{"created":"2021-03-01T06:12:08.763168+00:00","id":8143,"links":{},"metadata":{"_buckets":{"deposit":"ab39381f-fb00-4de0-9a12-484267b8f9b9"},"_deposit":{"id":"8143","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8143"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008143","sets":["453:456","471:537:538:880"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Neurosurgery in an Aging Society : The Role of Less-invasive Surgery in Medical Survices of an Aging Community from the View point of the Medical Practice in the Uonuma Area"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"684","bibliographicPageStart":"669","bibliographicVolumeNumber":"131","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":"人口構成と健康寿命の変化により，手術適応を有する高齢者脳疾患患者は漸増している．適応を有する高齢者脳疾患の安全な手術は，地域医療を担う脳神経外科が直面している問題のひとつである．同時に，高齢者人口の増加に伴う医療費の増加が懸念されている．高齢者人口比率の高い地域医療における低侵襲手術の意義は，低侵襲が故の，(1)人的医療資産の占有率の低減，(2)医療物資の低消費，(3)時間的資産の低消費，の実現にある．高齢患者と医療提供側の双方に，人的，物的，時間的に少ない負担で，有意・有効な医療効果をあげつつ，医療コストを低く抑え得ると期待される．この観点に立てば，高齢社会の医療に対応するひとつの鍵となり，人口減少地域での病院運営の鍵とも期待される．しかしながら，低侵襲外科の実践において，望まれた結果を得るためには，正確な診断，適切な手術適応，高練度の手術手技，更には標準化された周術期管理が求められ，期待に応えるために要求される医療水準は低くない．所属する外科系診療科の総力を垣間見る指標ともなり，地域の基幹病院の在り方が問われている．当センターでの実践を供覧し，現状(2017年現在）での問題点を考察する．","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"57272","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yoneoka, Yuichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"57273","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Seki, Yasuhiro"}]},{"nameIdentifiers":[{"nameIdentifier":"57274","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Akiyama, Katsuhiko"}]},{"nameIdentifiers":[{"nameIdentifier":"57275","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fujii, 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