Journal of the Japan Society for Healthcare Administration
Online ISSN : 2185-422X
Print ISSN : 1882-594X
ISSN-L : 1882-594X
Volume 61, Issue 1
Displaying 1-4 of 4 articles from this issue
Perspective
Research notes
  • Yoshiko Kirihigashi, Yoshifumi Nakata
    2024Volume 61Issue 1 Pages 2-16
    Published: January 31, 2024
    Released on J-STAGE: July 12, 2024
    JOURNAL FREE ACCESS

    In this study, IPW (Inter Professional Work), which is a multidisciplinary collaboration in the medical field, is regarded as synonymous with “team medicine”, and a questionnaire survey was conducted on work styles among medical professionals practicing team medicine. We focused on the process and developed a “team medical dynamics model” using structural equations (path analysis), and tried to evaluate the effectiveness of “team medicine”. This is an attempt to visualize the effectiveness of team medical care by using this model. We conducted surveys at six cooperating hospitals, analyzed the data, and examined them. As a result, it became clear that this model can actually evaluate the current state of team medical care, and that it is possible to visualize (quantify) the process of team medical care with a path diagram. Through this model, it is expected to contribute to the improvement of hospital management and management of administrators.

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  • Shuichi Suzuki, Naoko Kato, Masahide Kondo
    2024Volume 61Issue 1 Pages 17-24
    Published: January 31, 2024
    Released on J-STAGE: July 12, 2024
    JOURNAL FREE ACCESS

    [Background and Objective] The COVID-19 pandemic has highlighted the shortage of hospital beds in Japan, which has many hospital beds. This is the result of past healthcare policies and hospital responses. Based on the historical background of healthcare policies and the situation of hospitals at the time of formulating the regional medical care vision in 2017, this paper presents the prospects of the regional medical care vision in the post-COVID era.

    [Methods] Using individual records of Hospital Report and Survey of Medical Institutions in 2017, we analyzed the direction of adjustment for the four ward and bed functions of the regional medical care vision, divided into four categories (acute care hospital group, care-mix hospital group, Long-term care facility group, outpatient facility group).

    [Results] To realize the regional medical care vision, it is considered most realistic to become a hospital that provides convalescent care by reducing the number of outpatient facilities and converting “acute care beds” to “convalescent care beds”.

    [Conclusion] In the post-COVID era, it is important to adjust the future outlook of outpatient facility groups as part of the regional medical care vision.

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