| Project/Area Number |
24590592
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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 |
Medical sociology
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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) |
2012-04-01 – 2015-03-31
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| Project Status |
Completed (Fiscal Year 2014)
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| Budget Amount *help |
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
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| Keywords | 地域医療 / 地理情報システム / アクセス時間 / 仕事のストレス / 過重労働 / 離職の意思 / 地図情報 / 労働負荷 / ストレス |
|---|
| Outline of Final Research Achievements |
The Municipals which had 90 minutes or more access time to cardiovascular center hospitals had a tendency of aggravated cardiovascular standardized mortality ratio (SMR) in the analysis using a geographic information system (OR=3.60、P=0.065). The access time to perinatal center hospitals was not related to perinatal outcomes, but the number of pediatricians was significantly related. Municipals had disparity of access time to stroke center hospitals, and increasing access time had a tendency of aggravated cerebrovascular SMR in Bayesian analyses of a conditionally autoregressive model. Additionally, a quantification of access time improvement was done using a geographic information system. Intention to leave and depressive symptoms among nursed were significantly related to supervisor support and job control.
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