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  1. 0 資料タイプ別
  2. 01 学術雑誌論文
  1. 821 危機管理室
  2. 10 学術雑誌論文
  3. 10 査読済論文

Referral from secondary care and to aftercare in a tertiary care university hospital in Japan

http://hdl.handle.net/10191/26649
http://hdl.handle.net/10191/26649
23423b82-2dd2-428f-8c94-4f10e87b8586
名前 / ファイル ライセンス アクション
1472-6963-6-11.pdf 1472-6963-6-11.pdf (1.7 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2014-03-24
タイトル
タイトル Referral from secondary care and to aftercare in a tertiary care university hospital in Japan
タイトル
言語 en
タイトル Referral from secondary care and to aftercare in a tertiary care university hospital in Japan
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Toyabe, Shin-ichi

× Toyabe, Shin-ichi

WEKO 4423

Toyabe, Shin-ichi

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Akazawa, Kouhei

× Akazawa, Kouhei

WEKO 4424

Akazawa, Kouhei

Search repository
抄録
内容記述タイプ Abstract
内容記述 Background: In Japan, all citizens are covered by the national insurance system in which universal free access to healthcare services is promised to everybody. There are no general physicians or gatekeepers in the Japanese healthcare system. Methods: We studied the pattern of referral of inpatients from secondary care hospitals to a tertiary care university hospital and the reverse referral under the situations using a geographic information system (GIS), taking paediatric inpatients as an example. Results: The results showed that 61.2% of the patients were directly admitted to the hospital without referral from other hospitals or clinics and that 82.8% of the inpatients were referred to the outpatient department of the hospital to which they had been admitted. GIS analysis for the inpatients service area showed the hospital functions as both a secondary care hospital and tertiary care hospital. Patients who lived near the hospital tended to be admitted directly to the hospital, and patients who lived far from the hospital tended to utilize the hospital as a tertiary care provider. There were territorial disputes with other secondary care hospitals. To estimate spatial differences in referral to aftercare, we analyzed the spatial distribution of inpatients with focus on their length of hospital stay (LOS). GIS analysis revealed apparent foci of patients with long LOS and those with low LOS. Conclusion: These results suggest that the function of university hospital in Japan is unspecialized and that the referral route from the university hospital to aftercare is also unequipped.
書誌情報 BMC Health Services Research
en : BMC Health Services Research

巻 6, p. 11-1-11-9, 発行日 2006-02
出版者
出版者 BioMed Central
ISSN
収録物識別子タイプ ISSN
収録物識別子 14726963
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12034989
DOI
識別子タイプ DOI
関連識別子 info:doi/10.1186/1472-6963-6-11
権利
権利情報 (C) 2006 Toyabe and Kouhei; licensee BioMed Central Ltd.
著者版フラグ
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