Effective posting and work burden reduction among community medicine doctors and nurses

2014 Fiscal Year Final Research Report

• Project/Area Number: 24590592
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• 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): 2012-04-01 – 2015-03-31
• 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

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.

Free Research Field

公衆衛生学