Study on the resource allocation and cost benefit structure in order for establishing sustainable healthcare sysytem

建立可持续医疗体系的资源配置和成本效益结构研究

• 批准号: 22330079
• 负责人: YASUKAWA Fumiaki
• 金额: $ 10.48万
• 依托单位: Yokohama City University (2012-2013)Kumamoto University (2010-2011)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22330079/
• 关键词: 地域医療; プライマリケア; 医療資源配置; 支払い意志; 便益; 集約化; 資源配分; 在宅医療; 施設集約化; 周産期医療; 患者の受診行動; 医療資源の不足; 医療制度改革; 高齢者医療; 医療ネットワーク; 医療資源再配分; 支払意志; 費用便益

In this research I conducted empirical analysis to assess whether outcomes might be brought by designing sustainable healthcare resource setting and contributed on improveness of peapoles' well-being.As results, 1)through the qustionnaire survey, it was found that elderly people have highly recognized the progress of healthcare policy in the future, and have strong willingness to burden the costs of healthcare reform when it would be satisfied the quailty of care; 2)it was implicated that, by researching home visit care for younger cancer patients, clinical nurse specialists may take critical role of making up the shortage of health profession in region and encouraging effective health provisions; 3) by demand-supply analysis on the social impacts of the consolidation policy of perinatal care facilities in Hokkaido, it was indicated that, while some increase of residents' satisfaction obtained, both consolidated facility and satellite ones face the hospital costs inflation.

通过问卷调查发现，老年人对未来医疗政策的进步有较高的认可度，并在满足医疗质量的前提下，有较强的承担医疗改革成本的意愿；2)通过对年轻癌症患者家访护理的研究，提示临床护理专家可能在弥补地区卫生专业人员短缺、鼓励有效医疗服务方面发挥关键作用；3)通过对北海道围产期保健设施整合政策的社会影响进行供需分析，结果表明，在居民满意度有所提高的同时，整合设施和卫星设施都面临着医院费用上涨的问题。

项目成果

Consolidation of perinatal care resources in Japanese regional care～Demand side influences and political implications～

日本地区护理中的围产期护理资源整合～需求面影响和政治影响～

• 发表时间: 2014
• 作者: Pines;D. and Kono;T.;各務和彦;高原明生;大垣昌夫;森知也;Fumiaki Yasukawa
• 通讯作者: Fumiaki Yasukawa

What is the Optimal Health Insurance Scheme for Aged Society? Primitive Analysis for Seeking Real Premium in Japanese New Social Health Insurance for the Aged

什么是老年社会最佳健康保险计划？

• 发表时间: 2011
• 作者: Esteban Ferro;John S. Wilson;Tsunehiro Otsuki;菅英輝;Fumiaki Yasukawa
• 通讯作者: Fumiaki Yasukawa

How to understand the social problem in cancer younger patients.

如何理解年轻癌症患者的社会问题。

• 作者: AKITA;Shigeru;Fumiko Yuki and Fumiaki Yasukawa
• 通讯作者: Fumiko Yuki and Fumiaki Yasukawa

地域医療研究の社会経済的視座～医学モデルから生活・人間環境モデルへの転換～

区域医学研究的社会经济视角 - 从医学模式转向生活方式/人文环境模式 -

• 发表时间: 2012
• 期刊: 熊本大学社会文化研究
• 作者: Tsunehiro Otsuki;Etsuyo Michida;Kaoru Nabeshima; Yasushi Ueki;森 知也;安川文朗
• 通讯作者: 安川文朗

公共資本としての医学シミュレーション～提供と負担のしくみを考える～

作为公共资本的医疗模拟 - 考虑供给和负担制度 -

• 发表时间: 2011
• 期刊: 日本臨床麻酔学会誌
• 作者: AKITA;Shigeru;Ihori T.;安川文朗
• 通讯作者: 安川文朗