2007 Fiscal Year Final Research Report Summary

Basic Research on Reforming the University Hospital

Research Project

Project/Area Number	18611002
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Single-year Grants
Section	一般
Research Field	大学改革・評価
Research Institution	Yamagata University
Principal Investigator	FUKAO Akira Yamagata University, Graduate School of Medicine, Professor (80156736)
Co-Investigator(Kenkyū-buntansha)	KAYAMA Takamasa Yamagata University, Graduate School of Medicine, Professor (50142972) SATO Shinya Yamagata University, Faculty of Medicine, Professor (00302290)
Project Period (FY)	2006 – 2007
Keywords	policy studies / University Hospital Reform / education / public finance / sociology
Research Abstract	The purpose of this study is to clarify the situation, influenced by various institutional reforms and new clinical training system on "continuing education of doctors" and "ways of teaching hospitals of Medicine", and to examine the nature of a university hospital in the future. In the current environment of shortage of doctors, medical training system to build a cycling education program among university hospital and regional hospitals is essential intensification. In this year (2008), targeting Yamagata Prefecture, the proper placement for the hospital beds and physicians was studied. Fifty-two facilities excluding psychiatric hospitals in Yamagata Prefecture were targeted. We calculated the ratio of the number of doctors to the standard, and bed occupancy. The bed occupancy rate was evaluated by number of 90% that means good business condition, and 83.4% that was average in the hospitals in Japan. The satisfaction of the number of doctors was evaluated comparing to the standard number of doctors in Japan. Eligible medical institutions were classified into four groups based on doctor satisfaction rate and bed occupancy rate. As a result, not only by the number of doctors but also by comparing the hospital bed occupancy and doctor satisfaction, we can distinguish between institutions intensified medical priorities first and institutions that should be relinquish. We hope that this evaluation method can help build cycling education system between university hospital and regional hospitals.