Evaluation of Secondary Healthcare Area on ischemic heart diseases from data of beneficiaries of Fukuoka Branch of National Health Insurance Association

Abstract

The necessary number of healthcare beds were estimated by Secondary Healthcare Area under Regional Healthcare Concept.　However, they neither employed data of Employee Health Insurance nor estimated by diseases.　In addition, Secondary Healthcare Area was established without reasonable evidence in Fukuoka prefecture.　We evaluated the validity of Secondary Healthcare Area focused on hospitalization by ischemic heart diseases in Fukuoka prefecture with using administrative claim data of beneficiaries of Fukuoka Branch of National Health Insurance Association.　The proportion of completion had differences in each area and it suggested the necessity of reforming Secondary Healthcare Area.　We could integrate into four areas using an index of net velocity by patient movement matrix table from the residence to hospitalized place as same as previous study concerning hospitalization by cancer.　However, integrated areas were different from it probably because of emergent needs.　It suggested that current Secondary Healthcare Areas were not suitable for actual hospitalization needs.　The method is able to be employed to reform Secondary Healthcare because each prefecture needs to examine validity of them by next Medical Care Plan.