医療・介護システム研究

メンバー

研究員 涌井 智子、増井 幸恵、吉田 祐子、光武 誠吾
非常勤研究員 大野 昂紀、菅 亜希子、堀 紀子

キーワード

要介護高齢者、医療保険制度、介護保険制度、介護と医療、介護者の介護意識、移行期ケア(transitional care)、ケアの継続性・包括性の確保

主な研究

  1. 要援護・要介護高齢者とその家族の保健・福祉的課題に対する支援策の検討
  2. 医療介護レセプトデータベースを用いた地域包括ケアの現状と対応策の検討

研究紹介

  1. 要介護・要支援高齢者や地域での見守りが必要な要援護高齢者、並びにその家族が抱える保健・福祉的課題と課題発生の要因・機序を解明し、課題の改善に向けた制度・政策、行政、専門職、地域住民等の各層における支援策・支援プログラムの検討・提言を目的とします
  2. 医療介護レセプトデータベースと自治体の介護ニーズ調査等の分析を通じて、地域包括ケアシステムの導入に係る課題とその対応策を明らかにすることを目的とします。
    医療・介護保険レセプトデータを用いて医療・介護サービスの利用状況・費用を分析するとともに、地域のフォーマルサービス・インフォーマルサービスの需給に着目した事例分析を実施し、高齢者が地域で安心して生活するために必要な医療・介護サービスを、継ぎ目なく包括的に提供するための方策を提案します。

論文(誌上発表):原著

  1. Mitsutake S, Ishizaki T, Edahiro A, Kitamura A, Hirata T, Saito A. The effects of dental visits on the occurrence of acute hospitalization for systemic diseases among patients aged 75 years or older: A propensity score-matched study, Arch Gerontol Geriatr. 2023, 107, 104876.
  2. Mitsutake S, Ishizaki T, Tsuchiya-Ito R, Uda K, Jinnouchi H, Ueshima H, Matsuda T, Yoshie S, Iijima K, Tamiya N. The effects of early post-discharge rehabilitation services on care-needs level deterioration in older adults with functional impairment: A propensity score-matched study. Arch Phys Med Rehabil. 2022, 103(9), 1715-1722.e1
  3. Yoshida Y, Ishizaki T, Masui Y, Arai Y, Inagaki H, Ogawa M, Yasumoto S, Iwasa H, Kamide K, Rakugi H, Ikebe K, Gondo Y. Association of personality traits with polypharmacy among community-dwelling older adults in Japan: a cross-sectional analysis of data from the SONIC study. BMC Geriatr. 2022;22(1):372.
  4. Ishizaki T, Masui Y, Nakagawa T, Yoshida Y, Ishioka YL, Hori N, Inagaki H, Ito K, Ogawa M, Kabayama M, Kamide K, Ikebe K, Arai Y, Gondo Y. Construct Validity of a New Health Assessment Questionnaire for the National Screening Program of Older Adults in Japan: The SONIC Study. Int J Environ Res Public Health. 2022;19(16):10330.
  5. Mitsutake S, Ishizaki T, Yano S, Tsuchiya-Ito R, Jin X, Watanabe T, Uda K, Livingstone I, Tamiya N., Characteristics associated with hospitalization within30 days of geriatric intermediate care facility admission. Geriatr. Gerontol. Int. 2021;21: 1010-1017.
  6. Handa N, Mitsutake S, Ishizaki T, Nakabayashi T, Akishita M, Tamiya N, Yoshie S, Iijima K. Associations of co-prescribed medications for chronic comorbid conditions in very old adults with clinical dementia: a retrospective cohort study using insurance claims data. BMJ Open 2021;11:e043768.
  7. Mitsutake S, Ishizaki T, Furuta K, Hatakeyama A, Sugiyama M, Awata S, Toba K, Ito H. Agreement on dementia severity levels between the 8-item and 21-item Dementia Assessment Sheet for Community-based Integrated Care System. Geriatr Gerontol Int. 2021;21: 748-749
  8. Mitsutake S, Ishizaki T, Tsuchiya-Ito R, Uda K, Jinnouchi H, Ueshima H, Matsuda T, Yoshie S, Iijima K, Tamiya N. The effects of early post-discharge rehabilitation services on care-needs level deterioration in older adults with functional impairment: A propensity score-matched study. Arch Phys Med Rehabil. 2022; 103: 1715-1722
  9. Mitsutake S, Ishizaki T, Tsuchiya-Ito R, Uda K, Teramoto C, Shimizu S, Ito H. Associations of hospital discharge services with potentially avoidable readmissions within 30 days among older adults after rehabilitation in acute care hospitals in Tokyo, Japan. Arch Phys Med Rehabil. 2020; 101(5): 832-840.
  10. Ishizaki T, Mitsutake S, Hamada S, Teramoto C, Shimizu S, Akishita M, Ito H. Drug prescription patterns and factors associated with polypharmacy in over one million older adults in Tokyo. Geriatr Gerontol Int. 2020; 20(4): 304-311.
  11. Mitsutake S, Ishizaki T, Tsuchiya-Ito R, Furuta K, Hatakeyama A, Sugiyama M, Toba K, Ito H. Association of Cognitive Impairment Severity with Potentially Avoidable Readmissions: A Retrospective Cohort Study of 8,897 Older Patients. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring 2021. 13(1): e12147.
  12. 増井幸恵,権藤恭之,中川 威,小川まどか,石岡良子,稲垣宏樹,蔡羽 淳,安元佐織,栗延孟,小野口航,髙山緑,新井康通,池邉一典,神出計,石崎達郎:地域高齢者の精神的健康の縦断変化に及ぼす老年的超越の影響の検討:疾患罹患・死別イベントに対する緩衝効果に注目して.老年社会科学,41(3):247-258,2019.
  13. Ishizaki T, Kobayashi E, Fukaya T, Takahashi Y, Shinkai S, Liang J. Association of physical performance and self-rated health with multimorbidity among older adults: Results from a nationwide survey in Japan. Archives of Gerontology and Geriatrics 2019; 84: 103904.
  14. Mitsutake S, Ishizaki T, Tsuchiya-Ito R, Teramoto C, Shimizu S, Yamaoka T, Kitamura A, Ito H. Association of pharmacological treatments for hypertension, diabetes, and dyslipidemia with health checkup participation and identification of disease control factors among older adults in Tokyo, Japan. Preventive Medicine Reports 2019; 23: 17: 101033.
  15. Mitsutake S, Ishizaki T, Tsuchiya-Ito R, Uda K, Teramoto C, Shimizu S, Ito H. Associations of hospital discharge services with potentially avoidable readmissions within 30 days among older adults after rehabilitation in acute care hospitals in Tokyo, Japan. Archives of Physical Medicine and Rehabilitation. 2020; 101: 5: 832-840.
  16. Mitsutake S, Ishizaki T, Teramoto C, Shimizu S, Ito H. Patterns of multimorbidity among 1.3 million older adults in Japan: Analyzing associations with the co-occurrence of three or more chronic diseases. Preventing Chronic Disease 2019; 16: 180170.

論文(誌上発表):総説

  1. 涌井智子. (2022). 特集「認知症とともに一人で暮らせる社会環境の創出に向けて」認知症の独居高齢者の家族支援を考える. 老年精神医学雑誌, 33, 276-281, 2022.
  2. 石崎達郎.フレイル健診 高齢者を対象とする多病・多剤処方の保健指導実施の際の情報活用.日本老年医学会雑誌 2021; 58巻2号:214-218.
  3. 涌井智子. 【一人暮らしの認知症高齢者】国民生活基礎調査からみる独居高齢者のケアの実態と今後への示唆. 老年精神医学雑誌. 31(5), 467-473, 2020.
  4. 涌井智子. 多様化する家族介護の現状と今後の介護を支えるシステムについて考える. 老年社会科学. 40(3), 301-307, 2018.

※下線は当センター研究員