{"created":"2025-02-21T03:33:09.360840+00:00","id":2006827,"links":{},"metadata":{"_buckets":{"deposit":"a212f267-6791-4a46-bb61-f0cbba7a274f"},"_deposit":{"created_by":41,"id":"2006827","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"2006827"},"status":"published"},"_oai":{"id":"oai:hiroshima.repo.nii.ac.jp:02006827","sets":["1730444907710"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"On-scene time delays for epileptic seizures in developed community-based integrated care system regions","subitem_title_language":"en"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Yamada, Hidetada","creatorNameLang":"en"}],"familyNames":[{"familyName":"Yamada","familyNameLang":"en"}],"givenNames":[{"givenName":"Hidetada","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Neshige, Shuichiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"Neshige","familyNameLang":"en"}],"givenNames":[{"givenName":"Shuichiro","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Nonaka, Megumi","creatorNameLang":"en"}],"familyNames":[{"familyName":"Nonaka","familyNameLang":"en"}],"givenNames":[{"givenName":"Megumi","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Takebayashi, Yoshiko","creatorNameLang":"en"}],"familyNames":[{"familyName":"Takebayashi","familyNameLang":"en"}],"givenNames":[{"givenName":"Yoshiko","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ishibashi, Haruka","creatorNameLang":"en"}],"familyNames":[{"familyName":"Ishibashi","familyNameLang":"en"}],"givenNames":[{"givenName":"Haruka","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Motoda, Atsuko","creatorNameLang":"en"}],"familyNames":[{"familyName":"Motoda","familyNameLang":"en"}],"givenNames":[{"givenName":"Atsuko","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Aoki, Shiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"Aoki","familyNameLang":"en"}],"givenNames":[{"givenName":"Shiro","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Yamazaki, Yu","creatorNameLang":"en"}],"familyNames":[{"familyName":"Yamazaki","familyNameLang":"en"}],"givenNames":[{"givenName":"Yu","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Maruyama, Hirofumi","creatorNameLang":"en"}],"familyNames":[{"familyName":"Maruyama","familyNameLang":"en"}],"givenNames":[{"givenName":"Hirofumi","givenNameLang":"en"}]}]},"item_1617186476635":{"attribute_name":"Access Rights","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1617186499011":{"attribute_name":"Rights","attribute_value_mlt":[{"subitem_rights":"© 2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/","subitem_rights_language":"en"},{"subitem_rights":"This is not the published version. Please cite only the published version.","subitem_rights_language":"en"},{"subitem_rights":"この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。","subitem_rights_language":"ja"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"People with epilepsy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Emergency medical service","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"EMS response time","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Super-aged society","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Local medical resource","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"Background  Delayed on-scene time by emergency medical services (EMS) can have detrimental effects on critical cases for people with epilepsy (PWE). In preparation for a super-aged society, a Community-based Integrated Care System is crucial to manage healthcare costs. However, sufficient coordination irrespective of sociomedical changes among medical providers is challenging.  Aim  This study aimed to evaluate on-scene time delays in the treatment of PWE, identify factors associated with such delays, and clarify regional differences. The focus was on the volume of acute care beds in regions with a developed Community-based Integrated Care System.  Methods  This population-based observational study evaluated on-scene time delays in the treatment of PWE across six major cities in western Japan between 2017 and 2021. In addition, we also evaluated the association between regional differences focusing on volume of acute care beds (“Reduced region\" and “Preserved region\", as cities with numbers of acute care beds per 1,000 people below and above the national average, respectively) along with sociomedical factors associated with on-scene time delays.  Results  This study included 8,737 PWE transported by EMS, with a mean on-scene time for EMS ranging from 12.9 ± 6.8 min to 21.7 ± 10.6 min. On-scene time delays were evident in Reduced regions, with an increase of 1.45 min (95 % confidence interval 0.86–2.03 min, p < 0.001). A high total EMS call volume independently influenced on-scene time delays during the middle period of the pandemic in Reduced regions.  Conclusion  Optimal coordination must be facilitated to ensure the effective functioning of the Community-based Integrated Care System, particularly during unusual circumstances.","subitem_description_language":"en"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_publisher":"Elsevier","subitem_publisher_language":"en"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_1617187024783":{"attribute_name":"Page Start","attribute_value_mlt":[{"subitem_start_page":"109612"}]},"item_1617187056579":{"attribute_name":"Bibliographic Information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-12-28","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"109612","bibliographicVolumeNumber":"151","bibliographic_titles":[{"bibliographic_title":"Epilepsy & Behavior","bibliographic_titleLang":"en"}]}]},"item_1617258105262":{"attribute_name":"Resource Type","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"Version Type","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_1617353299429":{"attribute_name":"Relation","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1016/j.yebeh.2023.109612","subitem_relation_type_select":"DOI"}}]},"item_1617605131499":{"attribute_name":"File","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2024-12-28"}],"displaytype":"simple","fileDate":[{"fileDateType":"Available","fileDateValue":"2024-12-28"}],"filename":"EpilepsyBeh_151_109612.pdf","filesize":[{"value":"2.0 MB"}],"mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hiroshima.repo.nii.ac.jp/record/2006827/files/EpilepsyBeh_151_109612.pdf"},"version_id":"d1dacb1b-bd92-413f-9693-5b565c84851f"}]},"item_1732771732025":{"attribute_name":"旧ID","attribute_value":"55881"},"item_title":"On-scene time delays for epileptic seizures in developed community-based integrated care system regions","item_type_id":"40003","owner":"41","path":["1730444907710"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-12-18"},"publish_date":"2024-12-18","publish_status":"0","recid":"2006827","relation_version_is_last":true,"title":["On-scene time delays for epileptic seizures in developed community-based integrated care system regions"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2025-02-21T08:31:00.139551+00:00"}