• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Impact of physician manpower and hospital structures on clinical performances

Research Project

Project/Area Number 20590509
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionKyoto University

Principal Investigator

SEKIMOTO Miho  Kyoto University, 大学院・公共政策学連携研究部, 特任研究員 (00244583)

Co-Investigator(Kenkyū-buntansha) IMANAKA Yuichi  京都大学, 医学研究科, 教授 (10256919)
ISHIZAKI Tatsuro  京都大学, 医学研究科, 准教授 (30246045)
HAYASHIDA Kenshi  京都大学, 医学研究科, 講師 (80363050)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2010: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2009: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2008: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywordsヘルスマンパワー / アウトカム評価 / 輸血管理 / 感染管理 / 抗菌薬 / 血液製剤 / プロセス評価 / 組織効率 / 集中治療 / 在院日数 / 脳梗塞 / リハビリテーション
Research Abstract

We studied associations between structures of health care (e.g., physician/nurse staffing, healthcare manpower), disease management systems, process of care, and patient outcomes on following 3 topics ; 1) acute care of ischemic stroke, 2) high- and low-intensity intensive care models, and 3) transfusion practices and management. The results of the study suggest that, in addition to clinical factors, clinical management systems and clinical processes, is significantly associated with better process of care and patient outcomes.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (28 results)

All 2011 2010 2009 Other

All Journal Article (15 results) (of which Peer Reviewed: 15 results) Presentation (11 results) Book (2 results)

  • [Journal Article] Impact of intensive care Unit physician on care processes of patients with severe sepsis in teaching hospitals.2011

    • Author(s)
      Umegaki T, Sekimoto M, Imanaka Y
    • Journal Title

      J Anesthe Clinic Res 2

      Pages: 2-2

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] タイムスタディとDPCデータを用いた産婦人科診療の業務量把握2011

    • Author(s)
      濱田啓義, 関本美穂, 今中雄一
    • Journal Title

      日本医療・病院管理学会誌

      Volume: 48(掲載確定)

    • NAID

      10031187601

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of intensive care Unit physician on care processes of patients with severe sepsis in teaching hospitals.2011

    • Author(s)
      Umegaki T, Sekimoto M, Imanaka Y.
    • Journal Title

      J Anesthe Clinic Res

      Volume: 2(2)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ケースミックスを考慮した新鮮凍結血漿およびアルブミン製剤使用量の評価2010

    • Author(s)
      関本美穂,今中雄一,吉原桂一,白井貴子,佐々木弘真,米野琢哉,ジェイスン・リー,芦原英司,前川平
    • Journal Title

      日本輸血細胞治療学会誌 56

      Pages: 599-605

    • NAID

      10027584667

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Current anticoagulation therapy for sepsis-induced disseminated intravascular coagulation in Japan : results of a multicenter study using administrative data.2010

    • Author(s)
      Umegaki T, Sekimoto M, Ikai H, Imanaka Y
    • Journal Title

      Journal of the Japanese Society of Intensive Care Medicine 17

      Pages: 555-559

    • NAID

      10027854408

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Risk-adjusted assessment of incidence and quantity of blood use in acute-care hospitals in Japan : an analysis using administrative data.2010

    • Author(s)
      Sekimoto M, Imanaka Y, Shirai T, Sasaki H, Komeno T, Lee J, Yoshihara K, Ashihara E, Maekawa T
    • Journal Title

      Vox Sanguinis 98(4)

      Pages: 538-46

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] An Outcome Prediction Model for Adult Intensive Care.2010

    • Author(s)
      Umegaki T, Sekimoto M, Hayashida K, Imanaka Y
    • Journal Title

      Critical Care and Resuscitation 12

      Pages: 96-103

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 重回帰分析を用いた病院毎の血液製剤使用量の予測モデルとその評価2010

    • Author(s)
      関本美穂,今中雄一,吉原桂一,米野琢哉,白井貴子,ジェイスン・リー,佐々木弘真
    • Journal Title

      日本輸血細胞治療学会誌 56

      Pages: 347-347

    • NAID

      10027584332

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] ケースミックスを考慮した新鮮凍結血漿およびアルブミン製剤使用量の評価2010

    • Author(s)
      関本美穂, 今中雄一, 吉原桂一, 他
    • Journal Title

      日本輸血細胞治療学会誌

      Volume: 56 Pages: 599-605

    • NAID

      10027584667

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 重回帰分析を用いた病院毎の血液製剤使用量の予測モデルとその評価.2010

    • Author(s)
      関本美穂, 今中雄一, 吉原桂一, 米野琢哉, 白井貴子, ジェイスン・リー, 佐々木弘真.
    • Journal Title

      日本輸血細胞治療学会誌 (In press)

    • NAID

      10027584332

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Healthcare-associated infections in acute ischemic stroke patients from 36 Japanese hospitals : risk-adjusted economic and clinical outcomes.2010

    • Author(s)
      Lee J, Imanaka Y, Sekimoto M, Ikai H, Otsubo T.
    • Journal Title

      International Journal of Stroke (In press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] An Outcome Prediction Model for Adult Intensive Care.2010

    • Author(s)
      Takeshi Umegaki, Miho Sekimoto, Kenshi Hayashi-da, Yuichi Imanaka
    • Journal Title

      Critical Care & Resuscitation (In press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Work stress and workload of full-time anesthesiologists in acute care hospitals in Japan.2009

    • Author(s)
      Kawasaki K, Sekimoto M, Ishizaki T, Imanaka Y.
    • Journal Title

      Journal of Anesthesia 23

      Pages: 235-241

    • NAID

      10025382209

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] タイムスタディとDPCデータを用いた産婦人科診療の業務量把握

    • Author(s)
      濱田啓義,関本美穂,今中雄一
    • Journal Title

      日本医療・病院管理学会誌 (掲載確定)

    • NAID

      10031187601

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Risk-adjusted assessment of incidence and quantity of blood use in acute-care hospitals in Japan : an analysis using administrative data

    • Author(s)
      Sekimoto M, Imanaka Y, Shirai T, Sasaki H, Komeno T, Lee J, Yoshihara K, Ashihara E, Maekawa T.
    • Journal Title

      Vox Sanguinis 2010(In press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 急性期病院が入院診療に投入するマンパワーと診療機能2010

    • Author(s)
      関本美穂,今中雄一,石崎達郎,林田賢史
    • Organizer
      第48回日本医療・病院管理学会学術総会
    • Place of Presentation
      広島
    • Year and Date
      2010-10-16
    • Related Report
      2010 Final Research Report
  • [Presentation] 急性期病院が入院診療に投入するマンパワーと診療機能2010

    • Author(s)
      関本美穂、今中雄一、石崎達郎, 他
    • Organizer
      第48回日本医療・病院管理学会学術総会
    • Place of Presentation
      広島市・広島国際会議場
    • Year and Date
      2010-10-16
    • Related Report
      2010 Annual Research Report
  • [Presentation] 急性期病院における脳梗塞患者の転院割合に関連する診療提供体制と地域の医療・介護資源の検討2010

    • Author(s)
      本橋隆子,関本美穂,今中雄一
    • Organizer
      第48回日本医療・病院管理学会学術総会
    • Place of Presentation
      広島
    • Year and Date
      2010-10-15
    • Related Report
      2010 Final Research Report
  • [Presentation] 急性期病院における脳梗塞患者の転院割合に関連する診療提供体制と地域の医療・介護資源の検討2010

    • Author(s)
      本橋隆子, 関本美穂, 今中雄一
    • Organizer
      第48回日本医療・病院管理学会学術総会
    • Place of Presentation
      広島市・広島国際会議場
    • Year and Date
      2010-10-15
    • Related Report
      2010 Annual Research Report
  • [Presentation] Institutional Structures and Process of Care Associated with The Length of Hospital Stay in Elderly Patients with Hip Fractures.-Analysis of Diagnosis Procedure Combination (DPC) Data.2009

    • Author(s)
      Takako Motohashi, Miho Sekimoto, Yuichi Imanaka.
    • Organizer
      The 25th PCSI Conference
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2009-11-14
    • Related Report
      2009 Annual Research Report
  • [Presentation] Risk-adjusted assessment of blood product use in acute-care hospitals in Japan : an analysis using administrative data.2009

    • Author(s)
      Sekimoto M, Imanaka Y, Shirai T, Sasaki H, Lee J
    • Organizer
      the 25th PCSI Conference.
    • Place of Presentation
      Fukuoka : Japan
    • Year and Date
      2009-11-13
    • Related Report
      2010 Final Research Report
  • [Presentation] Risk-adjusted assessment of blood product use in acute-care hospitals in Japan : an analysis using administrative data.2009

    • Author(s)
      Miho Sekimoto, Yuichi Imanaka, Takako Shirai, Hiromasa Sasaki, et al.
    • Organizer
      The 25th PCSI Conference
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2009-11-13
    • Related Report
      2009 Annual Research Report
  • [Presentation] Physician Staffing Patterns and Costs for Septic Patients in Intensive Care Units.2009

    • Author(s)
      Takeshi Umegaki, Miho Sekimoto, Yuichi Imanaka.
    • Organizer
      The 25th PCSI Conference
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2009-11-12
    • Related Report
      2009 Annual Research Report
  • [Presentation] 終末期における入院医療:疾患・診療パターンと医療費.2009

    • Author(s)
      関本美穂, 今中雄一.
    • Organizer
      第4回医療経済学会
    • Place of Presentation
      東京
    • Year and Date
      2009-07-18
    • Related Report
      2009 Annual Research Report
  • [Presentation] 脳梗塞患者の在院日数に及ぼす因子-QIP (Quality Indicator/Improvement Project)データを用いた解析-2009

    • Author(s)
      本橋隆子, 関本美穂, 今中雄一
    • Organizer
      第34回日本脳卒中学会総会
    • Place of Presentation
      松江
    • Year and Date
      2009-03-20
    • Related Report
      2008 Annual Research Report
  • [Presentation] Closed ICUとOpen ICU-その定義とICUの診療体制が診療プロセス・患者アウトカム・医療資源消費2009

    • Author(s)
      関本美穂, 梅垣岳志, 今中雄一
    • Organizer
      第36回に本集中治療医学会学術集会ワークショップ「Closed ICUとOpen ICU」
    • Place of Presentation
      大阪
    • Year and Date
      2009-02-27
    • Related Report
      2008 Annual Research Report
  • [Book] DPCデータにみる医療の質の指標化と改善-急性期病院の診療パフォーマンス2011

    • Author(s)
      関本美穂(編著),今中雄一(監修)
    • Publisher
      南山堂
    • Related Report
      2010 Final Research Report
  • [Book] 医療の質の指標化と改善-DPCデータにみる急性期病院の診療パフォーマンス2011

    • Author(s)
      関本美穂, 今中雄一
    • Total Pages
      250
    • Publisher
      南山堂
    • Related Report
      2010 Annual Research Report

URL: 

Published: 2008-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi