Impact of policy alterations on elective percutaneous coronary interventions in Japan

Tetsuji Morishita; Daisuke Takada; Jung‐ho Shin; Susumu Kunisawa; Kiyohide Fushimi; Yuichi Imanaka

doi:10.1136/heartjnl-2022-321695

January 10, 2023Heart

Impact of policy alterations on elective percutaneous coronary interventions in Japan

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Why the study?

Does revising the reimbursement tariff reduce the number of elective PCI procedures per month in Japan?

Key Points

To assess the impact of the 2018 reimbursement tariff revision on the volume of elective percutaneous coronary interventions performed in Japan.
Evaluated elective percutaneous coronary intervention (PCI) procedure rates in Japan.
Analyzed monthly procedure volumes before and after the 2018 revision of the reimbursement tariff.
Elective percutaneous coronary intervention procedures per month decreased significantly following the 2018 reimbursement tariff revision.
The change in payment policy was associated with a significant reduction in monthly elective procedural volume.

Structured PICO

Does revising the reimbursement tariff reduce the number of elective PCI procedures per month in Japan?

P

Population

Elective percutaneous coronary interventions in Japan

I

Intervention

Revision of the reimbursement tariff for elective PCIs in 2018

C

Comparator

Prior to the 2018 reimbursement tariff revision

O

Outcome

Number of elective PCI procedures per month

Revising the reimbursement tariff for elective PCIs in Japan in 2018 significantly reduced the monthly volume of these procedures.

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Implication

Reimbursement revision was associated with fewer elective PCIs; leaves open effects on outcomes and appropriateness.

Abstract

After revising the reimbursement tariff for elective PCIs in 2018, there was a significant reduction in elective PCI procedures per month.

Cite This Study

Morishita et al. (2023) studied this question.

synapsesocial.com/papers/69c9f57c3ed33b1fd1639923 https://doi.org/10.1136/heartjnl-2022-321695

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Impact of policy alterations on elective percutaneous coronary interventions in Japan

Key Points

Structured PICO

Ask about this paper

Discussion

Implication

Abstract

Cite This Study

Impact of policy alterations on elective percutaneous coronary interventions in Japan

Key Points

Structured PICO

Ask about this paper

Discussion

Implication

Abstract

Cite This Study

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