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Analysis of transport time of pediatric emergency patients to medical institutions by severity and time zone

Research Project

Project/Area Number 15K01786
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Childhood science (childhood environment science)
Research InstitutionHiroshima International University

Principal Investigator

EHARA AKIRA  広島国際大学, 医療経営学部, 教授 (30507215)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords小児医療提供体制 / 救急搬送 / 地理情報システム / アクセス / 小児 / 病院 / 地域小児科センター / 集約化 / 収容所要時間 / 病院小児科
Outline of Final Research Achievements

The number of hospitals providing pediatric medical services is decreasing. However, the change of accessibility of children to these services was unknown. In this study, I analyzed transport time of pediatric emergency patients to medical institutions by severity and time zone, and geographic accessibility of children to the nearest hospital which provide pediatric inpatient services.
Median time required to transport of pediatric emergency patients was less than 40 minutes in daytime and at night, and there were no major changes of transport of children between 2010 and 2014. The share of main medical facilities to which pediatric patients were transported increased from 2010 to 2014. 95% of children in Japan lived within 20 km from a hospital with at least 1 full-time equivalent pediatricians, and within 50km from one with at least 5 pediatricians.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (24 results)

All 2018 2017 2016 2015 Other

All Journal Article (11 results) (of which Peer Reviewed: 11 results,  Acknowledgement Compliant: 8 results) Presentation (11 results) (of which Int'l Joint Research: 4 results) Remarks (2 results)

  • [Journal Article] Children’s access to major hospitals estimated to provide pediatric inpatient services 24?h a day in Japan2018

    • Author(s)
      Ehara Akira
    • Journal Title

      Eur J Pediatr

      Volume: 177 Issue: 4 Pages: 559-565

    • DOI

      10.1007/s00431-018-3106-1

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 中核病院小児科・地域小児科センターへの自動車による60分到達圏の面積と小児人口2017

    • Author(s)
      江原朗
    • Journal Title

      日本小児科学会雑誌

      Volume: 121 Pages: 1230-1236

    • NAID

      40021273542

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 時間帯・重症度・地方・消防本部の管轄人口規模別に見た小児の救急搬送時間2017

    • Author(s)
      江原朗
    • Journal Title

      日本小児科学会雑誌

      Volume: 121 Pages: 885-890

    • NAID

      40021222965

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 時間帯・重症度・地方・消防本部の管轄人口規模別に見た小児の救急搬送時間.2016

    • Author(s)
      江原朗
    • Journal Title

      日本小児科学会雑誌

      Volume: 121

    • NAID

      40021222965

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 小児の居住地と最寄りの病院小児科(小児入院医療管理料施設基準届出病院)との距離2016

    • Author(s)
      江原朗
    • Journal Title

      日本医師会雑誌

      Volume: 145 Pages: 1660-1666

    • NAID

      40020979003

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 全国各市町村の人口中心と中核病院小児科・地域小児科センターとの最短距離2016

    • Author(s)
      江原朗
    • Journal Title

      日本小児科学会雑誌

      Volume: 120 Pages: 1508-1513

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 各消防本部と18歳未満の最多搬送医療機関との距離―時間帯解析2016

    • Author(s)
      江原朗
    • Journal Title

      日本医師会雑誌

      Volume: 145 Pages: 1454-1458

    • NAID

      40020953524

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 各消防本部における18歳未満の最多搬送医療機関の推移―平成22年と26年の比較2016

    • Author(s)
      江原朗
    • Journal Title

      日本医師会雑誌

      Volume: 145 Pages: 999-1005

    • NAID

      40020898364

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 小児の救急搬送における収容所要時間の推移―平成20~24年の時間帯別・重症度別解析.2016

    • Author(s)
      江原朗
    • Journal Title

      日本医師会雑誌

      Volume: 144 Pages: 2497-2502

    • NAID

      40020748216

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 平成22~27年の全国の小児科標榜病院数の推移―地方別,所在地の人口規模別解析2015

    • Author(s)
      江原朗
    • Journal Title

      日本医師会雑誌

      Volume: 144 Pages: 1873-1877

    • NAID

      40020666544

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 小児救急患者の時間帯別地域外搬送率2015

    • Author(s)
      江原朗
    • Journal Title

      日本小児科学会雑誌

      Volume: 119 Pages: 1518-1525

    • NAID

      40020625951

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Inter-regional comparison of accessibility of children to the nearest hospital with at least 5 full-time pediatricians in Japan2017

    • Author(s)
      Akira Ehara
    • Organizer
      uropean Academy of Pediatrics Congress, 13rd Oct 2017, Ljubljana, Slovenia
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 小児入院医療管理料を算定する病院へのアクセスに関する地方間格差の検証2017

    • Author(s)
      江原朗
    • Organizer
      第55回日本医療・病院管理学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 全国各市区町村の人口重心と中核病院小児科・地域小児科センター との最短距離2017

    • Author(s)
      江原朗
    • Organizer
      第120回日本小児科学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 国勢調査と病院リストから見えた小児の病院アクセス2017

    • Author(s)
      江原朗
    • Organizer
      第120回日本小児科学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Distance from the residence of children in Japan to their nearest hospitals which provide pediatric inpatient services2016

    • Author(s)
      Akira Ehara
    • Organizer
      12nd Asian Society for Pediatric Research
    • Place of Presentation
      Bankok, Thailand
    • Year and Date
      2016-11-10
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Population of living place and emergency transport time of children in Japan2016

    • Author(s)
      Akira Ehara
    • Organizer
      European Academy of Paediatric Societies
    • Place of Presentation
      Geneva, Switzerland
    • Year and Date
      2016-10-21
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 時間帯・重症度別に見た小児の救急搬送時間および地域外搬送率の推移2016

    • Author(s)
      江原朗
    • Organizer
      第119回日本小児科学会学術集会
    • Place of Presentation
      札幌市
    • Year and Date
      2016-05-13
    • Related Report
      2016 Research-status Report
  • [Presentation] 新生児,乳幼児および少年の救急搬送時間の地方間比較2016

    • Author(s)
      江原朗
    • Organizer
      第119回日本小児科学会学術集会
    • Place of Presentation
      札幌市
    • Year and Date
      2016-05-13
    • Related Report
      2016 Research-status Report
  • [Presentation] No Severe Disparity in Emergency Transport Time between Urban and Rural Children in Japan.2016

    • Author(s)
      Akira Ehara
    • Organizer
      The 5th Global Congress for Consensus in Pediatrics and Child Health
    • Place of Presentation
      西安市(中華人民共和国)
    • Year and Date
      2016-03-03
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 病院小児科が減少して救急搬送先はどう変化してきたのか‐平成22年と26年の比較-2016

    • Author(s)
      江原朗
    • Organizer
      第63回日本小児保健協会学術集会
    • Place of Presentation
      さいたま市
    • Related Report
      2016 Research-status Report
  • [Presentation] 平成20年から24年における小児救急患者の地域外搬送比率について2015

    • Author(s)
      江原朗
    • Organizer
      第74回日本公衆衛生学会総会
    • Place of Presentation
      長崎県長崎市
    • Year and Date
      2015-11-05
    • Related Report
      2015 Research-status Report
  • [Remarks] 著書

    • URL

      http://plaza.umin.ac.jp/~ehara/chosho1.html

    • Related Report
      2017 Annual Research Report
  • [Remarks] 研究業績

    • URL

      http://www.hirokoku-u.ac.jp/assets/files/profile/dlisclosure/resercher/534_gyoseki.pdf

    • Related Report
      2015 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2019-03-29  

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