Nationwide distribution of cardiovascular practice in Japan - results of Japanese circulation society 2010 annual survey

Circulation Journal : Official Journal of the Japanese Circulation Society
Hitonobu TomoikeScientific Committee of the JCS

Abstract

The geographic distribution of cardiovascular (CV) health-care services has not been assessed systematically. Data of the Japanese Circulation Society (JCS) annual survey were provided to the JCS working group with the permission of the JCS Scientific Committee. The status of CV practice in 2010 was then assessed in 47 prefectures retrospectively, along with national census and gross domestic product (GDP) data. The surveyed indices included resources (hospitals, beds and cardiologists), burden (number of inpatients), and outcome (CV mortality and autopsy) in each prefecture, which correlated well with respective populations or GDP. Inequality of geographic distribution was evident for pediatrics among the 47 prefectures, according to Lorenz curve, Gini coefficient or the maximum/minimum ratio for each index. According to the Gini coefficients, only the number of inpatients (medical or acute myocardial infarction) and beds for the total number of general hospitals or the hospitals surveyed in the present JCS study were lower than expected with regard to GDP. Geographic disparity of CV resources or burden was larger in pediatrics than in CV medicine or surgery. Improvement of equality in CV practice with regard to appropriatenes...Continue Reading

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Citations

Apr 10, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Takeshi Morimoto
Jul 15, 2015·Journal of the American College of Cardiology·Masafumi Kitakaze
Jul 12, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Akihiko KubotaHiroyuki Takano
Oct 28, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Satoshi YasudaUNKNOWN on the behalf of JROAD Investigators
Mar 21, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Kei YamamotoHideo Fujita
Jan 11, 2020·Journal of the American Heart Association·Yugo YamashitaTakeshi Kimura
Sep 14, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Koshiro KanaokaYoshihiko Saito
Feb 23, 2019·Interactive Cardiovascular and Thoracic Surgery·Tetsuo YamaguchiHitoshi Ogino
Feb 23, 2020·International Journal of Environmental Research and Public Health·Emerson Augusto BaptistaBernardo Lanza Queiroz

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