著者
石川 雅俊
出版者
首都大学東京都市教養学部法学系
雑誌
法学会雑誌 (ISSN:18807615)
巻号頁・発行日
vol.55, no.2, pp.211-236, 2015-01-31
著者
石川 雅俊
出版者
一般社団法人 日本医療経営学会
雑誌
日本医療経営学会誌 (ISSN:18837905)
巻号頁・発行日
vol.15, no.1, pp.5-13, 2021-08-31 (Released:2021-09-25)
参考文献数
15

Physicians' knowledge acquisition and skill improvement have relied on individual efforts. The Ministry of Health, Labour and Welfare has indicated the guidance of physicians' self-improvement and “working hours”. I conducted a web-based questionnaire survey of obstetrics and gynecology physicians who worked in hospitals nationwide and investigated the physicians' attitudes regarding self-improvement and “working hours”.The questionnaire was sent to 893 hospitals, and valid responses were obtained from 919 obstetricians and gynecologists from 343 hospitals (response rate: 38.4%). Based on the types of self-improvements indicated by the Ministry of Health, Labour and Welfare (which is not considered to be “working hours” in principle), the percentage of obstetricians and gynecologists who answered that they were "accepted now" or "should be accepted" as “working hours”, excluding "studying for graduate school exams." were over the majority. The result revealed that there was a large gap between the institutional interpretation and the doctor's intentions regarding self-improvement and “working hours”.
著者
石川 雅俊 高橋 泰
出版者
一般社団法人 日本医療経営学会
雑誌
日本医療経営学会誌 (ISSN:18837905)
巻号頁・発行日
vol.7, no.1, pp.75-82, 2013-08-31 (Released:2013-09-13)
参考文献数
12
被引用文献数
1

In this study, we built to assemble “secondly medical regions database” and analyzed the feature of each medical region using principal component analysis. As a result of the study, we extracted three principal components. The first component was how urbanized the region was. The second one was how plenty acute care was offered. And the third one was how plenty sub-acute and chronic care was offered. Additionally, by using the result of the principal component scores, we displayed the huge gap of Japanese medical delivery system among medical districts. In considering the directionality of the allocation of medical resources in each medical region, it would be desirable in assigning standard hospital bed capacities to consider assignments of beds by reflecting the degrees of urbanization of the regions and the future demands.