| Project/Area Number |
13672368
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Nihon University |
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Principal Investigator |
KUBO Yoshiko Nihon University, SCH. OF MEDICINE, HEALTH CARE SERV. MANAGEMENT, ASSISTANT, 医学部, 助手 (60060109)
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| Co-Investigator(Kenkyū-buntansha) |
TERSAKI Hitoshi Nihon University, SCH. OF MEDICINE, HEALTH CARE SERV. MANAGEMENT, INSTRUCTOR, 医学部, 講師 (90227512)
UMESATO Yoshimasa Nihon University, SCH. OF MEDICINE, HEALTH CARE SERV. MANAGEMENT, ASSOCIATE PROFESSOR, 医学部, 助教授 (60213485)
OHMICHI Hisashi Nihon University, SCH. OF MEDICINE, HEALTH CARE SERV. MANAGEMENT, PROFESSOR, 医学部, 教授 (60158805)
MAEDA Yukihiro Nihon University, SCH. OF MEDICINE, HEALTH CARE SERV. MANAGEMENT, ASSISTANT, 医学部, 助手 (10287641)
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| Project Period (FY) |
2001 – 2003
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| Project Status |
Completed (Fiscal Year 2003)
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| Budget Amount *help |
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2003: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2002: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2001: ¥1,200,000 (Direct Cost: ¥1,200,000)
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| Keywords | MEDEICAL FUNCTIONING HOSPITALS / MEDICAL COOPERATION / REFERRED OUTPATIENT SYSTEM / REVERSE REFERRAL / PATIENT SATISFACTION |
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| Research Abstract |
The result of this research spotlights the necessity of establishment of a medical cooperation system in special functioning hospitals and/or the substantial development of its system so that the system may instruct or help doctors who have diagnosed patients with referrals to give back, without delay, the well-informed diagnosis of the patients to the doctors who had given the patients referrals to them. This system will also help prevent insufficient medical treatment documents, discovered by this research, which did not clarify the return of patients to the medical care institutions which gave them referrals, and unnecessary detention of a patient who, the research found, was forced to go to the hospital for as long eight months. The research was conducted to find how properly special functioning hospitals cooperated with outside medical care institutions which sent their patients to them for medical reference. 110 samples, were chosen at random among new outpatients with referrals,
… More
and among these only 73 samples clearly indicated the places where the patients were treated or were advised to be treated finally. These 73 cases were examined on the proper medical cooperation between the special functioning hospitals and the medical care institutions which sent their patients to them. The rate of accordance of diagnosis was 73.6. The rate of hospitalization was 9.6. 52% of the patients attended the special functioning hospitals three times for treatment, and 39.5 % of the above patients were given referrals back to the original or to other medical care institutions. The highest rate of attendance was once, and the largest number of attendance was 17, with period of attendance varying from one day to 260 days. 54.8% were given prescriptions, and the rate of one prescription issue was 40%, and 12-time issues were the largest. About the rate of satisfaction on the side of patients after the first medical examination was completed, 16.4 % answered, 'the most satisfied,' 52.1 'satisfied,' 8.2 'less satisfied,' and the least satisfied 0. Less
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