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2004 Fiscal Year Final Research Report Summary

A study of the effectiveness and efficiency of designing functional units and integration among medical welfare functional units in the elderly society

Research Project

Project/Area Number 14370768
Research Category

Grant-in-Aid for Scientific Research (B)

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

Principal Investigator

SEKITA Yasuyoshi  Tohoku University, Graduate School of Economics and Management, Professor, 大学院・経済学研究科, 教授 (20107113)

Co-Investigator(Kenkyū-buntansha) YOSHIDA Hiroshi  Tohoku University, Graduate School of Economics and Management, Assistant Professor, 大学院・経済学研究科, 助教授 (60275823)
MEGURO Kenichi  Tohoku University, Graduate School of Medicine, Assistant Professor, 大学院・医学系研究科, 助手 (90239559)
MAESAWA Seigi  Hokkaido University, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (90124916)
TSUZUKI Kouichi  Iwate University, Social Welfare, Assistant Professor, 社会福祉学部, 助教授 (40347844)
FUJII Tatuto  Tohoku University, Graduate School of Economics and Management, Professor, 大学院・経済学研究科, 教授 (30108443)
Project Period (FY) 2002 – 2004
Keywordsmedical welfare functional units / primary care units / effects of integrating units / efficiencies of integrating units / group medical system / visiting traffic costs / visiting care service / small size multi functional facilities
Research Abstract

1.We examined a management outcomes of the small size multi functional model in Monou town, Miyagi to verify the effects and efficiencies of the small size care multi functional care service system. Analyzing outcomes it was clarified not only residents wanted this system but reduces initial investment costs, operational costs of care service facility. and break even point. 2.The small size multi functional facilities and hospitals for mild dementia patients were investigated to collect information for designing and operating of community primary care units and university hospital primary care units. 3/We analyzed visiting traffic time and outcomes of management using the database that we constructed for visiting care service utilization including providers and users. The geographical service linutation was estimated as visiting traffic times were within one third of total input. 4.We defined and systematized concepts of the medical welfare function units. 5.Our case studies showed tha … More t the modularization which are similar concepts for functions units is introduced to new production systems in other industry. 6.We analyzed empirically relationship between care service and medical service at unit care system with regression model. And we confirmed that there are externalities between care service and medical service. 7.The effects and the problems on the medical care raw for the group medical system ware clarified by our visiting research. 8.We made investigations for present situations of the functional units for medical and welfare to clarify the effects and problems of relationships and integrations among units. As a result, it was proved that they have the merits and demerits on investigation and management. 9.It was found that there is a demand for residential function in our interview research targeting 40 years old and older. 10.We made database and analyzed present situations of family care giving. 11.We designed the units for preventing dementia in Tajiri town, Miyagi showing the effects of monitoring disease with CDR. 12.We visited at 16 health care function units centers and its function units in German, Denmark, Norway and Sweden to investigate the characteristics and its integrations. It was proved that integration of functional units, especially medical welfare units with residents units, improve quality of service and efficient recourse using. Less

  • Research Products

    (56 results)

All 2004 2003 2002

All Journal Article (50 results) Book (6 results)

  • [Journal Article] 機能分化と医療経営2004

    • Author(s)
      関田康慶
    • Journal Title

      日本病院会雑誌 Vol.51 No.1

      Pages: 68-80

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 介護サービスに対する家族介護者の意識と評価に関する分析2004

    • Author(s)
      黄京蘭, 関田康慶
    • Journal Title

      厚生の指標 51(7)

      Pages: 9-15

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 医療経済学の概念と方法論2004

    • Author(s)
      関田康慶
    • Journal Title

      理学療法 Vol.21 No.7

      Pages: 907-915

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Prevalence and cognitive performances of Clinical Dementia Rating 0.5 and mild cognitive impairment in Japan : The Tajiri Project2004

    • Author(s)
      Sekita K, Ishii H, Yamaguchi S, Sekita Y., 他7名
    • Journal Title

      Alzheimer Disease and Associated Disorders Vol.18

      Pages: 3-10

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Neuropsychosocial Features of Very Mild Alzheimer' s Disease (CDRO.5) and Progression to Dementia in a Community : The Tajri Project2004

    • Author(s)
      Meguro K, Yamaguchi S, Sekita Y., 他5名
    • Journal Title

      Geriatric Psychiatry and Neurology Vol.17 No.4

      Pages: 183-189

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] プライマリーケア教育と在宅医療2004

    • Author(s)
      前沢 政次
    • Journal Title

      日本在宅医療学会雑誌 5(2)

      Pages: 35-37

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 医療機能ユニットを導入した場合の医療の質の安定性と医療経営に及ぼす影響分析2004

    • Author(s)
      関田康慶, 伊藤敦, 阿部真菜美
    • Journal Title

      病院管理 Vol.40 (Supplement)

      Pages: 98

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 医療・福祉機能のユニット化と統合化の評価方法の開発2004

    • Author(s)
      伊藤敦, 関田康慶, 他3名
    • Journal Title

      病院管理 Vol.40 (Supplement)

      Pages: 264

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 中弘南黒地域における地域福祉推進の課題と将来像2004

    • Author(s)
      都築光一
    • Journal Title

      弘前学院大学社会福祉教育研究所年報 1(1)

      Pages: 76-93

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 老人医療の患者一部負担定率化に対応した診療所の選択行動に関する実証分析2004

    • Author(s)
      吉田浩
    • Journal Title

      病院管理 Vol.41 (Supplement1.18)

      Pages: 3-10

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 高齢者医療の現状2004

    • Author(s)
      前沢 政次
    • Journal Title

      臨床医 Vol.30 No.4

      Pages: 474-475

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 地域包括ケアシステムについて2004

    • Author(s)
      前沢 政次
    • Journal Title

      月間介護保険 99

      Pages: 22-23

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Functional differentiation and health care management (in Japanese)2004

    • Author(s)
      Sekita Y
    • Journal Title

      J.Japan Hospital 51(1)

      Pages: 68-80

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] An analysis of consideration and variations of family care providers (in Japanese)2004

    • Author(s)
      Hwang K R, Sekita Y
    • Journal Title

      Welfare Indicators 51(7)

      Pages: 9-15

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Concept and Methodology of Health economics (in Japanese)2004

    • Author(s)
      Sekita Y
    • Journal Title

      Physical Therapy 21(7)

      Pages: 907-915

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Prevalence and cognitive performance of the clinical dementia Rating 0.5 and mild cognitive impairment in japan : The tajiri project2004

    • Author(s)
      Meguro K, Ishii H, Yamaguchi S, Sekita Y, et al.
    • Journal Title

      Alzheimer Disease and Associated Disorders 18

      Pages: 3-10

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Neuropsychosocial Features of very mild Alzheimer 's disease (CDR 0.5) and progression to dementia in a community : the tajiri project2004

    • Author(s)
      Meguro K, Yamaguchi S, Sekita Y, et al.
    • Journal Title

      Geriatric Psychiatry and Neurology vol.17.no.14

      Pages: 183-189

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Primary care education and home care (in Japanese)2004

    • Author(s)
      Maesawa S
    • Journal Title

      Japanese Home Care 5(2)

      Pages: 35-37

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] An Affective analysis of health care quality stability and health care management when introducing health care functional units (in Japanese)2004

    • Author(s)
      Sekita Y, Ito A, Abe M
    • Journal Title

      Hospital Management 40, (sup)

      Pages: 98

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Developing evaluation method of making health care and welfare functional units and their integration (in Japanese)2004

    • Author(s)
      Ito A, Sekita Y, et al.
    • Journal Title

      Hospital Management 40, Sup.

      Pages: 264

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Problems and future view of regional welfare promotion (in Japanese)2004

    • Author(s)
      Tsuzuki K
    • Journal Title

      Annals of Hirosaki Gakuin University Social Welfare Education Research Center 1(1)

      Pages: 76-93

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] An empirical analysis of elderly patient for introducing the new institution that patient have to constant Healthcare fee at clinics (in Japanese)2004

    • Author(s)
      Yoshida H
    • Journal Title

      Hospital Administration 41(sup)

      Pages: 3-10

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Actual situation of elderly healtlicare (in Japanese)2004

    • Author(s)
      Maesawa S
    • Journal Title

      Clinical Physician 30(4)

      Pages: 474-475

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Regional comprehensive healthcare system (in Japanese)2004

    • Author(s)
      Maesawa S
    • Journal Title

      Monthly Long term Care Insurance 99

      Pages: 22-23

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] 医療福祉のOR的問題と新しいパラダイム2003

    • Author(s)
      関田康慶
    • Journal Title

      オペレーションズ・リサーチ 第48巻

      Pages: 344-352

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 地域福祉活動計画策定における社会福祉協議会の事業評価に関する研究2003

    • Author(s)
      増子正, 関田康慶, 他2名
    • Journal Title

      日本の地域福祉 第16巻

      Pages: 53-62

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 政策・施策評価におけるコミュニケーション調査の設計と検証2003

    • Author(s)
      加藤由美, 糟谷昌志, 関田康慶, 他3名
    • Journal Title

      計画行政 26巻2号

      Pages: 22-34

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Corpus Callosum Atrophy, White Matter Lesions, and Frontal Executive Dysfunction in Normal Aging and Alzheimer's Disease A Community-Based Study : The Tajiri Project2003

    • Author(s)
      Meguro K, Shimada M, Sekita Y, 他5名
    • Journal Title

      Internationalsychogeriatrics Vol.15, No1

      Pages: 9-25

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 総合診療部における心身医学の役割2003

    • Author(s)
      前沢 政次
    • Journal Title

      心身医学 43(2)

      Pages: 123-127

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 地域立脚型のケア(2)介護保険法と家庭医のかかわり2003

    • Author(s)
      前沢 政次
    • Journal Title

      JIM 13(3)

      Pages: 267-270

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] プライマリ・ケアのための新しい診察学2003

    • Author(s)
      前沢 政次
    • Journal Title

      日本プライマリ・ケア学会誌 26(4)

      Pages: 320-327

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 高齢社会の豊かな生活環境づくり-居宅、医療、福祉地域政策とコミュニティー2003

    • Author(s)
      高山忠雄, 関田康慶, 他
    • Journal Title

      日本計画行政学会大会第26回全国大会、研究報告論文集

      Pages: 21-26

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] OR problems and new paradigm in healthcare field (in Japanese)2003

    • Author(s)
      Sekita Y
    • Journal Title

      Operations Research 48

      Pages: 344-352

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] A project evaluation study on the regional welfare activity planning by a social welfare council (in Japanese)2003

    • Author(s)
      Masuko T, Sekita Y, et al.
    • Journal Title

      Japanese Regional Welfare 16

      Pages: 53-62

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Designing and verification of the communication research in evaluating policies and programs (in Japanese)2003

    • Author(s)
      Kato Y, kasuya M, Sekita Y
    • Journal Title

      Planning Administration 26(2)

      Pages: 22-34

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Corpus callosum atrophy, white matter lesions, and frontal executive dysfunction in Normal aging and Alzheimer disease A Community-Based Study : The Tajiri Project2003

    • Author(s)
      Meguro K, Shimada M, Sekita Y, et al.
    • Journal Title

      International Sychogeratrics 15(1)

      Pages: 9-25

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Role of mental psychical medicine at comprehensive department (in Japanese)2003

    • Author(s)
      Maesawa S
    • Journal Title

      Mental Psychical Medicine 43(2)

      Pages: 123-127

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Regional independent care-relationship between family physicians and the long term care institution (in Japanese)2003

    • Author(s)
      Maesawa S
    • Journal Title

      Jim 13(3)

      Pages: 267-270

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] New diagnosis methodology for primary care (in Japanese)2003

    • Author(s)
      Maesawa S
    • Journal Title

      Japanese J Primary care 20(4)

      Pages: 320-327

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] How to construction full life circumstances for elderly persons in edging society (in Japanese)2003

    • Author(s)
      Takayama T, Sekita Y
    • Journal Title

      The 26-th National Conference of Japan Planning Administration Association paper book

      Pages: 21-26

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] 医療ソーシャルワーカーのコーディネーションに対する患者、家族、院内外関係者、ワーカーの満足度評価分析-効果性の評価視点に基づく医療福祉システムコーディネート機能の評価2002

    • Author(s)
      加藤由美, 糟谷昌志, 関田康慶, 他4名
    • Journal Title

      社会福祉学 43(1)

      Pages: 54-65

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Prevalence of Dementia and Dementing Diseases in Japan2002

    • Author(s)
      Meguro K, Ishii H, Sekita Y, 他8名
    • Journal Title

      Arch Neurol Vol.59

      Pages: 1109-1114

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] クリティカルパス作成・活用におけるアウトカムの捉え方・設定方法 クリティカルパスに関するアウトカム調査の報告から2002

    • Author(s)
      猪股千代子, 関田康慶
    • Journal Title

      EBナーシング 43(1)

      Pages: 54-65

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Design of Evaluation System and Evaluation Method on Policy-Program2002

    • Author(s)
      Sekita Y, Kato Y
    • Journal Title

      Government Auditing Review Vol.9

      Pages: 31-53

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Five-year retrospective change in hippocampal atrophy and cognitive screening test performances in very mild Alzheimer's disease : The Tajiri Project2002

    • Author(s)
      Meguro K, Sekita Y, et al.
    • Journal Title

      Neuroradiology Vol44

      Pages: 33-38

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Satisfaction evaluation analysis of patient family inside outside participants of hospital and medical social worker for coordination by medical social workers (in Japanese)2002

    • Author(s)
      Kato Y, Kasuya M, Sekita Y
    • Journal Title

      Japanese J Social Welfare Journal 43(1)

      Pages: 54-65

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Prevalence of dementia and dementing diseases2002

    • Author(s)
      Meguro K, Ishii H, Sekita Y, et al.
    • Journal Title

      Arch Neurol 59

      Pages: 1109-1114

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] How to finding outcome of critical pass when making and applying the pass (in Japanese)2002

    • Author(s)
      Inomata C, Sekita Y
    • Journal Title

      EB nursing 43(1)

      Pages: 54-65

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Design of evaluation system and evaluation Method on policy-program2002

    • Author(s)
      Sekita Y, Kato Y
    • Journal Title

      Government Auditing Review 9

      Pages: 31-53

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Five-year retrospective change in hippocampal atrophy and cognitive screening test performances in very mild Alzheimer's disease : The Tajiri Project2002

    • Author(s)
      Meguro K, Sekita Y, et al.
    • Journal Title

      Neuroradiology 44

      Pages: 33-38

    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] 医療情報-医療情報システム編(福祉情報システム)2004

    • Author(s)
      関田康慶, 医療情報学会編
    • Total Pages
      261
    • Publisher
      篠原出版
    • Description
      「研究成果報告書概要(和文)」より
  • [Book] 痴呆の臨床2004

    • Author(s)
      目黒謙一
    • Total Pages
      171
    • Publisher
      医学書院
    • Description
      「研究成果報告書概要(和文)」より
  • [Book] 地域医療情報システム,情報システムと情報技術事典2004

    • Author(s)
      稲田 紘
    • Total Pages
      198
    • Publisher
      培風館
    • Description
      「研究成果報告書概要(和文)」より
  • [Book] Medical Information System (Welfare Information System) (in Japanese2004

    • Author(s)
      Sekita Y (coauthor)
    • Total Pages
      261
    • Publisher
      Sinohara shuppan
    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] Clinical Dementia (in Japanese)2004

    • Author(s)
      Meguro K
    • Total Pages
      171
    • Publisher
      Igakushoin
    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] Regional Medical Information System (Information System and Technology Dictionary) (in Japanese)2004

    • Author(s)
      Inada H(coauthor)
    • Total Pages
      198
    • Publisher
      Baihuukan
    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2006-07-11  

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