ArticleJournal of physical therapy science2026
Regional disparity in the use of a financial incentive for device-assisted rehabilitation: an ecological study in Kanagawa, Japan.
Article in Journal of physical therapy science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
[Purpose] We evaluated the utilization of a financial incentive for functional electrical stimulation and robot-assisted rehabilitation in Kanagawa Prefecture, and assessed geographic variations and related regional indicators. [Participants and Methods] Participants were from nine secondary medical areas in Kanagawa Prefecture. We used fiscal year 2022 standardized claim ratios from the Cabinet Office dataset and summarized the standardized claim ratios for the financial incentive claimable within 2 months post-onset and evaluated associations with selected regional indicators of demand, service provision, and care settings. [Results] The standardized claim ratio for the financial incentive ranged from 3.3 to 223.3 (mean, 64.0; median, 36.8). Only the standardized claim ratios of Yokosuka-Miura and Yokohama exceeded the national average (standardized claim ratio, ≥100). The standardized claim ratio for the financial incentive showed no statistically significant association with standardized claim ratios for cerebral infarction inpatients, convalescent rehabilitation fees, or cerebrovascular rehabilitation volume. [Conclusion] Utilization of the financial incentive program varied widely across secondary medical areas in Kanagawa Prefecture. The eligibility window of 2 months from symptom onset may have contributed to this variation and may not have fully aligned with the current guideline statements for robot-assisted training for upper limb function.
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