Accessibility of pediatric inpatient services in Japan.
Accessibility of pediatric inpatient services in Japan.
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DOI：
10.1371/journal.pone.0201443
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Ehara A
中科院分区：
文献类型：
--
作者：
Ehara A
在日本，所有公民都享有国民保险制度。儿童的医疗费用由地方政府共同支付。这消除了前往医疗设施的大部分经济障碍，但儿科医疗服务的地理障碍仍然存在，包括到医疗设施的距离和运输时间。然而，关于儿科住院服务的地理可及性的信息很少。在这项研究中，我计算了儿童居住在30分钟和60分钟内可到达儿科住院服务提供者的地区的比例。计算基于满足二级和三级儿科住院服务高报销标准的医院地址、住宅区数据和汽车平均速度数据。总的来说，88.0%的儿童居住在距这些医院30分钟的范围内，95.2%的儿童居住在距这些医院60分钟的范围内。与人口密度低的地区（如北海道、东北和四国）相比，人口密度高的地区（如关东和近畿）获得此类服务的儿童比例更高。此外，人口密度高的地区，居住在至少有五名全职儿科医生的医院范围内的儿童比例也很高。
In Japan, all citizens are covered by the national insurance system. Children’s medical expenses are subsidized by local government co-payments. This removed most economic barriers to visiting medical facilities, geographical obstacles to pediatric medical services remain, including distance to medical facilities and transportation time. However, information on geographic accessibility of pediatric inpatient services is scarce. In this study, I calculated the proportion of children resident in areas accessible to pediatric inpatient service providers within 30 and 60 minutes by automobile. Calculations were based on addresses of hospitals that met criteria for high reimbursement for secondary and tertiary pediatric inpatient services, data for residential blocks, and data for the average velocity of an automobile. In total, 88.0% of children lived within 30 minutes of these hospitals and 95.2% of children lived within 60 minutes. The percentage of children with such access was higher in regions with high population density (e.g., Kanto and Kinki) compared with regions with low population density (e.g., Hokkaido, Tohoku, and Shikoku). Furthermore, regions with high population density also had high rates of children that lived within reach of hospitals with at least five full-time pediatricians.
影响因子：
168.9
作者：
Ikegami, Naoki;Yoo, Byung-Kwang;Kobayashi, Yasuki
通讯作者：
Kobayashi, Yasuki