| Project/Area Number |
15K08797
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Hygiene and public health
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| Research Institution | Asahikawa Medical College |
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Principal Investigator |
SAIJO Yasuaki 旭川医科大学, 医学部, 教授 (70360906)
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| Co-Investigator(Renkei-kenkyūsha) |
YOSHIDA Takahiko 旭川医科大学, 医学部, 教授 (90200998)
YOSHIOKA Eiji 旭川医科大学, 医学部, 准教授 (70435957)
NAKAGI Yoshihiko 旭川医科大学, 医学部, 助教 (90322908)
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Project Status |
Completed (Fiscal Year 2017)
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| Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
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| Keywords | 地域医療 / かかりつけ医 / general practitioner / プライマリケア医 / 到達距離 / intention to leave / 職業ストレス / バーンアウト / プライマリケア / 地理情報システム / 医療機関アクセス / 紹介状 / 選定療養費 / 空間的階層ベイズモデル / 標準化死亡比 / ゲートキーパー / 紹介上 |
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| Outline of Final Research Achievements |
Relationships between road-distance to primary care facilities stroke mortality：
Relative risk (per 1 kilometer increased) of death from stroke was significantly higher in men and women. A questionnaire study of general practitioner (GP) system among Japanese physicians:In a multivariate analysis with an outcome that GP system should be obligated or promoted, 50 years old or more had significantly lower OR. In a multivariate analysis with an outcome that the number of hospitals with a fee for patients visiting for the first time without a referral from another medical institution should be increased, 70 years old had a significant lower OR. Factors affecting intention to leave and burnout among Japanese rural physicians:In the multivariate logistic regression analysis of intention to leave as outcome, dissatisfaction of income (odds ratio, 3.63), the hometown of ‘other town/village in the same prefecture’ (3.53) and high job control (0.72) had significant relations.
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