著者

親松 隆浩 佐藤 透 赤瀬 朋秀

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.13, no.1, pp.19-27, 2019 (Released:2019-09-13)

参考文献数

16

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In hospital management, it is no secret that pharmaceuticals are second only to personnel costs when it comes to the highest expense items among medical costs and that the streamlining of pharmaceutical expenses is one of the major issues in hospital management. However, price negotiation for pharmaceutical supplies is generally made on the basis of the purchasing manager's experience and past purchase data, and there has been little by way of established, standard methods of calculating the prices of pharmaceutical supplies. In this study, we proposed to the pharmaceutical wholesalers trading with our hospital to review the delivery frequency and delivery method with a view to reducing their selling, general, and administrative costs (SG&A) and verified the reduction effect. The results showed a reduction effect of approximately 30 percent in their SG&A, and by negotiating the prices on the basis of these figures, we were able to establish supply prices beneficial to both parties. It is considered that there is a good chance of realizing higher efficiency of overall distribution and supply price optimization in other regions as well by applying the same method.

著者

串田 ゆか 本間 利通

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.31-36, 2021-08-31 (Released:2021-09-25)

参考文献数

10

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Revision of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices and establishment of community-based integrated care systems are driving reforms in the job performed by pharmacists. As a result, along with pharmacist recruitment, pharmacist job redesign is now a significant issue. It is essential to analyze the factors that promote job crafting, which is organizational behavior in which pharmacists (and other workers) voluntarily redesign their jobs. This study measures job crafting among pharmacists and conducts a preliminary examination of its significance. Specifically, we confirm the correlations between the three components of job commitment and the four components of job crafting. As an improvement to the measurement scale, we propose dividing the job-crafting domain into two categories, "interpersonal" and "non-interpersonal," to properly categorize the different types of work performed by pharmacists.

著者

中島 範宏

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.14, no.1, pp.5-10, 2020 (Released:2020-09-30)

参考文献数

17

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A questionnaire survey was conducted on citizens taking medication for chronic diseases (type 2 diabetes, hypertension, asthma, atopic dermatitis). As a result, 52.7% had residual drugs. Patients who use GPs or pharmacies tend to self-stockpile drugs in preparation for a disaster. These patients may have previously been informed about the need of self-stockpiling drugs in case of emergency. Those who responded that they were at risk of a secondary disaster tended to self-stockpile drugs in preparation for long-term evacuation. Although the risk of self-stockpiling of drugs by patients with chronic illness may not be high, it is desirable for pharmacies to be more actively involved to ensure safe self-stockpiling.

著者

岡本 悦司

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.17, no.1, pp.3, 2023 (Released:2023-10-04)

著者

阪口 博政 古井 健太郎 荒井 耕

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.17, no.1, pp.37-49, 2023 (Released:2023-10-04)

参考文献数

35

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The purpose of this study was to clarify the materials management in healthcare institutions. In particular, we focused on the SPD service which is called in case of outsourcing. For this purpose, a systematic review was conducted in November 2021 using the two literature databases, and finally 219 sources were analyzed.First of all, SPD services in medical supplies became popular in the late 2000s, and SPD services in pharmaceuticals have increased rapidly from the early 2010s. Next, SPD services in outsourcing were generalized in the early 2000s. Typically, SPD in medical supplies consist of three aspects; first is purchasing, conveyance and inventory control, second is the handling of medical materials, general consumables and sterile product, and third is the locations in consultation room, ward and operating room. In addition, SPD in pharmaceuticals is conducted through purchasing, receipt inspection, inventory control, picking in patient unit and conveyance.

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

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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

阪口 博政 古井 健太郎 荒井 耕

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.16, no.1, pp.23-32, 2022 (Released:2022-10-07)

参考文献数

37

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The purpose of this study was to clarify the departmental general trends of the Management and Planning Office in healthcare institutions. In particular, we focused on; the department morphological overview, the business content, and the human resources involved, while compared to general companies. For this purpose, a systematic review was conducted in September 2020 using the literature databases, and finally 97 literatures were targeted.First of all, Management and Planning Office were in the stages of being set up in healthcare institutions. Next, it was set up by about 4-6 people under the top management, or in the administrative organization depending on the establishment. In addition, it became clear that the work is mainly concentrated on special projects and institutional strategy. Last, those members are required to have medical knowledge and communication skills.

著者

岡本 悦司

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.14, no.1, pp.29-36, 2020

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<p>The Administrative Reports on Hospital Bed Function (ARHBF) was started in 2014 to provide data for facilitating the Regional Medical Care Vision (RMCV) targeted to the year 2025. The RMCV aims at converting excessive acute care wards into less-costly chronic or rehabilitative wards. All general hospitals (excluding psychiatric hospitals) and clinics with inpatient beds are required by the Medical Care Act to report detailed data as of July each year and hospital-specific data are published on prefectural governments' website as a form of Excel files. The author compiled the five-year cumulative data into data warehouse and analyzed the progress of converting ward-specific clinical functions through ward-matching technique. Approximately 30% of acute care wards in 2014 have already converted as of July 2018, and the negative linear correlation between the actual converting rate and the realization rate of the self-proclaimed target suggested the unwillingness of most hospitals for conversion of their ward functions. ARHBF data can be used effectively by data-warehousing to facilitate RMCV.</p>

著者

荘司 智世

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.13, no.1, pp.37-42, 2019 (Released:2019-09-13)

参考文献数

10

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A lot of industries are innovating in accordance with the times such as uniforms are abolished to help reduce their economic burden. As well as in hospitals, the same attention whether uniforms should be abolished or not should be paid. We questioned what uniform should be to next era by survey of the medical office staff. It was found the results that uniform has the primacy effect and motivation for work. However, uniform cannot be expected to be a motivation for work at present. Because they aren't satisfied with their uniform. From now on the adoption of the ready-made uniform should be carefully done not only because of cost-performance but also a part of the improvement of the total management.

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

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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.

著者

中島 範宏

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.13, no.1, pp.29-36, 2019 (Released:2019-09-13)

参考文献数

16

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This study is a survey targeting psychotropic medication recipients. We investigated the consciousness concerning stockpiles of psychotropic drugs for disasters. More than half of the respondents had extra psychotropic medicine, and 30.5% of the respondents were stockpiling in preparation for the disaster. Existence of family pharmacies and the existence of disaster risks around them were factors related to stockpiling behavior. However, it is suggested that stockpiling of psychotropic drugs may be carried out by citizen's own judgment. Inappropriate use of psychotropic medicine at evacuation centers may cause health problems and extra medical expenses, so medical staff must instruct them. There are many needs of psychotropic drugs from citizens in disasters. However, it is financially difficult to stock up drugs for disaster at hospitals. It is desirable to set up a public disaster storage warehouse near the evacuation center.