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Development and evaluation of token-based decentralized decision making system in healthcare facilities

Research Project

Project/Area Number 19K19386
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58010:Medical management and medical sociology-related
Research InstitutionThe Tazuke Kofukai (2021)
Kyoto University (2019-2020)

Principal Investigator

HIRAGI Shusuke  公益財団法人田附興風会, 医学研究所 保健・健康研究部, 研究主幹 (60781523)

Project Period (FY) 2019-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2021: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywordsトークンエコノミー法 / 病院管理 / 意思決定 / ベッドコントロール / 経営学 / 病院経営 / 管理会計 / 人材育成 / 病院管理学 / 代用貨幣 / 医療情報学
Outline of Research at the Start

これまで、病院のマネジメントは管理部門によって中央集権的に資源配分が行われるのが一般的であった。しかし、状況が複雑化する現代の医療情勢において、必ずしも効率的ではないと考えられる。そこで、代用貨幣(トークン)を用いた分散的意思決定システムを導入することで更に効率的な病院マネジメントにつながるのではないかと考え、その設計と検証を行う。

Outline of Final Research Achievements

We proposed token-economy based bed allocation system which regarded nursing efforts as transaction between physicians and nurses. We also evaluated aforementioned system with computer simulation to examine its behavior, as well as with active nurse managers to hear their impressions about the system. Our result showed the behavior of the system, shown by allocation of patients, was not so different from conventional method. Nurse managers responded that employee satisfaction might improve and the timeliness of decision could be achieved, but they were anxious about evoking managerial rivalry. Summarizing these results, we concluded the method could be beneficial for hospital management through achieving optimized resource allocation.

Academic Significance and Societal Importance of the Research Achievements

これまで病院経営に関する意思決定は中央集権的に資源配分を行うものが多かったが、経営が複雑化する中で管理者に集中する情報が増え、必ずしも効率的な配分につながっていなかった。本研究では代用貨幣を通じて院内各部門が直接資源をやり取りすることを考案し、ベッドコントロールという個別課題でその有用性を検討した結果、迅速な意思決定や従業員満足の向上につながることが示唆された。これにより、病院経営の新たなツールを提案することができた。

Report

(4 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (14 results)

All 2022 2021 2020 2019

All Journal Article (8 results) (of which Peer Reviewed: 7 results,  Open Access: 5 results) Presentation (6 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Token Economy-Based Hospital Bed Allocation to Mitigate Information Asymmetry: Proof-of-Concept Study Through Simulation Implementation2022

    • Author(s)
      Hiragi Shusuke、Hatanaka Jun、Sugiyama Osamu、Saito Kenichi、Nambu Masayuki、Kuroda Tomohiro
    • Journal Title

      JMIR Formative Research

      Volume: 6 Issue: 3 Pages: e28877-e28877

    • DOI

      10.2196/28877

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Promotion of Diversity in the Academic Field of Urology : Analysis of 10, 000 Articles Published in Acta Urologica Japonica during a 65-Year Period2021

    • Author(s)
      小林 恭、田村 寛、平木 秀輔、西田 幸代、宮川 美栄子、黒田 知宏、小川 修
    • Journal Title

      泌尿器科紀要

      Volume: 67 Issue: 4 Pages: 125-132

    • DOI

      10.14989/ActaUrolJap_67_4_125

    • NAID

      120007043371

    • ISSN
      0018-1994
    • Year and Date
      2021-04-30
    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association between topical β-blocker use and asthma attacks in glaucoma patients with asthma: a cohort study using a claims database2021

    • Author(s)
      Kido A, Miyake M, Akagi T, Ikeda HO, Kameda T, Suda K, Hasegawa T, Hiragi S, Yoshida S, Tsujikawa A, Tamura H, Kawakami K
    • Journal Title

      Graefes Arch Clin Exp Ophthalmol

      Volume: 260 Issue: 1 Pages: 271-280

    • DOI

      10.1007/s00417-021-05357-z

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of Kidney Histological Images Using Unsupervised Deep Learning2021

    • Author(s)
      Sato Noriaki、Uchino Eiichiro、Kojima Ryosuke、Sakuragi Minoru、Hiragi Shusuke、Minamiguchi Sachiko、Haga Hironori、Yokoi Hideki、Yanagita Motoko、Okuno Yasushi
    • Journal Title

      Kidney International Reports

      Volume: 6 Issue: 9 Pages: 2445-2454

    • DOI

      10.1016/j.ekir.2021.06.008

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of the Quality of Life and Health-Related Quality of Life of Patients With End-Stage Kidney Disease Resulting From Kidney Transplantation Using the Kidney Disease Quality of Life-Short Form and EuroQOL-5 Dimension-5 Level Questionnaires2021

    • Author(s)
      Sawada Atsuro、Hiragi Shusuke、Tamura Hiroshi、Goto Rei、Matsuyama Yoko、Sakai Kaoru、Miyata Hitomi、Yanagita Motoko、Kuroda Tomohiro、Ogawa Osamu、Kobayashi Takashi
    • Journal Title

      Transplantation Proceedings

      Volume: 53 Issue: 3 Pages: 881-884

    • DOI

      10.1016/j.transproceed.2020.09.018

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Preliminary Evaluation of Market Mechanism-Based Bed Allocation System2020

    • Author(s)
      Shusuke Hiragi, Osamu Sugiyama, Jun Hatanaka, Shosuke Ohtera, Goshiro Yamamoto, Kazuya Okamoto, Masayuki Nambu, Tomohiro Kuroda
    • Journal Title

      Studies in Health Technology and Informatics

      Volume: 270 Pages: 1363-1364

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between the size of healthcare facilities and the intensity of hypertension therapy: a cross-sectional comparison of prescription data from insurance claims data2020

    • Author(s)
      Hiragi Shusuke、Sato Noriaki、Uchino Eiichiro、Kuroda Tomohiro、Yanagita Motoko
    • Journal Title

      Hypertension Research

      Volume: 44 Issue: 3 Pages: 337-347

    • DOI

      10.1038/s41440-020-00549-2

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of Social Interaction Mechanics in Pervasive Games on the Physical Activity Levels of Older Adults: Quasi-Experimental Study2019

    • Author(s)
      Santos Luciano Henrique De Oliveira、Okamoto Kazuya、Funghetto Silvana Schwerz、Cavalli Adriana Sch?ler、Hiragi Shusuke、Yamamoto Goshiro、Sugiyama Osamu、Castanho Carla Denise、Aoyama Tomoki、Kuroda Tomohiro
    • Journal Title

      JMIR Serious Games

      Volume: 7 Issue: 3 Pages: e13962-e13962

    • DOI

      10.2196/13962

    • Related Report
      2019 Research-status Report
  • [Presentation] ICU形態の変更に伴う患者管理・金銭的コスト・スタッフのメンタルヘルスに関する調査2021

    • Author(s)
      齊藤 健一, 平木 秀輔, 森 由希子, 黒田 知宏
    • Organizer
      第41回医療情報学連合大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 泌尿器科学術領域におけるダイバーシティ推進 泌尿器科紀要掲載論文65年間・1万編の解析2021

    • Author(s)
      小林 恭, 田村 寛, 平木 秀輔, 西田 幸代, 宮川 美栄子, 黒田 知宏, 小川 修
    • Organizer
      日本泌尿器科学会総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] ウィズコロナを見据えた「分権的」医療資源配分の可能性2021

    • Author(s)
      平木秀輔
    • Organizer
      メディカルジャパン大阪
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 代用貨幣によるベッドコントロールシステムの効率性評価2019

    • Author(s)
      平木 秀輔, 杉山 治, 大寺 祥佑, 山本 豪志朗, 佐々木 博史, 岡本 和也, 南部 雅幸, 黒田 知宏
    • Organizer
      第63回システム制御情報学会研究発表講演会
    • Related Report
      2019 Research-status Report
  • [Presentation] 京大病院実践的医療経営プロフェッショナル教育事業の取り組み~経営マインドを備えた若手の育成を目指して~2019

    • Author(s)
      平木秀輔, 黒田知宏, 井原正裕, 加藤源太
    • Organizer
      第57回日本医療・病院管理学会学術総会
    • Related Report
      2019 Research-status Report
  • [Presentation] Analysis for the Annual Text Amount of Electronic Medical Records2019

    • Author(s)
      Kenichiro Fujita, Osamu Sugiyama, Shusuke Hiragi, Kazuya Okamoto, Tadamasa Takemura, Tomohiro Kuroda
    • Organizer
      MEDINFO 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research

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Published: 2019-04-18   Modified: 2023-01-30  

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