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柔道整復師等の急増に伴う医療サービス分布不均衡性の変化に関する研究

柔道治疗师数量快速增加等导致医疗服务分布不平衡变化的研究

基本信息

批准号：
16659164
负责人：
矢野栄二
金额：
$ 2.05万
依托单位：
Teikyo University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Exploratory Research
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

项目摘要

柔道整復師と整形外科医はその業務内容が一部重複する。柔道整復師は近年増加し、整形外科医より患者を奪っているとの主張がある。そこで、両者の競合の可能性を検討するため、老人健康保険の対象者を中心に医師を受診した筋骨格系及び結合組織の疾患総患者数と柔道整復師の施術を受けた患者数の関係を調べた。各都道府県の柔道整復師施術所数はインターネットタウンページ(2002年9月-11月)より、柔道整復師受診老人患者(以下、柔整老人患者)数は老人医療月報(2002年10月分)より、整形外科医師数は医師、歯科医師、薬剤師調査(2002年)より、医師受診筋骨格系及び結合組織の疾患の老人総患者(医師受診老人筋骨格系患者)数は患者調査(2002年)より求めた。柔道整復師施術所数、柔整老人患者数、整形外科医師数、および医師受診老人筋骨格系患者数は都道府県人口10万人あたりの値に直し、それぞれ柔道整復師施術所率、柔整老人患者率、整形外科医師率、医師受診老人筋骨格系患者率として相互の関連を調べた。それぞれの人口10万人あたりの中央値は、柔道整復師施術所数16.3(最小-最大4.4-55.4)、柔道整復師施術老人患者数2515人(同379-8796)整形外科医15.3人(同9.3-22.3)、医師受診腰痛総患者12260人(同9170-16750)であった。都道府県(n=47)を単位とした柔道整復師施術所率と柔整老人患者率には有意な正の相関があった(r=0.72、p<0.01)。一方、整形外科医師率と医師(その約6割が整形外科医)受診老人筋骨格系患者率の間に有意な関連は見られなかった(r=0.14、p=0.35)。また、柔整老人患者率と医師受診老人筋骨格系患者率にも有意な関連は見られなかった(r=0.03、p=0.85)。全国都道府県間において、柔道整復師が整形外科医と競合している場合に予想される柔整老人患者率と医師受診老人筋骨格系患者率間に負の相関は観察されなかった。従って、筋骨格系疾患の患者について医師と柔道整復師が競合しているという説は支持されなかった。

The contents of the judo orthopedic surgery and orthopaedic surgery service are reviewed. There has been an increase in judo surgery in recent years, and patients in orthopedic surgery have been treated in recent years. The number of patients with diseases, the number of patients who received judo surgery, the number of patients who received surgery, and the number of patients who received surgery. The number of judo orthopedic surgery centers in each prefecture, the number of elderly patients receiving judo orthopedic surgery (September-November 2002), the number of elderly patients (below, softening elderly patients), the number of orthopedic doctors (October 2002), orthopedic doctors, nurses, doctors, nurses, doctors, doctors, doctors, The number of patients (2002) who suffered from diseases and diseases of the elderly (the patients with the skeletal and skeletal system of the elderly) were asked for help. The number of judo orthopedic surgery centers, the number of patients in plastic surgery, the number of orthopedic surgeons, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of judo orthopedic patients, the number of orthopedic elderly patients, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery, the number of elderly patients with orthopedic surgery The total population was 100000. The number of elderly patients in central surgery and judo surgery was 2515 (same as 379-8796). There were 12260 low back pain patients (9170-16750) in doctors and nurses. The prefecture of the prefecture (nasty 47) was in a position to teach judo, the rate of elderly patients was softened, and the prevalence rate of elderly patients was intentionally positive (r = 0.72, paired ltscape 0.01). The rate of orthopedic surgeons (about 6 percent of plastic surgeons), the rate of patients with skeletal and skeletal diseases in the elderly, the rate of patients with skeletal and skeletal diseases in the elderly, the rate of patients with skeletal and skeletal diseases, the rate of patients with skeletal and skeletal diseases (ritual 0.14, paired 0.35). The prevalence rate of elderly patients in medical treatment group is related to that of the elderly (rang 0.03, pause 0.85). All over the country, the orthopedic surgeons and orthopedic surgeons of the judo orthopedic department and the orthopaedic surgeon all over the country want to improve the patient rate of the elderly and the patient rate of the elderly. The patient with the disease of muscle and bone system, the patient, the doctor, the judo doctor, the judo doctor, the judo