Effect of reminder letters after health checkups on the consultation behavior of participants with possible hypertension, hyperglycemia, and dyslipidemia: A retrospective cohort study using administrative claims data in Japan.
Adult
Databases, Factual
Dyslipidemias
/ diagnosis
Female
Health Behavior
Humans
Hyperglycemia
/ diagnosis
Hypertension
/ diagnosis
Insurance, Health
/ statistics & numerical data
Japan
Male
Mass Screening
/ statistics & numerical data
Middle Aged
Occupational Diseases
/ diagnosis
Occupational Health Services
/ statistics & numerical data
Patient Acceptance of Health Care
/ statistics & numerical data
Referral and Consultation
/ statistics & numerical data
Reminder Systems
/ statistics & numerical data
Retrospective Studies
consultation behavior
health checkups
lifestyle disease
noncommunicable disease
reminder
Journal
Journal of occupational health
ISSN: 1348-9585
Titre abrégé: J Occup Health
Pays: Australia
ID NLM: 9616320
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
revised:
14
03
2021
received:
28
10
2020
accepted:
21
04
2021
entrez:
11
5
2021
pubmed:
12
5
2021
medline:
29
7
2021
Statut:
ppublish
Résumé
Prevention of and early treatment for noncommunicable diseases such as hypertension, hyperglycemia, and dyslipidemia are important, as these diseases are asymptomatic in early stages but can lead to critical conditions such as macro- and microvascular disorders later on. While screening is conducted worldwide, low rates of hospital visits after screening is a common issue. We aimed to investigate the effect of reminder letters on the consultation behavior of screened participants. We used administrative claims data from a database managed by JMDC Inc for participants of health checkups in 2014, 2015, 2016, and 2017, who belonged to a health insurance society. Reminder letters were sent regularly 6 months after checkups to improve participant consultation behavior. Participants who screened positive for hypertension, hyperglycemia, and dyslipidemia, and who were not taking medication for any of these diseases at the time of health checkups, were included in the analyses. A total of 1739 participants in 2014, 1693 in 2015, 2002 in 2016, and 2144 in 2017 were included in the analysis for hypertension. The cumulative proportion of hospital visits gradually increased over the course of 12 months after checkups in all years. After 2015, spikes, albeit very small ones, were observed at 6 months after checkups in accordance with the timing of reminder letters. Similar trends were observed for hyperglycemia and dyslipidemia. Sending reminder letters is a potentially effective approach to increase hospital visits, but further improvements (ie, multiple reminders) may be necessary to affect enhancements in participant consultation behavior.
Identifiants
pubmed: 33974321
doi: 10.1002/1348-9585.12231
pmc: PMC8112116
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12231Subventions
Organisme : JMDC Inc.
Informations de copyright
© 2021 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.
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