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Effect of specific health guidance on visit rate of metabolic related diseases

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Document pages: 8 pages

Abstract: In Japan, national health expenditure is increasing every year. In particular, with the rapid increase of the aging population, the cost of medical care for the elderly is increasing at a rate of about 9 per year. In Japan, special health examination and special health guidance were implemented in 2008 to reduce medium and long-term medical costs by preventing metabolic syndrome. To assess the impact of specific health guidance on medical costs for metabolic related diseases or other diseases, we conducted propensity score matching and compared patients who received health guidance with those who did not. Both groups were patients whose outpatient medical expenses were zero within five months before physical examination. Select the following variables as matching variables: GEder, age, BMI, abdominal circumference, systolic blood pressure, HbA1c, total cholesterol, urinary protein, smoking nonsmoking, hoping not hoping for Health Guidance, and willing not willing to improve one’s lifestyle habits. Finally, 50 one-to-one matches were performed between the intervention and control groups. The results of the Tobit regression analysis showed that Health Guidance significantly lowered metabolic-related medical expenses for the 26 months. However, for other diseases, no significant difference for medical expenses was evident between the two groups. The consultation rate of the intervention group after 12 months was 28 and 46 for the control group. The results suggest that the Specific Health Guidance in Japan reduced outpatient consultation for metabolic-related diseases.

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