Research on creation of integrated information base of medical care and long term care insurance claim data for realization of Regional Integrated Care System

Abstract

At present, local governments throughout the country are considering to realize Regional Integrated Care System through formulation of Regional Health Care Plan and Long Term Care Insurance （LTCI） Plan. In this program, it is required that medical insurance and LTCI claim data be linked on an insured basis to comprehensively evaluate the needs of health care in general. Since the needs of health care differ depending on the population structure of the region, the health care provision system, and the infrastructure of housing and daily life support, it is desirable that there be a system in which the analysis is conducted on a regional basis. However, since analysis of claim data requires specialized knowledge and skill, it is not always easy for the person in charge of each local government to carry out.

In this research, based on the methodology of claim data analysis developed so far in our department, we develop data conversion and connection tools of medical care and LTCI claim data that local government person in charge can use in their daily work.