日本医療経営学会誌
Online ISSN : 2187-8951
Print ISSN : 1883-7905
ISSN-L : 1883-7905
最新号
選択された号の論文の6件中1~6を表示しています
巻頭言
原著
  • 山本 優子, 服部 しのぶ, 加藤 憲, 坂田 裕介, 米本 倉基
    2019 年 13 巻 1 号 p. 5-10
    発行日: 2019年
    公開日: 2019/09/13
    ジャーナル フリー

    The purpose of this research is to find the scope of assignment that medical interpreters are allowed to use their own judgement, such as deleting and adding in interpretation. The survey assuming 29 medical settings was carried out by a Web questionnaire in July 2018. Effective answers were collected from 300 nurses. As a result, it was found that medical interpreters can use their own judgement at a reception dealing with patients and giving guidance, but not in telling diagnosis of diseases and explaining medication. On factor analysis, three factors were found and named each as assignment for “diagnosis”, “reception and guidance”, and “payment procedure”. It can be said that when the health risk of the assignment is low and the range of assignment is wide, it is possible for medical interpreters to use their own judgement in their interpretation.

  • 石川 雅俊
    2019 年 13 巻 1 号 p. 11-17
    発行日: 2019年
    公開日: 2019/09/13
    ジャーナル フリー

    Success factors regarding the profit improvement for public hospitals mainly providing acute medcal care services were verified through the analyses of the factors relating to the longitudinal change before and after the public hospital reform between the year of 2005 and 2015.

    A multiple linear regression analysis was conducted with hospitals (n=589) by size of the total number of beds. Dependent variable was the change in the ratio of the hospital profit while its independent variables were the change in the number of patients and their unit price, the occupancy ratio, average length of stay, the costs and the asset situation.

    It was confirmed that the change in the hospitals' profitability and the related factors difered by the size of their beds. Meanwhile, with the change in the balance, significant results were shown for all the hospital groups regardless of their size of registered beds in terms of the annual number of discharged patients, the daily number of outpatients, the unit price for inpatients, the unit price for outpatients, the occupancy ratio of beds, the average length of stay, depreciation costs, and the amount of building assets per registered bed. In the meantime, the correlation between the balance and the change in the salaries for their staff members and material costs making up a significant proportion in their total costs was not necessarily significant.

  • 親松 隆浩, 佐藤 透, 赤瀬 朋秀
    2019 年 13 巻 1 号 p. 19-27
    発行日: 2019年
    公開日: 2019/09/13
    ジャーナル フリー

    In hospital management, it is no secret that pharmaceuticals are second only to personnel costs when it comes to the highest expense items among medical costs and that the streamlining of pharmaceutical expenses is one of the major issues in hospital management. However, price negotiation for pharmaceutical supplies is generally made on the basis of the purchasing manager's experience and past purchase data, and there has been little by way of established, standard methods of calculating the prices of pharmaceutical supplies. In this study, we proposed to the pharmaceutical wholesalers trading with our hospital to review the delivery frequency and delivery method with a view to reducing their selling, general, and administrative costs (SG&A) and verified the reduction effect. The results showed a reduction effect of approximately 30 percent in their SG&A, and by negotiating the prices on the basis of these figures, we were able to establish supply prices beneficial to both parties. It is considered that there is a good chance of realizing higher efficiency of overall distribution and supply price optimization in other regions as well by applying the same method.

  • 中島 範宏
    2019 年 13 巻 1 号 p. 29-36
    発行日: 2019年
    公開日: 2019/09/13
    ジャーナル フリー

    This study is a survey targeting psychotropic medication recipients. We investigated the consciousness concerning stockpiles of psychotropic drugs for disasters. More than half of the respondents had extra psychotropic medicine, and 30.5% of the respondents were stockpiling in preparation for the disaster. Existence of family pharmacies and the existence of disaster risks around them were factors related to stockpiling behavior. However, it is suggested that stockpiling of psychotropic drugs may be carried out by citizen's own judgment. Inappropriate use of psychotropic medicine at evacuation centers may cause health problems and extra medical expenses, so medical staff must instruct them. There are many needs of psychotropic drugs from citizens in disasters. However, it is financially difficult to stock up drugs for disaster at hospitals. It is desirable to set up a public disaster storage warehouse near the evacuation center.

調査報告
  • 荘司 智世
    2019 年 13 巻 1 号 p. 37-42
    発行日: 2019年
    公開日: 2019/09/13
    ジャーナル フリー

    A lot of industries are innovating in accordance with the times such as uniforms are abolished to help reduce their economic burden. As well as in hospitals, the same attention whether uniforms should be abolished or not should be paid. We questioned what uniform should be to next era by survey of the medical office staff. It was found the results that uniform has the primacy effect and motivation for work. However, uniform cannot be expected to be a motivation for work at present. Because they aren't satisfied with their uniform. From now on the adoption of the ready-made uniform should be carefully done not only because of cost-performance but also a part of the improvement of the total management.

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