Journal of Japanese Society of Wound, Ostomy and Continence Management
Online ISSN : 1884-2321
Print ISSN : 1884-233X
Original Article
Distribution of Tokyo treatment centers with wound, ostomy, and continence nurses: A spatial analysis of hospitals and municipalities using a geographic information system
Shinji IizakaHiromi Sanada
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JOURNAL FREE ACCESS

2016 Volume 20 Issue 3 Pages 319-328

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Abstract

 Objective: Current plans for employing wound, ostomy, and continence nurses(WOCN)require WOCNs to be distributed in such a way as to enable fair access to their expertise by the community. The present study analyzed the spatial distribution of hospitals with WOCNs in Tokyo using a geographic information system(GIS) with individual hospitals and municipalities as the unit of analysis.
 Methods: Hospitals with WOCNs in 2014 were identified using the Japan Nursing Association website. A distribution map was created using ArcGIS10.2.1, and the data obtained on all hospitals, demographics, and the long-term care insurance statistics in Tokyo were linked to the base map.
 Results: There were 98(15.3 % of all hospitals)hospitals with WOCNs in Tokyo. The proportion of hospitals with WOCNs varied according to the number of beds and type of hospital. The peak density was detected in Chiyoda city and the southern area of Tachikawa. Cold spots that significant distances from hospitals with WOCNs were identified in Adachi city. Thirteen of the surveyed areas had no hospitals with WOCNs. The proportion of hospitals with WOCN by each city was negatively associated with population aging rate. The number of hospitals with WOCNs per one hundred thousand elderly citizens varied widely in the secondary medical care area.
 Conclusion: The distribution of hospitals with WOCNs was skewed by geography and hospital characteristics, suggesting the need to promote WOCN employment in priority areas or through cooperation between hospitals with and without WOCNs.

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© 2016 Japanese Society of Wound, Ostomy and Continence Management
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