| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
Selection and concentration of obstetric facilities in Japan: Longitudinal study based on national census data |
|
言語 |
en |
| 作成者 |
Matsumoto, Masatoshi
Koike, Soichi
Matsubara, Shigeki
Kashima, Saori
Ide, Hiroo
Yasunaga, Hideo
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
権利情報 |
This is the peer reviewed version of the following article: Masatoshi M., Soichi K., Shigeki M., Saori K., Hiroo I. and Hideo Y. (2014), Selection and concentration of obstetric facilities in Japan: Longitudinal study based on national census data. Journal of Obstetrics and Gynaecology Research, 41: 919–925, which has been published in final form at https://doi.org/10.1111/jog.12663. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Health policy |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
health resources |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Japan |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
obstetric delivery |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
workload |
| 内容記述 |
|
|
内容記述 |
Aim: A shortage of obstetricians with an increased workload is a social problem in Japan. The government and professional bodies are trying to cope with this problem by accelerating “selection and concentration" of obstetric facilities. The aim of this study is to evaluate the recent trend of selection and concentration. Methods: We used data on the number of deliveries and of obstetricians in each hospital and clinic in Japan, according to the Static Survey of Medical Institutions in 2005, 2008 and 2011. To evaluate the inter-facility equity of the number of deliveries, number of obstetricians and number of deliveries per obstetrician, Gini coefficients were calculated. Results: The number of obstetric hospitals decreased by 20% and the number of deliveries per hospital increased by 26% between 2005 and 2011. Hospital obstetricians increased by 16% and the average number of obstetricians per hospital increased by 19% between 2008 and 2011. Gini coefficient of deliveries has significantly decreased. In contrast, Gini coefficient of deliveries per obstetrician has significantly increased. The degrees of increase in obstetricians and of decrease in deliveries per obstetrician were largest at the hospitals with the highest proportion of cesarean sections. The proportion of obstetric hospitals with the “optimal volume" of deliveries and obstetricians defined by Japan Society of Obstetrics and Gynecology was 4% in 2008, and it had doubled to 8.1% three years later. Conclusion: The selection and concentration of obstetric facilities is progressing rapidly and effectively in Japan. |
|
言語 |
en |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
This study was supported by Health Labour Sciences Research Grant of the Ministry of Health, Labour and Welfare, Tokyo, Japan (H25 - Research on Region Medical - 006). |
| 出版者 |
|
|
出版者 |
Wiley |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
AO |
|
出版タイプResource |
http://purl.org/coar/version/c_b1a7d7d4d402bcce |
| 関連情報 |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.1111/jog.12663 |
| 関連情報 |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.1111/jog.12663 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1341-8076 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1447-0756 |
| 開始ページ |
|
|
開始ページ |
919 |
| 書誌情報 |
The Journal of Obstetrics and Gynaecology Research
The Journal of Obstetrics and Gynaecology Research
巻 41,
号 6,
p. 919-925,
発行日 2015-06-02
|
| 旧ID |
48620 |
JObstetGynaecolRes_41_919.pdf (169.2 KB)
