著者

杉田 由加里 水野 智子 横山 徹爾

出版者

千葉大学大学院看護学研究科

雑誌

千葉大学大学院看護学研究科紀要 (ISSN:21859698)

巻号頁・発行日

no.38, pp.39-46, 2016-03

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自治体にて生活習慣病予防の保健事業を展開する上で,特定健康診査・特定保健指導等のデータ及びレセプト等を分析し課題を抽出し,保健事業を立案,実施,評価し,次年度の事業計画に役立てるといった,PDCAサイクルを確実に回すことが求められている. 本研究の目的は保健事業を展開する上で,データを分析・活用している取組みの基盤となっている体制づくりに関する条件を明らかにすることである. 研究参加者は7市にて,保健事業の実施に1年以上直接関わっており,保健事業の実施に関する体制づくりについて語れる職員(保健師,管理栄養士)1名以上とし,調査は自治体ごとの半構成的インタビューとした. 筆頭著者の所属大学院研究科の倫理審査委員会の承認を受け,文書と口頭により研究の趣旨,匿名性の保持と途中棄権も可能であること等を説明し同意を得た.体制づくりにおける所属内外の条件として以下の点が重要と考えられた.1. 予算の獲得において関係者からの合意を得やすくするために,分析したデータを説明用の資料に活用する.2. データを分析することと,分析したデータを事業へ活用できる体制となるよう,担当部署の連携を意識して体制を構築していく.3. 医療機関との継続的な体制を維持していけるよう,制度開始時だけでなく毎年,医療機関の医師および事務職にも説明し合意形成を図っていく.4. 業務を委託している場合,委託機関の従事者のオーナーシップを引き出せるように,分析したデータの提示により情報の共有を図る. When developing, in districts, health services that are designed to prevent lifestyle-related diseases, it is essential to analyze data and receipts related to specific health checkups and specific health guidance as well as identify problems. It is also necessary to ensure the continuous operation of the plan-do-check-act. This study aimed to clarify the requirements for developing a system that can serve as a foundation for data analysis/utilization initiatives when operating health services PDCA cycle in districts. This study was conducted in seven cities that are implementing the system. In each of these cities, we surveyed 17 different public health nurses and registered dieticians. Semi-structured interviews were carried out in each cities. The study was approved by the ethics board of the institution to which the first author belongs to. The results suggested that the following are important internal and external requirements forsystem building.1 Using the analyzed data when preparing briefing documents to make it easier to gain budget approval from the government2 Building the system in cooperation with relevant sections/departments, so that it enables analysis of the data and their utilization in health services3 Maintaining a sustainable system of collaboration with medical institutions, obtaining agreement by providing explanations to administrative staff and doctors from the relevant institutions not only when the system is launched but every year4 In the case that administrative work is outsourced, we should share information by presenting the analyzed data in order to encourage a sense of ownership among staff working for the outsourcing organizations

著者

木下 里美 大塚 眞理子 朝日 雅也 小田 心火 水野 智子 井上 和久 田口 孝行 加藤 朋子 井口 佳晴 鈴木 玲子 小川 恵子

出版者

埼玉県立大学

雑誌

埼玉県立大学紀要 (ISSN:13458582)

巻号頁・発行日

vol.4, pp.35-42, 2002

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Relationship between the effect of field practicum in freshman year and the category of practicum facilities was analyzed based on the results questionnaire survey of the freshmen who had participated in the field practicum during a period from 2000 to 2002. The facilities where the practicum was performed were categorized to be "hospitals", "health and welfare facilities for the elderly "and "welfare facilities for adults and children with disabilities". Answers to the questionnaires concerning "communication with colleague students in the same group", "learning opportunities in the field" and "the report session in the university after the practicum" were analyzed. Many students responded affirmatively to these questionnaires and the effects of field practicum could be recognized. On the other hand, the following was also suggested as the further tasks to be solved for improving the practicum: 1. Opportunity to communicate with students from other departments are limited during the practicum term, and continuous efforts for realizing further communications after the practicum are required. 2. Learning opportunities and the achievement of learning objectives differed in some learning items due to the feature of facilities, and compensative efforts should be discussed in the report session after the practicum.