ANALYSIS OF CHANGES IN ACCESSIBILITY BY TRANSFERRING PATIENTS FROM ACUTE CARE HOSPITALS TO CONVALESCENT HOSPITALS USING GEOGRAPHIC INFORMATION SYSTEM （GIS）

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  • GISによる急性期医療機関から回復期医療機関への転院によるアクセシビリティの解析
  • GISによる急性期医療機関から回復期医療機関への転院によるアクセシビリティの解析 : 大腿骨頸部骨折地域連携クリティカルパスを例にとって
  • GIS ニ ヨル キュウセイキ イリョウ キカン カラ カイフクキ イリョウ キカン エ ノ テンイン ニ ヨル アクセシビリティ ノ カイセキ : ダイタイコツ ケイブ コッセツ チイキ レンケイ クリティカルパス オ レイ ニ トッテ
  • ——A regional cooperative critical-path for femoral neck fracture as an example——
  • ——大腿骨頸部骨折地域連携クリティカルパスを例にとって——

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Abstract

Promotion of regional referral systems, such as regional cooperative critical-paths, enables patients to effectively and safely receive medical care, while benefiting from the advancement and specialization of technology. On the other hand, the influence of the promotion of referral systems on accessibility, such as trends in the movement of patients has scarcely been elucidated.<br>Therefore, the purpose of this study was (1) to visualize the areas from which patients are drawn to hospitals, and (2) to elucidate changes in accessibility by transferring patients to convalescent hospitals using geographic information system (GIS), in acute care hospitals in regions with advanced regional cooperation.<br>In this study, substantial areas covered by acute care hospitals were wider than secondary medical areas, and 32.5% patients were transferred to convalescent hospitals outside the secondary medical areas. Geographic dissociation between secondary medical areas established by the Medical Service Act and the actual areas covered by hospitals were clarified. It was suggested that the evaluation of accessibility using GIS can be utilized in developing health resources reflecting the actual state of health care and in making health plans.

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