The characteristics of influenza-like illness management in Japan

Background This study aimed to make a quantitative assessment of the management of influenza-like illnesses (ILI) in Japanese healthcare settings. Methods We analysed participants’ healthcare-seeking behaviour and physicians’ practice in January 2019 using an online survey of 200 households in Japan...

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Vydáno v:BMC public health Ročník 20; číslo 1; s. 568 - 8
Hlavní autoři: Tsuzuki, Shinya, Yoshihara, Keisuke
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 28.04.2020
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Absenteeism
Ambulatory care
Antiviral agents
Antiviral drugs
Biostatistics
Clinical practice
Comparative analysis
Diagnostic systems
Disease burden
Economic impact
Environmental Health
Epidemiology
Family income
Health aspects
Health care
Health care facilities
Health facilities
Health policies
Healthcare-seeking behaviour
Households
Illnesses
Immunization
Infectious diseases
Influenza
Medical diagnosis
Medical practice
Medical research
Medicine
Medicine & Public Health
Missing data
Physicians
Public Health
Quality of life
Questionnaires
Rapid influenza diagnostic test
Research Article
Respiratory syncytial virus
Surveys
systems and management in high-income countries
Vaccine
Values
Viruses
Japan
United States > US
Clinical practice
Disease burden
Influenza
Rapid influenza diagnostic test
Healthcare-seeking behaviour
ISSN:1471-2458, 1471-2458
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Shrnutí:Background This study aimed to make a quantitative assessment of the management of influenza-like illnesses (ILI) in Japanese healthcare settings. Methods We analysed participants’ healthcare-seeking behaviour and physicians’ practice in January 2019 using an online survey of 200 households in Japan. Quality of life score, quality-adjusted life years lost, the duration of symptoms, and the duration of absence from work were compared between the influenza ILI group and the non-influenza ILI group with one-to-one propensity score matching. Missing data were imputed using multiple imputation. Results In total, 261 of the 600 (43.5%) participants had at least one episode of influenza-like illness during January 2019. Of these, 194 (75.5%) visited healthcare facilities, 167 (86.1%) within 2 days of onset of symptoms. A total of 169 out of 191 (88.5%) received a rapid influenza diagnostic test and 101 were diagnosed with influenza, of whom 95.0% were treated with antivirals. The median quality-adjusted life-years (QALYs) lost was 0.0055 (interquartile range, IQR 0.0040–0.0072) and median absence from work for a single episode of influenza-like illness was 2 days (IQR 1–5 days). Albeit QALYs lost per episode was not different between two groups, the influenza ILI group showed longer duration of absence from work (5 days, IQR 4–6 days) than the non-influenza ILI group (2 days, IQR 1–3 days). Conclusions In Japan, most people with influenza-like illnesses visit healthcare facilities soon after symptoms first occur and receive a diagnostic test. Those with influenza are usually treated with antivirals. Absence from work was longer for influenza than other similar illnesses.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-020-08603-x