地域の医療提供体制が住民の安心感へ及ぼす影響  [in Japanese] EFFECT OF NEIGHBOURHOOD HEALTH CARE RESOURCES ON THE SENSE OF SECURITY OF RESIDENTS  [in Japanese]

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Author(s)

Abstract

地域における医療提供体制が住民の安心感とどのように関連しているのかを明らかにすることを目的とする。無作為抽出された仙台市に居住する20歳から69歳の男女1,500名を対象に,2009年5月から7月に郵送調査を行なった。地域の医療提供体制として,近接病院までの距離,病床数,一般診療所数(人口千対),歯科診療所数(人口千対)を用いた。地域の医療提供体制に対する安心感を応答変数として,マルチレベル分析を行なった。その結果,級内相関係数は0.225であった。また,近接病院までの距離と医療提供安心感とが有意な負の関連をもち,一般診療所数と有意な正の関連を有していた。病床数と歯科診療所数に関しては有意な関係が認められなかった。個人属性や社会経済的地位で統制したところ,効果の大きさはわずかに増加した。安心感という点から医療提供体制を確立するためには,日常生活圏としての地域という観点を考慮に入れることが望まれる。

The aim of this paper was to examine the relation between neighbourhood health care resources and the sense of security of residents. From May to July 2009 I conducted a postal survey for adults aged 20-69 living in Sendai. One thousand five hundred people were randomly chosen as subjects. Variables of neighbourhood health care resources were the distance to the nearest hospital, hospital beds, clinics per 1,000 population and dental clinics per 1,000 population. The relation between neighbourhood health care resources and the sense of security of residents was examined within a multilevel framework. The intra-class correlation coefficient was 0.255. The distance to the nearest hospital had a positive effect on the sense of security. On the other hand, clinics per 1,000 population was negatively related to the sense of security. Hospital beds and dental clinics did not have any significant effect on the sense of security. Controlled by individual characteristics and socio-economic status as covariates, the effect increased slightly. It is of potential importance for a health care system to take the perspective of the daily living area into account from the point of the sense of security of the inhabitants.

Journal

  • Journal of the Japan Society for Healthcare Administration

    Journal of the Japan Society for Healthcare Administration 48(2), 65-72, 2011-04-01

    Japan Society for Healthcare Administration

References:  15

Codes

  • NII Article ID (NAID)
    10031187591
  • NII NACSIS-CAT ID (NCID)
    AA12296781
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    1882594X
  • NDL Article ID
    11108574
  • NDL Source Classification
    ZS7(科学技術--医学) // ZE5(社会・労働--社会問題・社会保障)
  • NDL Call No.
    Z19-40
  • Data Source
    CJP  NDL  J-STAGE 
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