The Experts below are selected from a list of 219 Experts worldwide ranked by ideXlab platform

Daisuke Matsuda - One of the best experts on this subject based on the ideXlab platform.

  • Cost comparison of curative therapies for localized prostate cancer in Japan: a single-institution experience
    Japanese Journal of Radiology, 2009
    Co-Authors: Takefumi Satoh, Hiromichi Ishiyama, Kazumasa Matsumoto, Ken-ichi Tabata, Masashi Kitano, Masatsugu Iwamura, Masaki Kimura, Satoru Minamida, Hideyuki Yamashita, Daisuke Matsuda
    Abstract:

    Purpose In addition to open surgery, curative therapies for prostate cancer now include endoscopic surgery and radiation therapies. Because of the expansion and subdivision of treatment methods for prostate cancer, the Medical Fee point schedule in Japan was revised in fiscal year 2006. We examined changes in Medical income and expenditure after this revision of the Medical Fee system.

  • Cost comparison of curative therapies for localized prostate cancer in Japan: a single-institution experience
    Japanese Journal of Radiology, 2009
    Co-Authors: Takefumi Satoh, Hiromichi Ishiyama, Kazumasa Matsumoto, Ken-ichi Tabata, Masashi Kitano, Masatsugu Iwamura, Masaki Kimura, Satoru Minamida, Hideyuki Yamashita, Daisuke Matsuda
    Abstract:

    Purpose In addition to open surgery, curative therapies for prostate cancer now include endoscopic surgery and radiation therapies. Because of the expansion and subdivision of treatment methods for prostate cancer, the Medical Fee point schedule in Japan was revised in fiscal year 2006. We examined changes in Medical income and expenditure after this revision of the Medical Fee system. Materials and methods We studied income and expenditure, after institution of the new Medical Fee schedule, for the five types of therapies for prostate cancer performed at our hospital: two surgical therapies (radical retropubic prostatectomy and laparoscopic prostatectomy) and three radiation therapies (three-dimensional conformal radiation therapy, ^192Ir high-dose-rate brachytherapy, and ^125I low-dose-rate brachytherapy). Results Low-dose-rate brachytherapy was found to be associated with a profit of yy199 per patient. Laparoscopic prostatectomy, a highly advanced Medical treatment that the Fee revision changed from a partially insured to an insured procedure, yielded a profit of yy75 672 per patient. However, high-dose-rate brachytherapy was associated with a loss of yy654 016 per patient. Conclusion Given the loss in hospital income per patient undergoing high-dose-rate brachytherapy, the Medical Fee point system for this procedure should be reassessed.

Kosei Yasumoto - One of the best experts on this subject based on the ideXlab platform.

  • National Survey of Endoscopic Thymectomy: Survey report from the Japanese Association for Research on the Thymus
    General Thoracic and Cardiovascular Surgery, 2009
    Co-Authors: Hiroyuki Shiono, Meinoshin Okumura, Kosei Yasumoto
    Abstract:

    Currently, no specific item regarding endoscopic thymectomy for nonthymomatous myasthenia gravis is listed in the standards of deciding Medical service Fees. To understand the present situation regarding the Medical Fee-for-service for endoscopic thymectomy, a questionnaire survey was conducted involving the institutions and members participating in the Japanese Association for Research on the Thymus. Of 101 responding institutions, 18 (18%) reported basically performing endoscopic thymectomy in all qualifying patients, and 32% of the institutions reported mainly performing median sternotomy but sometimes performing endoscopic thymectomy. The methods of approaching endoscopic thymectomy varied among the institutions, but most included endoscopic clips or ultrasound-driven scalpels as well as anterior chest wall lifting devices. A total of 214 patients underwent thymectomy in 2004 in the responding institutions, of whom 77 patients (32%) underwent endoscopic thymectomy. In total, 71% of the responding institutions answered that a specific item regarding endoscopic thymectomy should be listed in the standards for deciding Medical service Fees.

Glenn Melnick - One of the best experts on this subject based on the ideXlab platform.

  • Expanding health insurance to increase health care utilization: Will it have different effects in rural vs. urban areas?
    Health Policy, 2011
    Co-Authors: Erlyana Erlyana, Kannika Kampanya Damrongplasit, Glenn Melnick
    Abstract:

    Objectives This study investigates the importance of Medical Fee and distance to health care provider on individual's decision to seek care in developing countries.Methods The estimation method used a mixed logit model applied to data from the third wave of the Indonesian family life survey (2000). The key variables of interest include Medical Fee and distance to different types of health care provider and individual characteristic variables.Results Urban dweller's decision to choose health care providers are sensitive to the monetary cost of Medical care as measured by Medical Fee but they are not sensitive to distance. For those who reside in rural area, they are sensitive to the non-Medical component cost of care as measured by travel distance but they are not sensitive to Medical Fee.Conclusions As a result of those findings, policy makers should consider different sets of policy instruments when attempting to expand health service's usage in urban and rural areas of Indonesia. To increase access in urban areas, we recommend expansion of health insurance coverage in order to lower out-of-pocket Medical expenditures. As for rural areas, expansion of Medical infrastructures to reduce commuting distance and costs will be needed to increase utilization.

  • Expanding health insurance to increase health care utilization: will it have different effects in rural vs. urban areas?
    Health policy (Amsterdam Netherlands), 2010
    Co-Authors: Erlyana Erlyana, Kannika Kampanya Damrongplasit, Glenn Melnick
    Abstract:

    This study investigates the importance of Medical Fee and distance to health care provider on individual's decision to seek care in developing countries. The estimation method used a mixed logit model applied to data from the third wave of the Indonesian family life survey (2000). The key variables of interest include Medical Fee and distance to different types of health care provider and individual characteristic variables. Urban dweller's decision to choose health care providers are sensitive to the monetary cost of Medical care as measured by Medical Fee but they are not sensitive to distance. For those who reside in rural area, they are sensitive to the non-Medical component cost of care as measured by travel distance but they are not sensitive to Medical Fee. As a result of those findings, policy makers should consider different sets of policy instruments when attempting to expand health service's usage in urban and rural areas of Indonesia. To increase access in urban areas, we recommend expansion of health insurance coverage in order to lower out-of-pocket Medical expenditures. As for rural areas, expansion of Medical infrastructures to reduce commuting distance and costs will be needed to increase utilization. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Takefumi Satoh - One of the best experts on this subject based on the ideXlab platform.

  • Cost comparison of curative therapies for localized prostate cancer in Japan: a single-institution experience
    Japanese Journal of Radiology, 2009
    Co-Authors: Takefumi Satoh, Hiromichi Ishiyama, Kazumasa Matsumoto, Ken-ichi Tabata, Masashi Kitano, Masatsugu Iwamura, Masaki Kimura, Satoru Minamida, Hideyuki Yamashita, Daisuke Matsuda
    Abstract:

    Purpose In addition to open surgery, curative therapies for prostate cancer now include endoscopic surgery and radiation therapies. Because of the expansion and subdivision of treatment methods for prostate cancer, the Medical Fee point schedule in Japan was revised in fiscal year 2006. We examined changes in Medical income and expenditure after this revision of the Medical Fee system.

  • Cost comparison of curative therapies for localized prostate cancer in Japan: a single-institution experience
    Japanese Journal of Radiology, 2009
    Co-Authors: Takefumi Satoh, Hiromichi Ishiyama, Kazumasa Matsumoto, Ken-ichi Tabata, Masashi Kitano, Masatsugu Iwamura, Masaki Kimura, Satoru Minamida, Hideyuki Yamashita, Daisuke Matsuda
    Abstract:

    Purpose In addition to open surgery, curative therapies for prostate cancer now include endoscopic surgery and radiation therapies. Because of the expansion and subdivision of treatment methods for prostate cancer, the Medical Fee point schedule in Japan was revised in fiscal year 2006. We examined changes in Medical income and expenditure after this revision of the Medical Fee system. Materials and methods We studied income and expenditure, after institution of the new Medical Fee schedule, for the five types of therapies for prostate cancer performed at our hospital: two surgical therapies (radical retropubic prostatectomy and laparoscopic prostatectomy) and three radiation therapies (three-dimensional conformal radiation therapy, ^192Ir high-dose-rate brachytherapy, and ^125I low-dose-rate brachytherapy). Results Low-dose-rate brachytherapy was found to be associated with a profit of yy199 per patient. Laparoscopic prostatectomy, a highly advanced Medical treatment that the Fee revision changed from a partially insured to an insured procedure, yielded a profit of yy75 672 per patient. However, high-dose-rate brachytherapy was associated with a loss of yy654 016 per patient. Conclusion Given the loss in hospital income per patient undergoing high-dose-rate brachytherapy, the Medical Fee point system for this procedure should be reassessed.

Sayuri Shimizu - One of the best experts on this subject based on the ideXlab platform.

  • impact of a national Medical Fee schedule revision on the cessation of physician home visits among older patients in tokyo a retrospective study
    Health & Social Care in The Community, 2019
    Co-Authors: Chie Teramoto, Tatsuro Ishizaki, Seigo Mitsutake, Haruhisa Fukuda, Takashi Naruse, Sayuri Shimizu
    Abstract:

    : As Japan's population continues to age rapidly, the national government has implemented several measures to improve the efficiency of healthcare services and to control rising Medical expenses for older patients. One such measure was the revision of the Medical Fee schedule for physician home visits in April 2014, in which eligibility for these visits was restricted to patients who are unable to visit outpatient clinics without assistance. Through an investigation of patients who were receiving physician home visits in Tokyo, this study examines whether this Fee schedule revision resulted in an increase in patients who transitioned from home visits to outpatient care. In a retrospective analysis of health insurance claims data, we examined 80,914 Tokyo residents aged 75 years or older who had received at least one physician home visit between January and May 2014. The study period was divided into four periods (January-February, February-March, March-April, and April-May), and we examined the number of patients receiving home visits in the index month of each period who subsequently transitioned to outpatient care in the following month. Potential factors associated with this transition to outpatient care were examined using a generalised estimating equation. The March-April period that included the Fee schedule revision was significantly associated with a higher number of patients who transitioned from home visits in the index month to outpatient care in the following month (odds ratio: 4.46, p < 0.001) than the other periods. In addition, patients receiving home visits at residential facilities were more likely to transition to outpatient care (odds ratio: 10.40, p < 0.001). These findings indicate that the Fee schedule revision resulted in an increase in patients who ceased physician home visits and began visiting outpatient clinics for treatment.

  • Impact of a national Medical Fee schedule revision on the cessation of physician home visits among older patients in Tokyo: A retrospective study.
    Health & Social Care in The Community, 2018
    Co-Authors: Chie Teramoto, Tatsuro Ishizaki, Seigo Mitsutake, Haruhisa Fukuda, Takashi Naruse, Sayuri Shimizu
    Abstract:

    : As Japan's population continues to age rapidly, the national government has implemented several measures to improve the efficiency of healthcare services and to control rising Medical expenses for older patients. One such measure was the revision of the Medical Fee schedule for physician home visits in April 2014, in which eligibility for these visits was restricted to patients who are unable to visit outpatient clinics without assistance. Through an investigation of patients who were receiving physician home visits in Tokyo, this study examines whether this Fee schedule revision resulted in an increase in patients who transitioned from home visits to outpatient care. In a retrospective analysis of health insurance claims data, we examined 80,914 Tokyo residents aged 75 years or older who had received at least one physician home visit between January and May 2014. The study period was divided into four periods (January-February, February-March, March-April, and April-May), and we examined the number of patients receiving home visits in the index month of each period who subsequently transitioned to outpatient care in the following month. Potential factors associated with this transition to outpatient care were examined using a generalised estimating equation. The March-April period that included the Fee schedule revision was significantly associated with a higher number of patients who transitioned from home visits in the index month to outpatient care in the following month (odds ratio: 4.46, p