{"created":"2021-03-01T06:23:09.072074+00:00","id":18394,"links":{},"metadata":{"_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","sets":["453:456","471:537:538:1133"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","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":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1995-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"11-12","bibliographicPageEnd":"449","bibliographicPageStart":"447","bibliographicVolumeNumber":"109","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","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； 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":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"115149","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tashiro, Shigemoto"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","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":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田代, 成元"}],"nameIdentifiers":[{"nameIdentifier":"115148","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-08"}],"displaytype":"detail","filename":"109(11-12)_447-449.pdf","filesize":[{"value":"593.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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":"キーワード","attribute_value_mlt":[{"subitem_subject":"Medical fees","subitem_subject_scheme":"Other"},{"subitem_subject":"penal regulations","subitem_subject_scheme":"Other"},{"subitem_subject":"診療報酬","subitem_subject_scheme":"Other"},{"subitem_subject":"規制緩和と罰則","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"3)中小私的病院の立場から(シンポジウム 病院経営の現状と問題点, 第503回新潟医学会)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"3)中小私的病院の立場から(シンポジウム 病院経営の現状と問題点, 第503回新潟医学会)"},{"subitem_title":"3)中小私的病院の立場から(シンポジウム 病院経営の現状と問題点, 第503回新潟医学会)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1133"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-07-19"},"publish_date":"2016-07-19","publish_status":"0","recid":"18394","relation_version_is_last":true,"title":["3)中小私的病院の立場から(シンポジウム 病院経営の現状と問題点, 第503回新潟医学会)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:49:32.379024+00:00"}