Hashimoto S, Nagai M, Nakamura Y, Yanagawa H, Kawamura T, Ohno Y
Department of Epidemiology and Biostatistics, School of Health Sciences and Nursing, Faculty of Medicine, University of Tokyo.
Nihon Koshu Eisei Zasshi. 1996 Nov;43(11):974-82.
Data concerning all patients receiving financial aid for 26 types of intractable diseases in 1984, 1988 and 1992 were individually linked. Proportions of patients who discontinued financial aid in 1988 or 1992 among patients who were receiving aid in 1984 (ratio of discontinuance per patients); and ratios of the numbers of patients newly commencing aid in 1988 or 1992 to the numbers of patients who were receiving aid in 1984 (ratio of commencement per patients) were calculated. The results were as follows; 1. Among patients receiving financial aid in 1984, ratios of discontinuance per 100 patients were 28 in 1985-88 and 43 in 1985-92. Ratios of commencement per 100 patients were 96 in 1985-88 and 203 in 1985-92. 2. Ratios of discontinuance and of commencement per 100 patients in 1985-92 among 26 intractable diseases were 27-96 and 31-1,068, respectively. 3. Ratios of discontinuance per patients were higher an age groups 0-19 year and 60 year and over than in other age groups. Ratios of commencement per patients were higher in age groups 20-29 year and 70 year and over than in other age groups. Both ratios were higher among males than among females. 4. Ranges of ratios of discontinuance per patients and of ratios of commencement per patients were smaller among 47 prefectures than among diseases and age groups. The number of patients receiving financial aid in 1984 per population among prefectures was inversely correlated to ratios of commencement per patients, and were not correlated with ratios of discontinuance per patients.
对1984年、1988年和1992年接受26种疑难病症财政援助的所有患者的数据进行了单独关联。计算了1984年接受援助的患者中在1988年或1992年停止财政援助的患者比例（每位患者的停药率）；以及1988年或1992年新开始援助的患者数量与1984年接受援助的患者数量之比（每位患者的开始率）。结果如下：1. 在1984年接受财政援助的患者中，1985 - 88年每100名患者的停药率为28，1985 - 92年为43。1985 - 88年每100名患者的开始率为96，1985 - 92年为203。2. 1985 - 92年26种疑难病症中每100名患者的停药率和开始率分别为27 - 96和31 - 1068。3. 0 - 19岁和60岁及以上年龄组的每位患者停药率高于其他年龄组。20 - 29岁和70岁及以上年龄组的每位患者开始率高于其他年龄组。两个比率男性均高于女性。4. 47个县中每位患者的停药率和开始率范围小于疾病和年龄组。各县1984年每人口接受财政援助的患者数量与每位患者的开始率呈负相关，与每位患者的停药率无关。
