{"created":"2023-05-15T11:56:43.650328+00:00","id":1560,"links":{},"metadata":{"_buckets":{"deposit":"a8b71302-a53a-4776-b6d9-2bec513ab3b8"},"_deposit":{"created_by":4,"id":"1560","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"1560"},"status":"published"},"_oai":{"id":"oai:n-seiryo.repo.nii.ac.jp:00001560","sets":["278:279:280"]},"author_link":["4743","4744"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"100","bibliographicPageStart":"93","bibliographicVolumeNumber":"1","bibliographic_titles":[{"bibliographic_title":"新潟青陵学会誌"}]}]},"item_10001_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf"}]},"item_10001_description_24":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"This study is a survey that examined the establishment situation of Home Medical Treatment Support Hospital introduced by Revised Clinic Fees in 2008.\nHome Medical Treatment Support Hospital is a system that highly evaluates clinic fees of main hospitals that carry the home medical treatment in the region where there is no clinic supporting home medical treatment.\nAs of October 1, 2008, there are only 10 hospitals in 9 prefectures all over the country: Hokkaido, Akita, Gifu, Shizuoka, Tottori, Hiroshima, Oita, Kagoshima, and Miyazaki.\nThe reason could be considered as a severe requirement in Home Medical Treatment Support Hospital facility standards that prescribes “There is no clinic within a radius of 4 km from the hospital” .\nTherefore, “Home Medical Treatment Support Hospital” is an extremely rare existence, and can't carry enough rolls that make up for the region without support clinics dealing with essential home medical treatments.\nIn the future, to prepare the supporting environment for home medical treatment, the system design with a flexible choice capability that allows an enough utilization of medical resources in each region is indispensable.","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究は、2008年の診療報酬改定において導入された「在宅療養支援病院」の開設状況を調査したものである。\n「在宅療養支援病院」は、在宅療養を支援する診療所がない地域で、在宅療養の主たる担い手となっている病院を診療報酬で高く評価する仕組みである。\n2008年10月１日現在、全国で北海道、秋田県、岐阜県、静岡県、鳥取県、広島県、大分県、鹿児島県、宮崎県の９道県に10病院しか存在しない。\nその理由は、「在宅療養支援病院」の施設基準に「病院を中心とした半径４㎞以内に診療所が存在しない」という、厳しい要件が課されていることが考えられる。\nそのため、「在宅療養支援病院」は極めて稀な存在となり、本来の在宅療養を支援する診療所がない地域を補完する役割を十分に担えていない。\n今後、在宅療養支援の環境を整えるためには、地域に存在している医療資源が十分活用できるように、選択の幅を備えた制度設計が必要である。","subitem_description_type":"Abstract"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.32147/00001554","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟青陵学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12412634","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1883-759X","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"武田, 誠一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takeda, Nobukazu","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-29"}],"displaytype":"detail","filename":"sg_01_10.pdf","filesize":[{"value":"156.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"sg_01_10.pdf","url":"https://n-seiryo.repo.nii.ac.jp/record/1560/files/sg_01_10.pdf"},"version_id":"4c5489b7-27a7-4c7c-bd6d-439c039baa39"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Home Medical Treatment Support Hospital"},{"subitem_subject":"Home healthcare"},{"subitem_subject":"Local care system"},{"subitem_subject":"在宅療養支援病院"},{"subitem_subject":"在宅医療"},{"subitem_subject":"地域ケアシステム"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article"}]},"item_title":"「在宅療養支援病院」の開設数の現状と課題 : 在宅療法を支える病院の役割について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"「在宅療養支援病院」の開設数の現状と課題 : 在宅療法を支える病院の役割について","subitem_title_language":"ja"},{"subitem_title":"Current Situation and Problems in Number of Established “Home Medical Treatment Support Hospital” : About Rolls of Hospitals Supporting Home Medical Treatment","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"4","path":["280"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-04-18"},"publish_date":"2016-04-18","publish_status":"0","recid":"1560","relation_version_is_last":true,"title":["「在宅療養支援病院」の開設数の現状と課題 : 在宅療法を支える病院の役割について"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-06-23T05:36:52.523164+00:00"}