How was cognitive behavioural therapy for mood disorder implemented in Japan? A retrospective observational study using the nationwide claims database from FY2010 to FY2015.
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アブストラクト OBJECTIVES:To clarify the dissemination status of cognitive behavioural therapy (CBT) in Japan under the national health insurance scheme.DESIGN:Retrospective observational study.SETTING:National Database of Health Insurance Claims and Specific Health Checkups of Japan.PARTICIPANTS:Patients who received CBT under the national health insurance scheme from fiscal years (FY) 2010 to 2015.PRIMARY AND SECONDARY OUTCOME MEASURES:We estimated the change rate and the standardised claim ratio (SCR) for the number of patients receiving CBT and analysed the association between the CBT status and several regional factors.RESULTS:We found that (a) a total of 60 304 patients received CBT during the study period; (b) the number of patients receiving CBT was highest in the first year (-1.8% from FY2010 to FY2015); (c) the number of patients who received CBT per 100 000 population decreased (or remained at zero) in most prefectures (32 out of 47); (d) there was a maximum 424.7-fold difference between prefectures in the standardised claim ratio for CBT and (e) the number of registered CBT institutions was significantly associated with the number of patients who received CBT.CONCLUSIONS:The provision of CBT did not increase in the first 6 years (FY2010-2015) after its coverage in Japan's national health insurance scheme. Further studies including a questionnaire survey of registered CBT institutions are required to get more detailed information on the dissemination of CBT in Japan.ジャーナル名 BMJ open 投稿日 2020/5/8 投稿者 Hayashi, Yuta; Yoshinaga, Naoki; Sasaki, Yosuke; Tanoue, Hiroki; Yoshimura, Kensuke; Kadowaki, Yuko; Arimura, Yasuji; Yanagita, Toshihiko; Ishida, Yasushi 組織名 Graduate School of Medicine and Veterinary Medicine, University of Miyazaki,;Miyazaki, Japan.;Department of Nursing, Graduate School of Health Sciences, Kobe University, Kobe,;Japan.;School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan;naoki-y@med.miyazaki-u.ac.jp.;Department of Animal and Grassland Sciences, Faculty of Agriculture, University;of Miyazaki, Miyazaki, Japan.;Center for Animal Disease Control, University of Miyazaki, Miyazaki, Japan.;School of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.;Center for Next Generation of Community Health, Chiba University Hospital, Chiba,;Division of Biostatistics, Kurume University School of Medicine, Kurume, Japan.;Clinical Research Support Center, University of Miyazaki Hospital, Miyazaki,;Division of Psychiatry, Department of Clinical Neuroscience, Faculty of Medicine,;University of Miyazaki, Miyazaki, Japan. Pubmed リンク https://www.ncbi.nlm.nih.gov/pubmed/32376747/ -
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