A study on cooperation between public health nurses and the organization after outsourcing of the health guidance with a particular focus on the metabolic syndrome

健康指导外包后公共卫生护士与组织之间的合作研究，特别关注代谢综合征

• 批准号: 19791759
• 负责人: YAMASHITA Ruriko
• 金额: $ 0.54万
• 依托单位: Tokushima Bunri University (2008-2009)The University of Tokushima (2007)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2007
• 资助国家: 日本
• 起止时间: 2007 至 2009
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19791759/
• 关键词: 保健指導; アウトソーシング; 連携; 特定保健指導

We have carried out the cross-services survey (using papers) with the municipals with the population more than 200,000 on outsourcing business on specific health helm with other organizations. We have sent to 129 municipalities and got replies from 59 municipalities (The percentage of respondents is 45.7%). The main results were as follows : (1)The specific health helm is carried out in "full-scale trust", "partial trust", and "all direct management" regardless of the size of population.(2)Over 50% of public health nurses are coordinating with the clerical staffs, the administrative dietician in the same division, in addition to the health worker nurses in other municipalities.(3)We are feeling that we need to cooperate with local occupational coordinating association, metropolis and districts public health nurses,insurer associations, health propulsion associations, to team up with the residents who became objects.(4)As a municipality-public health nurse, I believe it is mandatory, as a coordinator, to make adjustments, validations, and analysis with facilities. And then, we should announce the results of those tasks to the residents in our community. And we should get their concurrence towards more progressive health services.

我们对人口超过20万的市政当局进行了跨部门调查（使用文件），调查内容是与其他组织合作开展特定保健业务的外包业务。我们向129个市发送了问卷，收到59个市的回复（回复率为45.7%）。主要结果如下：(1)无论人口规模大小，具体的卫生管理都以“全面信托”、“部分信托”和“全部直接管理”的方式进行。(2) 50%以上的公共卫生护士除了与其他城市的卫生工作者护士协调外，还与同一部门的文书人员、行政营养师协调工作。(3)我们感到需要与当地职业协调协会、市、区公共卫生护士、保险协会、卫生推进协会合作，与成为对象的居民组成团队。(4)作为一名市政公共卫生护士，我认为作为一名协调者，有义务对设施进行调整、验证和分析。然后，我们应该向我们社区的居民宣布这些任务的结果。我们应该得到他们对更先进的医疗服务的赞同。