developed QIs for primary and comprehensive stroke care. The DPC database may allow efficient data collection at low cost and decreased burden to evaluate the developed QIs. |
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書誌情報 |
en : Circulation Journal 巻 83, 号 11, p. 2292-2302, 発行日 2019-10 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1346-9843 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11591968 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 31554766 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1253/circj.CJ-19-0089 | |||||
権利 | ||||||
権利情報 | All rights are reserved to the Japanese Circulation Society. | |||||
権利 | ||||||
権利情報 | Circulation Journal is an open-access journal under Creative Commons Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND)License(https://creativecommons.org/licenses/by-nc-nd/4.0/). | |||||
著者版フラグ | ||||||
値 | publisher | |||||
出版者 | ||||||
出版者 | Japanese Circulation Society |