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Studies on the system construction to ensure the quality of medical care in the practice of chronic obstructive pulmonary disease

Research Project

Project/Area Number 22590490
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionNippon Medical School

Principal Investigator

MOTEGI Takashi  日本医科大学, 医学部, 助教 (30386205)

Co-Investigator(Renkei-kenkyūsha) KIDA Kozui  日本医科大学, 医学部, 教授 (90142645)
KATSURA Hideki  東京女子医科大学, 医学部, 教授 (20277213)
TSURU Satoko  東京大学, 工学(系)研究科(研究院), 教授 (80177328)
KATOU Syogo  東京大学, 工学(系)研究科(研究院), 助教 (80516766)
Project Period (FY) 2010 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2012: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2010: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords慢性閉塞性肺疾患 / 医療連携 / クリニカルパス / ベンチマーキング / 質評価 / 急性増悪 / 社会医学 / 患者適応型パス / アクションプラン / 質評価指標 / 患者状態適応型パス / ベストプラクティス
Research Abstract

This study was used clinical pathway, which is standardized as a means to ensure the quality of care in COPD. We develop electronic standard care process for patients of COPD based on PCAPS (Patient Conditions Adaptive Path System) by structuralizing the particular experience and knowledge of expert physicians. To visualize the differences between the therapeutic regimens of each medical institution, we investigate the content of treatment of COPD exacerbations, and did benchmark comparison the difference. We found that there is a tendency for prolongedhospitalization when it is struggling to treatment of infection, or if the start ofpulmonary rehabilitation is slow. We surveyed the primary care physicians in regard to the clinical practice of COPD. Confirmed diagnosis of COPD by spirometry and management of exacerbations are difficult for primary care physicians. We need a supporting system for primary care physicians to provide spirometry service and to backup for exacerbation of COPD.

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report

Research Products

(14 results)

All 2013 2012 2011 2010

All Journal Article Presentation Book

  • [Journal Article] 慢性閉塞性肺疾患COPD-疾病管理と急性増悪の質マネジメント2013

    • Author(s)
      茂木孝
    • Journal Title

      品質

      Volume: 43巻 Pages: 30-33

    • NAID
      110009578924
    • Related Report
      2012 Final Research Report
  • [Journal Article] 慢性閉塞性肺疾患COPD-疾病管理と急性増悪の質マネジメント2013

    • Author(s)
      茂木孝
    • Journal Title

      品質

      Volume: 43 Pages: 30-33

    • NAID
      110009578924
    • Related Report
      2012 Annual Research Report
  • [Presentation] COPD増悪入院治療における多施設ベンチマーキングの試みPCAPSを用いて2012

    • Author(s)
      茂木孝
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井
    • Year and Date
      2012-11-23
    • Related Report
      2012 Annual Research Report 2012 Final Research Report
  • [Presentation] COPD急性増悪におけるPCAPSコンテンツの作成と検証医療連携プロセスの可視化2012

    • Author(s)
      堀江健夫,茂木孝,土橋邦生,木田厚瑞
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井
    • Year and Date
      2012-11-23
    • Related Report
      2012 Final Research Report
  • [Presentation] COPD急性増悪におけるPCAPSコンテンツの作成と検証 医療連携プロセスの可視化2012

    • Author(s)
      堀江健夫
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井
    • Related Report
      2012 Annual Research Report
  • [Presentation] COPD増悪の治療パス作成に向けた多施設間の治療比較調査2011

    • Author(s)
      茂木孝,浦西郁哉,加藤省吾
    • Organizer
      第6回医療の質・安全学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2011-11-19
    • Related Report
      2012 Final Research Report 2011 Annual Research Report
  • [Presentation] 多職種連携を考慮したPCAPS地域医療連携モデルの設計2011

    • Author(s)
      浦西郁哉,加藤省吾,茂木孝,他
    • Organizer
      第6回医療の質・安全学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2011-11-19
    • Related Report
      2012 Final Research Report 2011 Annual Research Report
  • [Presentation] COPDの早期発見・早期治療を目指して地域の医療機関との連携・啓発活動2011

    • Author(s)
      茂木孝
    • Organizer
      第21回日本呼吸ケアリハビリテーション学会学術集会
    • Place of Presentation
      長野市
    • Year and Date
      2011-11-03
    • Related Report
      2012 Final Research Report 2011 Annual Research Report
  • [Presentation] COPDにおけるPCAPS地域連携モデルの設計標準プロセスの可視化2010

    • Author(s)
      浦西郁哉,茂木孝,他
    • Organizer
      第5回医療の質・安全学会学術集会
    • Place of Presentation
      千葉
    • Year and Date
      2010-11-27
    • Related Report
      2012 Final Research Report
  • [Presentation] COPDにおけるPCAPS地域連携モデルの設計 標準プロセスの可視化2010

    • Author(s)
      浦西郁哉, 他
    • Organizer
      第5回医療の質・安全学会学術集会
    • Place of Presentation
      千葉
    • Year and Date
      2010-11-27
    • Related Report
      2010 Annual Research Report
  • [Book] 患者状態適応型パス/臨床知識の活用・分析(医療の質安全保証に向けた臨床知識の構造化)2013

    • Author(s)
      飯塚悦功・水流聡子・棟近雅彦監修
    • Total Pages
      249
    • Publisher
      日本規格協会
    • Related Report
      2012 Final Research Report
  • [Book] 患者状態適応型パス/臨床知識の活用・分析(医療の質安全保証に向けた臨床知識の構造化)2013

    • Author(s)
      飯塚悦功・水流聡子・棟近雅彦監修
    • Total Pages
      249
    • Publisher
      日本規格協会
    • Related Report
      2012 Annual Research Report
  • [Book] 患者状態適応型パス/臨床知識の精緻化・一般化・実装2012

    • Author(s)
      飯塚悦功・水流聡子・棟近雅彦監修
    • Total Pages
      249
    • Publisher
      日本規格協会
    • Related Report
      2012 Final Research Report 2011 Annual Research Report
  • [Book] 患者状態適応型パス/臨床知識の精緻化・一般化・実装2011

    • Author(s)
      飯塚悦功・水流聡子・棟近雅彦監修
    • Total Pages
      225
    • Publisher
      日本規格協会
    • Related Report
      2012 Final Research Report 2010 Annual Research Report

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Published: 2010-08-23   Modified: 2019-07-29  

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