Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University.
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University.
J Atheroscler Thromb. 2023 Sep 1;30(9):1095-1103. doi: 10.5551/jat.RV22008. Epub 2023 Jul 19.
Recently, the Cerebrovascular and Cardiovascular Disease Control Act was enacted, for which it was necessary to establish a comprehensive and accurate nationwide database and promote rational and economical stroke countermeasures in Japan, thus serving the public interest. Among the many studies on stroke registries, the Fukuoka Stroke Registry, a regional cohort, provides highly accurate information, and the Japanese Stroke Data Bank, a nationwide cohort, is highly comprehensive. The findings of these studies have contributed to the construction of evidence and the establishment of guidelines for stroke management. In the Nationwide survey of Acute Stroke care capacity for Proper dEsignation of Comprehensive stroke CenTer in Japan, research on improving the quality of medical care to close the gap between guidelines and clinical practice was performed using electronic medical records. This has enabled the recommendation of medical policies in Japan by visualizing medical care. In the era of healthcare big data and the Internet of Things, plenty of healthcare information is automatically recorded electronically and incorporated into databases. Thus, the establishment of stroke registries with the effective utilization of these electronic records can contribute to the development of stroke care.
最近，颁布了《脑血管病和心血管病控制法》，这就需要在日本建立一个全面而准确的全国性数据库，并促进合理和经济的卒中对策，以服务于公共利益。在众多的卒中登记研究中，福冈卒中登记是一个区域性队列，提供了高度准确的信息，而日本卒中数据库则是一个全国性队列，具有高度的全面性。这些研究的结果为卒中管理的循证建设和指南制定做出了贡献。在日本全国急性卒中护理能力调查中，为了适当指定综合性卒中中心，使用电子病历对提高医疗质量以缩小指南与临床实践之间的差距进行了研究。这使得通过可视化医疗来推荐日本的医疗政策成为可能。在医疗大数据和物联网时代，大量的医疗保健信息被自动电子记录并纳入数据库。因此，建立卒中登记系统并有效利用这些电子记录，可以为卒中护理的发展做出贡献。
