日本医療経営学会誌
Online ISSN : 2187-8951
Print ISSN : 1883-7905
ISSN-L : 1883-7905
原著
出生地から総合・地域周産期母子医療センターへの運転時間と周産期アウトカムの関係性及びそれを踏まえた拠点病院の配置に関する検討(二次医療圏単位の解析)
石川 雅俊
著者情報
ジャーナル フリー

2017 年 11 巻 1 号 p. 5-10

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This study was aimed to analyze the relationships between average travel times to perinatal medical centers and perinatal outcome from the perspective of secondary medical districts in Japan, by using a geographical information system.

The median value of the travel time was 19.1 minutes, the average value was 24.1 (standard deviation 13.6), the minimum value was 6.1 minutes, and the maximum value was 67.8 minutes. We set the travel time to perinatal medical centers as explanatory variables, and the infant, neonatal and perinatal mortality rate as explained variables, and then calculated odds ratio of each mortality rate which showed over the third quartile using logistic regression analysis. As a result, in all of the indicators, the odds ratios tended to increase as the travel times became longer. We need to examine centralization of perinatal hospitals based on accessibility while maintaining the current outcome level.

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© 2017 一般社団法人 日本医療経営学会
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