| アブストラクト | AIM: Mental health issues are a significant global concern, with psychiatric occupational therapy (OT) playing a crucial role in non-pharmacological treatment. In Japan, psychiatric OT is reimbursed under the national medical fee system. This study aimed to elucidate changes in psychiatric OT claims in Japan and analyze these changes by gender and age group. METHODS: The National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) Open Data from fiscal years 2014-2022 was used. The number of psychiatric OT claims was analyzed by fiscal year, age group, sex, and region. Simple regression analysis, Mann-Whitney U test, and Spearman's rank correlation were used for statistical analysis. RESULTS: Inpatient psychiatric OT claims significantly increased from 2014 to 2022, particularly among the elderly (>/=70 years) and those aged < 20 years. Outpatient claims significantly decreased after the onset of the COVID-19 pandemic. Females had significantly higher inpatient claims than males, but no significant difference was observed for outpatients. Substantial regional disparities were found in the implementation of psychiatric OT. CONCLUSION: The increase in inpatient psychiatric OT claims, especially among the elderly and younger populations, highlights the growing importance of age-specific interventions. The decline in outpatient claims raises concerns about the impact of the pandemic on community-based rehabilitation. Policymakers should consider revising reimbursement schemes to support sustained outpatient OT provision and ensure its integration as a core component of inclusive mental health care systems. |
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| ジャーナル名 | PCN reports : psychiatry and clinical neurosciences |
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| Pubmed追加日 | 2025/10/30 |
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| 投稿者 | Okazaki, Tomoyuki; Asaoka, Satoshi; Kitano, Chie; Okamura, Hitoshi |
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| 組織名 | Medical Corporation Kouseikai, Cocoro Hospital Kusatsu Hiroshima Japan.;Department of Psychosocial Rehabilitation, Graduate School of Biomedical and;Health Sciences Hiroshima University Hiroshima Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/41164226/ |
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