KUWABARA Yimi Health Sciences Univ.of Hokkaido School of Nursing and Social Services, Instruct, 看護福祉学部, 助手 (80295914)
MIKUNI Kumi Health Sciences Univ.of Hokkaido School of Nursing and Social Services, Instruct, 看護福祉学部, 助手 (50265097)
KUDO Yoshiko Health Sciences Univ.of Hokkaido School of Nursing and Social Services, Assistan, 看護福祉学部, 助教授 (00214974)
|Budget Amount *help
¥1,600,000 (Direct Cost : ¥1,600,000)
Fiscal Year 1998 : ¥500,000 (Direct Cost : ¥500,000)
Fiscal Year 1997 : ¥1,100,000 (Direct Cost : ¥1,100,000)
The purpose of this study was to clarify whether the outcome of community health nursing in health services for the aged (CHNFA) is reflected in the number of people with national health insurance (NHI) who receive medical care for diseases of the circulatory system (DOCS)
The analytical procedure and results were as follows :
1. Cluster analysis was used to categorize municipalities in Hokkaido according to population size, population density. percentage of persons aged 65 years or over, percentage of persons who have NHl, and the number of medical care institutions and public health nurses per 1,000 people. The municipalities were classified into four categories : rural I (RI), Rural 2 (R2), Suburban (SU), and Urban (U).
2. The number of people with NI-LI who received medical care for DOCS in 1990 and 1995 were compared. The percentages of municipalities in which there was no significant difference between the number in 1990 and 1995 were 79,84,74, and 65% for Rl, R2, SU, and U respectively in the case of inpatients. The percentages in the case of outpatients were 23,11,3, and 0% for RI, R2, SU, and U respectively.
3. Cluster analysis was used to categorize CHNFA according to the total numbers of people receiving the health education, health counseling, home visits, and health checkups. CHNFA was classified into two categories : onecategory in which the number of people per 1,000 NiHI holders who received the above services was relatively large (L type) and another category in which the numbers was relatively small (S type). CHNFA was in L-type in about 70% of R1 and R2 municipalities and S-type in about 80% of U municipalities.
It is concluded that the outcome of CHNFA is reflected in the number of people receiving medical care for DOCS in rural areas but not in urban areas.