{"_buckets": {"deposit": "4215e9af-b170-4547-92b9-2008c438a012"}, "_deposit": {"id": "18394", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "18394"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00018394"}, "item_7_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "From the Standpoint of Small and Medium-Sized Private Hospitals (Present Conditions and Problems of Hospital Management)"}]}, "item_7_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1995-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "11-12", "bibliographicPageEnd": "449", "bibliographicPageStart": "447", "bibliographicVolumeNumber": "109", "bibliographic_titles": [{"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c"}, {"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "The discussion is divided into the following seven categories, namely, 1) disparities between public medical institutions and private medical-corporation hospitals, 2) recent trends in medical fees, 3) , the sudden increase in hospitals operating at a deficit, 4) future hospital trends under the new Medical Service Law, 5) private medical-corporation hospitals that cannot keep pace with the new nursing system, 6) the inability to ensure sufficient nevenue sources to cover the yearly increase in labor costs, and 7) the notification system resulting from deregulation and punitive regulations. Conculsionary, the revision of the Medical Services Law has created hardships for small and medium-sized private hospitals. I feel, however, that we should come to qrips with the following as way of assuring our survival. 1) Under the new nursing system, we must give serious thought to securing as many nurses as possible and raising ourselves up in the ranks as far as possible to incease our medical fees\uff1b the stipulations of the punitive regulations should be enforced only after they have been given very thorough consideration, 2) combinations with long-trem elderly and daycare facilities, 3) expansion of medical examination operations, 4) coming to grips aggressively with in-home medical treatment, 5) accommodating new hospital beds, cafeterias and meals as stipulated in the new Medical service Law, 6) aiming for medical treatment facilities that have a more intimate relationship with region, and 7) securing physicians.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "115149", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tashiro, Shigemoto"}]}]}, "item_7_publisher_7": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "\u65b0\u6f5f\u533b\u5b66\u4f1a"}]}, "item_7_select_19": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00290440", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u7530\u4ee3, \u6210\u5143"}], "nameIdentifiers": [{"nameIdentifier": "115148", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-08"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "109(11-12)_447-449.pdf", "filesize": [{"value": "593.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 593200.0, "url": {"label": "109(11-12)_447-449.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/18394/files/109(11-12)_447-449.pdf"}, "version_id": "9f603780-2475-4f7f-9491-3f139be6d614"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "Medical fees", "subitem_subject_scheme": "Other"}, {"subitem_subject": "penal regulations", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u8a3a\u7642\u5831\u916c", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u898f\u5236\u7de9\u548c\u3068\u7f70\u5247", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "3)\u4e2d\u5c0f\u79c1\u7684\u75c5\u9662\u306e\u7acb\u5834\u304b\u3089(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 \u75c5\u9662\u7d4c\u55b6\u306e\u73fe\u72b6\u3068\u554f\u984c\u70b9, \u7b2c503\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "3)\u4e2d\u5c0f\u79c1\u7684\u75c5\u9662\u306e\u7acb\u5834\u304b\u3089(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 \u75c5\u9662\u7d4c\u55b6\u306e\u73fe\u72b6\u3068\u554f\u984c\u70b9, \u7b2c503\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)"}, {"subitem_title": "3)\u4e2d\u5c0f\u79c1\u7684\u75c5\u9662\u306e\u7acb\u5834\u304b\u3089(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 \u75c5\u9662\u7d4c\u55b6\u306e\u73fe\u72b6\u3068\u554f\u984c\u70b9, \u7b2c503\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["453/456", "471/537/538/1133"], "permalink_uri": "http://hdl.handle.net/10191/42697", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_value": "2016-07-19"}, "publish_date": "2016-07-19", "publish_status": "0", "recid": "18394", "relation": {}, "relation_version_is_last": true, "title": ["3)\u4e2d\u5c0f\u79c1\u7684\u75c5\u9662\u306e\u7acb\u5834\u304b\u3089(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 \u75c5\u9662\u7d4c\u55b6\u306e\u73fe\u72b6\u3068\u554f\u984c\u70b9, \u7b2c503\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)"], "weko_shared_id": null}