Adaptation and the limitations of evaluation method from the view point of micro economics in nursing
Grant-in-Aid for Scientific Research (C)
|Research Institution||HIROSHIMA UNIVERSITY|
TSURU Satoko Faculty of Medicine, Associate Professor, 医学部, 助教授 (80177328)
NAKANISHI Mutsuko Kobe City College of Nursing, Professor, 看護学部, 教授 (00070681)
KAWAGUCHI Manami Kobe City College of Nursing, Research Associate, 看護学部, 助手 (20285357)
SAITO Izumi Health Sciences University of Hokkaido, School of Nursing and Social Services, A, 看護福祉学部, 助教授 (10195977)
SAKANASHI Kaoru Nagasaki University, Department of Nursing The School of Allied Medical Science,, 医療技術短期大学部, 助教授 (60290045)
NARITA Shin Faculty of Medicine, Associate Professor, 医学部, 助教授 (20237605)
|Project Fiscal Year
1997 – 1998
Completed(Fiscal Year 1998)
|Budget Amount *help
¥2,900,000 (Direct Cost : ¥2,900,000)
Fiscal Year 1998 : ¥1,500,000 (Direct Cost : ¥1,500,000)
Fiscal Year 1997 : ¥1,400,000 (Direct Cost : ¥1,400,000)
|Keywords||nursing / micro economics / evaluation / midwife / health education / price / 看護 / ミクロ経済 / 評価 / 助産婦 / 保健指導 / 価格 / 経済評価 / ミクロ経済評価手法 / 妊婦健診|
We investigated 45 hospitals and got 291 samples of women in childbirth to evaluate nursing care from the viewpoint of micro economics. The subjects of our investigation was divided three of the women in childbirth, midwives and nursing administrator. The questionnaire was constructed with the factors related to past illness, a pregnancy period, delivery period, postpartum period, the cost (childbirth expenses and the hospital charges), hospital property and midwives autonomy. The goal of the analysis was to find out the factors to fix the price of childbirth expenses and the hospital charges. We used multi regression analysis. The dependent variable was the price and independent variables were 15 variables selected from above group.
The results is follows.
(l)Price decreasing factors were intervention of an obstetrician, use of monitoring devices, risk of an unborn child in delivery and weight increasing.
(2)Price increasing factors were admission to hospital in pregnancy period and health education by midwife.
(3)The level of midwives autonomy was low in hospitals.
Followings are suggested.
(1) Obstetricians tend to request health education to midwife in the cases of having problems.
(2) Increasing of obstetrician intervention time, preparation of monitoring device and weight control are important for medical expenses control.
(3) It is required for increasing the time of obstetrician intervention to set high level of midwives autonomy in a low risk case.
Research Output (3results)