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2010 Fiscal Year Final Research Report

Impact of physician manpower and hospital structures on clinical performances

Research Project

  • PDF
Project/Area Number 20590509
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionKyoto University

Principal Investigator

SEKIMOTO Miho  Kyoto University, 大学院・公共政策学連携研究部, 特任研究員 (00244583)

Co-Investigator(Kenkyū-buntansha) IMANAKA Yuichi  京都大学, 医学研究科, 教授 (10256919)
ISHIZAKI Tatsuro  京都大学, 医学研究科, 准教授 (30246045)
HAYASHIDA Kenshi  京都大学, 医学研究科, 講師 (80363050)
Project Period (FY) 2008 – 2010
Keywordsヘルスマンパワー / アウトカム評価 / 輸血管理 / 感染管理 / 抗菌薬 / 血液製剤 / プロセス評価
Research Abstract

We studied associations between structures of health care (e.g., physician/nurse staffing, healthcare manpower), disease management systems, process of care, and patient outcomes on following 3 topics ; 1) acute care of ischemic stroke, 2) high- and low-intensity intensive care models, and 3) transfusion practices and management. The results of the study suggest that, in addition to clinical factors, clinical management systems and clinical processes, is significantly associated with better process of care and patient outcomes.

  • Research Products

    (11 results)

All 2011 2010 2009 Other

All Journal Article (7 results) (of which Peer Reviewed: 7 results) Presentation (3 results) Book (1 results)

  • [Journal Article] Impact of intensive care Unit physician on care processes of patients with severe sepsis in teaching hospitals.2011

    • Author(s)
      Umegaki T, Sekimoto M, Imanaka Y
    • Journal Title

      J Anesthe Clinic Res 2

      Pages: 2

    • Peer Reviewed
  • [Journal Article] ケースミックスを考慮した新鮮凍結血漿およびアルブミン製剤使用量の評価2010

    • Author(s)
      関本美穂,今中雄一,吉原桂一,白井貴子,佐々木弘真,米野琢哉,ジェイスン・リー,芦原英司,前川平
    • Journal Title

      日本輸血細胞治療学会誌 56

      Pages: 599-605

    • Peer Reviewed
  • [Journal Article] Current anticoagulation therapy for sepsis-induced disseminated intravascular coagulation in Japan : results of a multicenter study using administrative data.2010

    • Author(s)
      Umegaki T, Sekimoto M, Ikai H, Imanaka Y
    • Journal Title

      Journal of the Japanese Society of Intensive Care Medicine 17

      Pages: 555-559

    • Peer Reviewed
  • [Journal Article] Risk-adjusted assessment of incidence and quantity of blood use in acute-care hospitals in Japan : an analysis using administrative data.2010

    • Author(s)
      Sekimoto M, Imanaka Y, Shirai T, Sasaki H, Komeno T, Lee J, Yoshihara K, Ashihara E, Maekawa T
    • Journal Title

      Vox Sanguinis 98(4)

      Pages: 538-46

    • Peer Reviewed
  • [Journal Article] An Outcome Prediction Model for Adult Intensive Care.2010

    • Author(s)
      Umegaki T, Sekimoto M, Hayashida K, Imanaka Y
    • Journal Title

      Critical Care and Resuscitation 12

      Pages: 96-103

    • Peer Reviewed
  • [Journal Article] 重回帰分析を用いた病院毎の血液製剤使用量の予測モデルとその評価2010

    • Author(s)
      関本美穂,今中雄一,吉原桂一,米野琢哉,白井貴子,ジェイスン・リー,佐々木弘真
    • Journal Title

      日本輸血細胞治療学会誌 56

      Pages: 347

    • Peer Reviewed
  • [Journal Article] タイムスタディとDPCデータを用いた産婦人科診療の業務量把握

    • Author(s)
      濱田啓義,関本美穂,今中雄一
    • Journal Title

      日本医療・病院管理学会誌 (掲載確定)

    • Peer Reviewed
  • [Presentation] 急性期病院が入院診療に投入するマンパワーと診療機能2010

    • Author(s)
      関本美穂,今中雄一,石崎達郎,林田賢史
    • Organizer
      第48回日本医療・病院管理学会学術総会
    • Place of Presentation
      広島
    • Year and Date
      2010-10-16
  • [Presentation] 急性期病院における脳梗塞患者の転院割合に関連する診療提供体制と地域の医療・介護資源の検討2010

    • Author(s)
      本橋隆子,関本美穂,今中雄一
    • Organizer
      第48回日本医療・病院管理学会学術総会
    • Place of Presentation
      広島
    • Year and Date
      2010-10-15
  • [Presentation] Risk-adjusted assessment of blood product use in acute-care hospitals in Japan : an analysis using administrative data.2009

    • Author(s)
      Sekimoto M, Imanaka Y, Shirai T, Sasaki H, Lee J
    • Organizer
      the 25th PCSI Conference.
    • Place of Presentation
      Fukuoka : Japan
    • Year and Date
      2009-11-13
  • [Book] DPCデータにみる医療の質の指標化と改善-急性期病院の診療パフォーマンス2011

    • Author(s)
      関本美穂(編著),今中雄一(監修)
    • Publisher
      南山堂

URL: 

Published: 2012-01-26   Modified: 2016-04-21  

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