Findings from Mie University Reveals New Findings on Dementia (Identifying and Characterizing People With Dementia Not Accessing the Japanese Community-based Integrated Care System Using Health Insurance Claims Data): Neurodegenerative Diseases and Conditions – Dementia

2023 APR 27 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Research findings on Neurodegenerative Diseases and Conditions - Dementia are discussed in a new report. According to news reporting originating from Tsu, Japan, by NewsRx editors, the research stated, “In the Japanese Community-Based Integrated Care System (CBICS), access to formal care serv-ices is based on voluntary consultations mainly from the families of people with dementia (PWD). The prob-lem is that some people need services but do not consult their municipalities for various reasons.”

Our news editors obtained a quote from the research from Mie University, “The purpose of this study is to examine the possibility of using health insurance claims data to identify and characterize these PWD.Methods Using health insurance claims data, we selected PWD prescribed with anti-dementia drugs. Of them, excluding those with a usage history of long-term care insurance services or other formal services, fa-cility residents and deaths, we identified PWD not accessing the CBICS. We conducted a visit survey on their status, home care environment and reasons for not accessing services, a proposal for using services and a one-year follow-up.Result Based on the data of 1,809 late-stage elderly who resided in the Tamaki-cho, a town in Mie Prefec-ture, Japan, for a 2-month period, 16 PWD not accessing the CBICS were identified, and 15 PWD and their families participated in this study. Ten were men and 13 were physically and cognitively relatively independ-ent. All lived with a family caregiver and refused services. Ten families needed but had not accessed the serv-ices due to refusal by PWD and other reasons. As a result, seven of these PWD started using long-term care insurance services or dementia prevention services.Conclusion PWD not accessing the CBICS can be identified using health insurance claims data.”

According to the news editors, the research concluded: “The results proved that the municipality has a cost-effective way of providing their services to PWD and their families, even if they have never consulted voluntarily.”

This research has been peer-reviewed.

For more information on this research see: Identifying and Characterizing People With Dementia Not Accessing the Japanese Community-based Integrated Care System Using Health Insurance Claims Data. Internal Medicine, 2023;62(3):345-353. Internal Medicine can be contacted at: Japan Soc Internal Medicine, 34-3 3-Chome Hongo Bunkyo-Ku, Tokyo, 113, Japan.

The news editors report that additional information may be obtained by contacting Akane Mizutani, Mie University, Faculty of Medicine, Graduate School of Medicine, Dept. of Neurology, Tsu, Japan.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.2169/internalmedicine.9489-22. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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