Analyzing Disparity in Geographical Accessibility to Home Medical Care Using a Claims Database and Geographical Information System: Simulation Study
The results revealed that geographical accessibility was lower in depopulated municipalities in the southern part, and the disparity could be partly solved in the ideal scenario, especially in that area, highlighting the necessity of increasing supply in the southern areas. KDB is a comprehensive database that includes medical claims information for home medical care patients and details of the provision of medical institutions, enabling geographical analysis that reflects actual health care usage.
Authors
- Tomoya Myojin (ORCID: https://orcid.org/0000-0002-3820-6157)
- Tatsuya Noda (ORCID: https://orcid.org/0000-0002-3652-7547)
- Manabu Akahane (ORCID: https://orcid.org/0000-0003-4184-2151)
- Tomoaki Imamura (ORCID: https://orcid.org/0000-0003-1981-9959)
- Yuichi Nishioka (ORCID: https://orcid.org/0000-0002-1956-3925)
- Yasuhiro Nakanishi (ORCID: https://orcid.org/0000-0002-3676-5190)
- Yukio Tsugihashi (ORCID: https://orcid.org/0000-0003-3713-5710)
- Yasuhiro Morii (ORCID: https://orcid.org/0000-0003-1392-3229)
Institutions
- Tenri Hospital (JP)
- Hamamatsu University School of Medicine (JP)
- National Institute of Public Health (JP)
- Nara Medical University (JP)
Publication Details
- Journal
- JMIR Aging
- Published
- 2025-06-07
- DOI
- https://doi.org/10.2196/70040
- Primary Topic
- Global Healthcare and Medical Tourism
- Type
- article
- Field-Weighted Citation Impact
- 0.00