| Regional variations in medical expenditure and hospitalization days for heart attack patients in Japan: evidence from the Tokai Acute Myocardial Study (TAMIS). | |
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MedLine Citation:
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PMID: 18204898 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In Japan, the use of percutaneous transluminal coronary angioplasty (PTCA) for the treatment of acute myocardial infarction (AMI) is extraordinarily frequent, resulting in large medical expenditure. Using chart-based data and exploiting regional variations, we explore what factors explain the frequent use of PTCA, employing propensity score matching to estimate the average treatment effects on hospital expenditure and hospital days. We find that the probability of receiving PTCA is affected by the density of medical resources in a region. Moreover, expenditure is higher for treated patients while there are no significant differences in hospitalization days, implying that the frequent use of PTCA is economically motivated. |
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Authors:
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Haruko Noguchi; Satoshi Shimizutani; Yuichiro Masuda |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-01-19 |
Journal Detail:
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Title: International journal of health care finance and economics Volume: 8 ISSN: 1389-6563 ISO Abbreviation: Int J Health Care Finance Econ Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-01 Completed Date: 2008-09-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101132988 Medline TA: Int J Health Care Finance Econ Country: United States |
Other Details:
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Languages: eng Pagination: 123-44 Citation Subset: IM |
Affiliation:
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Department of Theoretical Social Security Research, National Institute of Population and Social Security Research, Hibiya Kokusai Building 6th Floor, 2-2-3 Uchisaiwai-cho, Chiyoda-ku, Tokyo 100-0011, Japan. h.noguchi@ipss.go.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary
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economics* Hospital Costs Humans Japan Length of Stay Myocardial Infarction / economics*, surgery Residence Characteristics |
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