A comprehensive study for sustainable regional medicine system

2017 Fiscal Year Final Research Report

• Project/Area Number: 15K08797
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Hygiene and public health
• Research Institution: Asahikawa Medical College
• Principal Investigator: SAIJO Yasuaki 旭川医科大学, 医学部, 教授 (70360906)
• 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)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Keywords: 地域医療 / かかりつけ医 / general practitioner / プライマリケア医 / 到達距離 / intention to leave

Outline of Final Research Achievements

Relationships between road-distance to primary care facilities stroke mortality：
Relative risk (per 1 kilometer increased) of death from stroke was significantly higher in men and women. A questionnaire study of general practitioner (GP) system among Japanese physicians:In a multivariate analysis with an outcome that GP system should be obligated or promoted, 50 years old or more had significantly lower OR. In a multivariate analysis with an outcome that the number of hospitals with a fee for patients visiting for the first time without a referral from another medical institution should be increased, 70 years old had a significant lower OR. Factors affecting intention to leave and burnout among Japanese rural physicians:In the multivariate logistic regression analysis of intention to leave as outcome, dissatisfaction of income (odds ratio, 3.63), the hometown of ‘other town/village in the same prefecture’ (3.53) and high job control (0.72) had significant relations.

Free Research Field

公衆衛生学