Project/Area Number |
21249035
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Research Category |
Grant-in-Aid for Scientific Research (A)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Medical sociology
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Research Institution | Hiroshima University |
Principal Investigator |
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Co-Investigator(Kenkyū-buntansha) |
OKUHARA Yoshiyasu 高知大学, 医歯学系, 教授 (40233473)
GOUCHI Akira 岡山大学, 医学部・歯学部附属病院, 教授 (10186877)
KIMURA Eizen 愛媛大学, 医学部附属病院, 准教授 (20363244)
TSUKUMA Hidehiko 広島大学, 病院, 准教授 (10222134)
TANAKA Takeshi 広島大学, 病院, 助教 (40325197)
IWATA Norikazu 広島大学, 情報メディア教育研究センター, 講師 (00346537)
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Co-Investigator(Renkei-kenkyūsha) |
ISHIDA Haku 山口大学, 医学部附属病院, 准教授 (50176195)
YOKOI Hideto 香川大学, 医学部附属病院, 教授 (50403788)
MORIKAWA Tomiaki 徳島大学, 医学部・歯学部附属病院, 教授 (30274244)
HANADA Eisuke 島根大学, 医学部, 准教授 (90244095)
HARA Kazuhiro 香川大学, 医学部附属病院, 教授 (20010415)
INOUE Yuji 山口大学, 医学部附属病院, 教授 (80213180)
OHTA Yoshio 岡山大学, 医学部・歯学部附属病院, 教授 (30136006)
OKADA Hiroki 香川大学, 医学部附属病院, 教授 (00243775)
MORIGUCHI Hiroki 徳島大学, 医学部附属病院, 教授 (50335808)
ISHIHARA Ken 愛媛大学, 医学部附属病院, 教授 (20304610)
KONDOH Hiroshi 鳥取大学, 医学部附属病院, 教授 (70186857)
KITAZOE Yasuhiro 高知大学, その他部局等, 名誉教授 (90112010)
HATAKEYAMA Yutaka 高知大学, 医歯学系, 准教授 (00376956)
WATABE Teruaki 高知大学, 医歯学系, 講師 (90325415)
NAKAJIMA Noriaki 高知大学, 医歯学系, 助教 (00335928)
KURIHARA Yukio 高知大学, 医歯学系, 教授 (00215071)
KATAOKA Hiromi 高知大学, 医歯学系, 助教 (80398049)
IWASAKI Yasumasa 広島大学, 病院, 講師 (50232666)
|
Research Collaborator |
NONOMURA Tatsuhiko 保健医療福祉情報システム工業会
SONODA Takeharu 富士通株式会社
NAKAN Naoki 富士通株式会社
INAOKA Noriko 日本アイ・ビー・エム株式会社
HORI Nobuhiro 日本アイ・ビー・エム株式会社
|
Project Period (FY) |
2009 – 2011
|
Project Status |
Completed (Fiscal Year 2011)
|
Budget Amount *help |
¥23,790,000 (Direct Cost: ¥18,300,000、Indirect Cost: ¥5,490,000)
Fiscal Year 2011: ¥7,800,000 (Direct Cost: ¥6,000,000、Indirect Cost: ¥1,800,000)
Fiscal Year 2010: ¥11,310,000 (Direct Cost: ¥8,700,000、Indirect Cost: ¥2,610,000)
Fiscal Year 2009: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
|
Keywords | HIS / 電子化カルテ / 一次利用 / 二次利用 / 医療安全 / 医療の質 / 信憑性 / 病院情報システム / 電子カルテ / 患者参加 / 国際研究者交流(多国籍) |
Research Abstract |
The computerization of Health Records is not the final goal. The electric Health records(EHR) must be utilized. Analyzing the negative factors in applicable cases, we presumed that the reliability of stored information for diagnosis, medical treatment, and assessment for a patient is problematic. Based on its result of discussion in workshops, and the questionnaire survey with the help of Information Equipments and IT Sectional Meeting of Japan Council for Health Care, we studied what the patient-centered goal in medical treatment is, and what requirement and issue EHR have in the treatment process to this“goal”. The survey showed that the negative factors are categorized into four levels of thestructure model; accuracy, continuity, survey, and narrativity. Based on assured “accuracy” and “continuity” in data level, “survey” must be assured on EHR by a systematic division and visibility of long term data. Moreover, the process to the“goal” should be described by intelligible expression, leading to satisfactory “narrativity”. Finally, we arranged the meanings of individual factors and proposed the compound solution measures for soft ware, hard ware, and artificial factors.
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