| Project/Area Number |
26460864
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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 and hospital managemen
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| Research Institution | Shimane University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
廣瀬 昌博 島根大学, 医学部, 教授 (30359806)
直良 浩司 島根大学, 医学部, 教授 (90243427)
城 有美 島根大学, 医学部, 助教 (20506464)
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| Co-Investigator(Renkei-kenkyūsha) |
IMANAKA Yuichi 京都大学, 医学(系)研究科(研究院), 教授 (10256919)
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| Research Collaborator |
ISHIHARA Noriyuki 島根大学, 医学部附属病院薬剤部, 薬剤主任
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| Project Period (FY) |
2014-04-01 – 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 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | 感染対策防止加算 / ICT / 感染制御 / 地域連携ネットワーク / 感染防止対策加算 / 抗菌薬適正使用 / 地域連携 / 感染対策 / 診療報酬 |
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| Outline of Final Research Achievements |
This study aims was to explore the current status of infection control activities in 3,680 hospitals allowed to calculate the preferential Infection prevention countermeasure fee (PIPCF). The statistical analysis was performed for 708 hospitals, 304 hospitals with PIPCF 1 and 404 hospitals with PIPCF 2. The nurse was full-time in 90% of PIPCF 1, but the exclusive use of other types of occupation was less than 10%, indicating the arrangement situation of staff was found to be in a more difficult. Moreover, in the infection control in-hospital round, participation situation of the infection control committee, and the situation of the regional collaboration could not be said that sufficient activity is being carried out, especially the doctor's participation is low.
From these results, it is suggested that the maintenance of the human resources system was not sufficient in facilities such as medical institutions on a small scale, and it should be considered in future infection measures.
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