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Health Care Issues in the United States and Japan$
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David A. Wise and Naohiro Yashiro

Print publication date: 2006

Print ISBN-13: 9780226902920

Published to Chicago Scholarship Online: February 2013

DOI: 10.7208/chicago/9780226903248.001.0001

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PRINTED FROM CHICAGO SCHOLARSHIP ONLINE (www.chicago.universitypressscholarship.com). (c) Copyright University of Chicago Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CHSO for personal use.date: 07 June 2020

A Comparison of the Quality of Health Care in the United States and Japan

A Comparison of the Quality of Health Care in the United States and Japan

Treatment and Outcomes for Heart Attack Patients

Chapter:
(p.165) 7 A Comparison of the Quality of Health Care in the United States and Japan
Source:
Health Care Issues in the United States and Japan
Author(s):

Haruko Noguchi

Yuichiro Masuda

Masafumi Kuzuya

Akihiko Iguchi

Jeffery Geppert

Mark McClellan

Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226903248.003.0008

This chapter evaluates the differences in treatment patterns and the relationship between treatment patterns and health care quality among acute myocardial infarction (AMI) patients in United States and Japan. The Cooperative Cardiovascular Project (CCP) patients tend to be more aggressively treated by beta-blockers than Japanese patients, and it is observed that collaborative medical centers in the data tend to perform intensive procedures more often. There is significant heterogeneity among patients and in treatments that could influence the quality of care among elderly AMI patients. It is also found that high-tech treatments would significantly enhance patient outcomes and would increase hospital expenditures. CCP patient who undergoes an intensive procedure tends to stay in a hospital longer compared to the one who does not, while a patient who undergoes an intensive procedure in Japan is inclined to stay in the hospital for a shorter period.

Keywords:   treatment patterns, health care quality, acute myocardial infarction, United States, Japan, elderly, high-tech treatments, Cooperative Cardiovascular Project, intensive procedure

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