Analysis of Nursing and Health Care Policies Decision-making Process and Creation of Policy Database

1.研究目的：建立一个关于国会中提出的护理问题的数据库，以实例分析政策决策过程，以考察与护理有关的这一过程，并促进护理专业人员和学生对政策制定的更深入了解。结果与结论：1)建立关于护理问题的国会会议记录数据库建立一个数据库，以允许搜索第126届国会两院(1993年1月22日至8月4日)关于护理问题的会议、演讲者、政党和评论。1993年)至第152届国会会议(2001年8月7日至2001年9月26日)，使用位于国家饮食图书馆的“饮食会议纪要-搜索系统”，实现关于护理相关问题的关键字搜索。数据库用户将发现，该系统通过表达决策过程图a…简化了这一复杂的过程此外，还增加了关于政治和政策术语的解释性说明。还开发了一个主页，使护理政策学习材料更广泛地供护理教育机构使用。2)决策过程分析--审查急性疾病护理专业人员配置的决策过程2001年3月颁布了根据《医疗法》第四次修订的一般疾病护理专业人员配置标准，并对其决策过程进行了分析和审查。提供医疗保健的系统被分为急性病和慢性病，其中审查了秘书处的法案，该法案提出了以创建急性病人员编制标准为目标的2.5：1比率，最终导致建立了3：1比率。分析了这一过程。医疗服务设施委员会的成员分为1名保健提供者、2名保险人和3名公民(消费者)。2侧重于高效、有效的医疗，3侧重于安全、有效的医疗，1的结构是根据诊所、中小型医院和大型医院的角度进行区分的。因此，日本医学会的战略取得了成功，在自民党政策事务研究委员会内的保健、劳动和福利咨询委员会对他们的大力支持下，建立了3：1以下的比例

1.Purpose of Study: A database on nursing care issues raised in the Diet was created for analyzing the policy decision-making process using examples in order to examine this process with respect to nursing care and for promoting a deeper understanding of policymaking by those in the nursing care profession as well as students2.Result & Conclusion: 1) Creation of Database for Minutes of Diet Concerning Nursing Care IssuesA database was created to permit searches on meetings, speakers, political parties and remarks made with respect to nursing care issues in both Houses of the Diet from the 126th Session of the Diet (January 22, 1993 to August 4, 1993) to the 152nd Session of the Diet (August 7, 2001 to September 26, 2001) using the 'Minutes of Diet Session - Search System ' located in the National Diet Library, enabling keyword searches on nursing care-related issues. Database users will find the system simplifies this complex process by expressing the policymaking process diagrammatica … More lly and by adding explanatory notes on political and policy-related terms. A homepage for making nursing care policy study materials more widely available for use at nursing care educational institutions was also developed2) Policymaking Process Analysis-Examining the Decision-Making Process for Staffing of Nursing Professionals for Acute IllnessesThe standards for the staffing of nursing care professionals for general illnesses according to the 4th Revision to the Medical Treatment Law were enacted in March 2001, the policymaking process of which was analyzed and examined. The system for providing health care was classified into acute and chronic illnesses, in which the Secretariat bill proposing a 2.5:1 ratio based on the goal of creating a staffing standard for acute illnesses was examined, ultimately leading to a 3:1 ratio being established. This process was analyzed. Members of the Council on Medical Service Facilities were divided into 1 Health care providers, 2 Insurers and 3 Citizens (Consumers). While 2 focuses on efficient, effective medical treatment and 3 on safe, effective medical treatment, the structure of 1 is distinguished based on the perspectives of clinics, small & medium-sized hospitals and large hospitals. Thus, the strategy of the Japan Medical Association, representing the clinics who loathe the idea that personnel expenes are taken from allocated medical expenses, succeeded in such a way that the strong support afforded to them by the Health, Labor and Welfare Advisory Committee within the LDP's Policy Affairs Research Council led to the establishment of a 3:1 ratio Less