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 - Social Medicine - Health Analyses
Healthcare Epidemiology
Clinical medicine is a highly social practice. Because it applies findings from biomedical scientific research to people living in a complex social environment, the medical community is obliged to assess the appropriateness, effectiveness, and efficiency of healthcare. With this in mind, we incorporate clinical medicine, epidemiology, statistics, psychometrics, and other fields into research aimed at measuring and improving the healthcare quality and patients' outcomes. We welcome those who share our outlook, our values, and our commitment to studying and improving clinical practice.

  Shunichi Fukuhara
Research and Education
What are the goals of health care? How should it be judged? For example, the goal may be “to make patients better", but in what sense? Surely the mere prolongation of life is not enough. Perhaps the results of medical-laboratory tests can be used to distinguish success from failure, but how should we interpret test results that are inconsistent with symptoms? In evaluations of the effectiveness of medical interventions, what indicators are relevant to patients and to society?
“Quality of health care" has become a popular topic, but how is it defined in practice? Consider just a few of the questions that can arise with regard to surgery: Is comparison of death rates after surgery valid? Do rates of post-surgical death stabilize once a certain level of experience is reached? When evaluating studies of post-surgical death rates, can we trust the statistical adjustments for the severity of illness?
Our department focuses its efforts on such questions. This field has been called “health services research". While seeking to understand health care services in their scientific, socio-cultural, and economic environment, we often focus on the outcomes of those services from the viewpoints of patients and of society. Recent examples of our activities include participation in an international study of dialysis outcomes and practice patterns, and sending our staff to the University of California (Los Angeles) to participate in research on the quality of care of the elderly. In cooperation with national and international institutions, we carry out and promote research in these and other areas with a broad perspective and with the highest possible standards of scientific rigor.

Healthcare Epidemiology
Professor Shunichi Fukuhara, M.D., D.M.Sc., F.A.C.P.

Shin Yamazaki

TEL : +81-75-753-4646
FAX +81-75-753-4644
ref: Suzukamo Y, Fukuhara S, et al. JCE(2011)
Recent Publications
1. Kurita N, Yamazaki S, Fukumori N, Otoshi K, Sekiguchi M, Onishi Y, Takegami M, Ono R, Horie S, Konno S, Kikuchi S, Fukuhara S. Overactive bladder symptom severity is associated with falls in community-dwelling adults: LOHAS study. BMJ Open 2013; 3: e002413.
2. Kawaguchi T, Karaboyas A, Robinson BM, Li Y, Fukuhara S, Bieber BA, Rayner HC, Andreucci VE, Pisoni RL, Port FK, Morgenstern H, Akizawa T, Saran R. The Associations of Frequency and Duration of Patient-Doctor Contact in Hemodialysis Facilities with Mortality: International Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Journal of the American Society of Nephrology (in press)    
3. UCAS Japan Investigators, Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, Hashimoto N, Nakayama T, Sakai M, Teramoto A, Tominari S, Yoshimoto T. The natural course of unruptured cerebral aneurysms in a Japanese cohort. The New England Journal of Medicine 2012; 366: 2474-82.
4. Jackson JL, Kuriyama A, Hayashino Y. Botulinum toxin A for prophylactic treatment of migraine and tension headaches in adults: a meta-analysis. JAMA 2012; 307: 1736-45
5. Fukuma S, Yamaguchi T, Hashimoto S, Nakai S, Iseki K, Tsubakihara Y, Fukuhara S. Erythropoiesis-stimulating agent responsiveness and mortality in hemodialysis patients: results from a cohort study from the dialysis registry in Japan. American Journal of Kidney Disease 2012; 59: 108-16.