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A Study of Regional Health Planning by Statistical Method

区域卫生规划的统计方法研究

基本信息

批准号：
59480422
负责人：
EGAWA Hiroshi
金额：
$ 3.71万
依托单位：
University of Occupational and Environmental Health
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (B)
财政年份：
1984
资助国家：
日本
起止时间：
1984 至 1986
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-59480422/
关键词：
regional health planning health care region health care facilities Accumulation of Urbanism 受療動向

项目摘要

Formally, health care had evolved within the prefecture or the Health Center administrative districts with each spectrum of health promotion, "disease prevention" and "diagnosis, treatment and rehabilitation" using fragmented and unrelated methods. However, there is need to designate the region for health care planning aside from the present units for administrative purposes.In the present study, we assigned a geographical range to promote community health service planning according to the life-behavior spaces of inhabitants in Fukuoka prefecture and regarded the country-life zone, defined by the Ministry of Construction, as a region in which health services should be investigated. The social and economic characteristics of each individual region were then analyzed. As a result, four factors related to "Industrialization" and "Urbanization" were detected. Further, the states of space distribution of medical care facilities and medical care-related facilities were clarified, and relationships between the states and the above socio-economic characteristics were investigated. The states of space distribution in both facilities in Fukuoka prefecture were proved to be remarkably similar on an axis of the "Accumulation of Urbanism" factor. Moreover, Multiple Regression Analysis was performed in order to clarify the patterns of treatment received by the inhabitants, and a model of these trends in relation to health care received was constructed, highlighting problems in the necessary planning of health service provision. It was specifically indicated that the problem of aging in Chikuho region would be an important factor affecting such planning in the future. We also analyzed the present state of medical services and the activities of health care facilities at Kitakyushu city in Fukuoka prefecture.

在形式上，卫生保健在县或卫生中心行政区域内发展，在促进健康、“预防疾病”和“诊断、治疗和康复”的各个方面采用分散和不相关的方法。但是，为了行政管理的目的，有必要在现有单位之外指定卫生保健规划区域。在本研究中，我们根据福冈县居民的生活行为空间划分了一个地理范围，以促进社区卫生服务规划，并将建设省定义的乡村生活区作为卫生服务调查的区域。然后分析了每个单独区域的社会和经济特征。结果发现了与“工业化”和“城市化”相关的四个因素。进一步明确了医疗卫生设施和医疗卫生相关设施的空间分布状态，并调查了这些状态与上述社会经济特征之间的关系。福冈县两个设施的空间分布状态在“都市主义积累”因素的轴上被证明是非常相似的。此外，还进行了多元回归分析，以澄清居民接受治疗的模式，并建立了与接受保健服务有关的这些趋势的模型，突出了保健服务提供的必要规划中的问题。并特别指出，Chikuho地区的老龄化问题将是影响未来规划的重要因素。我们还分析了福冈县北九州市的医疗服务现状和卫生保健设施的活动。