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Selection and concentration of obstetric facilities in Japan: Longitudinal study based on national census data

https://hiroshima.repo.nii.ac.jp/records/2008941
https://hiroshima.repo.nii.ac.jp/records/2008941
a6b3e1d1-d157-4a4a-9007-052542bf88ca
名前 / ファイル ライセンス アクション
JObstetGynaecolRes_41_919.pdf JObstetGynaecolRes_41_919.pdf (169.2 KB)
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

× Matsumoto, Masatoshi

en Matsumoto, Masatoshi

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Koike, Soichi

× Koike, Soichi

en Koike, Soichi

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Matsubara, Shigeki

× Matsubara, Shigeki

en Matsubara, Shigeki

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Kashima, Saori

× Kashima, Saori

en Kashima, Saori

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Ide, Hiroo

× Ide, Hiroo

en Ide, Hiroo

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Yasunaga, Hideo

× Yasunaga, Hideo

en Yasunaga, Hideo

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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
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