Japan-hospitals : the journal of the Japan Hospital Association最新文献

{"title":"Closure of dispensing pharmacies during bon holidays--a problem on separation of prescribing and dispensing.","authors":"Yosuke Ooe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The separation rate of prescribing and dispensing in Japan has doubled to 62.3% in the 2006 fiscal year from 36.2% in the 1999 fiscal year. Although it is great that the separation rate of prescribing and dispensing has approached the level of other developed countries, is it actually convenient for the user? The greatest demerit of the application of separation is that patients must go to a pharmacy to obtain medicine after a medical examination. Although public hospitals are open except for national holidays, private pharmacies may be closed for holidays that are not in the calendar (ex. Bon holidays etc.) In this case, the situation where \"a patient cannot obtain medicine because of closure of pharmacies even if he/she has a prescription\" may arise. Therefore, we have investigated the situation on closure of dispensing pharmacies in Osaka city during Bon holidays.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 26","pages":"53-8"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A three-year-follow-up study on the change in physical and mental functions of the aged by the level ofADL. Evaluation of data from the Japanese elderly care insurance certification of long-term care need.","authors":"Aki Nakamura,&nbsp;Yosuke Ooe,&nbsp;Yuko Ohno,&nbsp;Takashi Nakamura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Using the value in which the physical and mental condition of elderly persons was converted into the amount of care required time, this paper estimates the average change of physical and mental functions according to the subject's sex and independence level of primary ADL (Activities of Daily Living) over a span of 3 years. The following comparative examination was also carried out: 1) Over a span of 3 years, how did the physical and mental functions of the elderly change? 2) Of the function items, which parts showed a change in function as time passed? 3) Was there any difference in terms of sex? 4) Was there an influence of the care service benefits from Long Term-care Insurance System on functional recovery? In Higashi-Osaka City, from October 1999 to March 2002, of the 20,393 elderly persons aged 65 years old and above who were administered a visit assessment to determine the level of care required, 10,812 persons who had been visited 3 or more times at intervals of 6 months to 1 year and had had data on their physical and mental conditions continuously obtained from them, were used as subjects. A \"Multilevel Model Analysis\" was conducted based on the ADL from the first visit which was divided into 1) almost independent, almost no need for nursing care (low-grade), 2) can lead an independent life if appropriate care is given (middle-grade), 3) unable to lead a normal day-today life without complete nursing care (severe-grade). For the basic model, the response variable was the hours spent for care required time, level 1 (i) was across multiple visit assessment occasions, level 2 (j) was multiple occasions nested within individuals, and the response variable was age at initial visit assessment and years from initial visit assessment (elapsed time). The prolongation of care required time during the 3 years was calculated at; low-grade male 19.3, middle-grade male 17.6, severe-grade male 2.6, low-grade female 15.2, middle-grade female 16.7, severe-grade female 2.2. The functions that changed over time were those asked in \"complex movement\" and \"the physical hygienics field\" items in the survey. These items showed a decrease in function thus increasing the level of required care. During 3 years the elderly care required time was prolongated. In low-grade and middle-grade, the use of nursing-care service did not prevent worsening of the care required level. In severe-grade an improvement was seen in the nursing-care condition. This may be due to the quantity of care provided. In examining the relationship of the care service and the care condition, it is necessary to look into the kind and quantity of severe-grade service that was used.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 26","pages":"41-52"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issues in expansion of DPC.","authors":"Koichi Kawabuchi,&nbsp;Keiko Kajitani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 26","pages":"19-30"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital care--Asia and Japan.","authors":"Shuzo Yamamoto","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 26","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new start is needed--policy proposals with evidence and numbers required.","authors":"Shuzo Yamamoto","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 25","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"56th Annual Congress of Japan Hospital Association/Symposium 5: Coordinating Regional Medical Systems--The Troubles of Hospitals and Solutions for Them.","authors":"Nobuo Yamamoto,&nbsp;Masahiko Saito,&nbsp;Kazuhiko Narukawa,&nbsp;Junko Tomosugi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 25","pages":"27-46"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating, ranking, and disclosing which hospitals, by specialty, are the best in Japan--why not?","authors":"John Wocher","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 25","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revised sunflower-SHELL model--an analysis tool to ensure adverse-events' factor analysis and followed by patient safety strategy.","authors":"Kazue Takayanagi,&nbsp;Yukiko Hagihara","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The original SHELL model is specified for analyzing human errors. In addressing medical errors, medical systems should be targeted for improvement instead of blaming human errors. The Sunflower-SHELL model was made for patient-centered incident analysis. A further change was added to enhance more practical and convenient analysis in the healthcare environment based on users' feedback.</p><p><strong>Methods: </strong>The revised-Sunflower-SHELL model was proposed. Pre-documented factors were newly added in sub-factor rows for easier analysis. Twenty-two nurses learned this analysis in three five-hour day workshops conducted by one of the authors, and reported the effectiveness of the model six months later.</p><p><strong>Results: </strong>The importance of the systemic change was recognized by the twenty two nurses. They noticed changes in awareness of nurses themselves, their peers, and the hospital managers even six months after the workshop. They understood that patient safety is the key to be a hospital chosen by customers. They also noticed that the hospital itself had changed due to the social pressures caused my media exposure and patients' increasing awareness of patient human rights.</p><p><strong>Conclusions: </strong>The revised Sunflower-SHELL can be applied to conduct root-cause change and to prevent recurrence of the incidents. Once one case is analyzed, the action plan can be applied to other similar incidents' prevention. The model is practical and convenient, so healthcare providers can complete it easily, which raises cost effectiveness because it reduces their efforts on advance events' management.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 25","pages":"11-8"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brand strengthening decision making delved from brand-contacts in health services organizations.","authors":"Kazue Takayanagi,&nbsp;Yukiko Hagihara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Under the Japanese Government's strong enforcement of Japanese national medical cost reduction, only hospitals which emphasize patient values, and creation of brands according to them can survive. This study extracted patients' expectations as brand from Campbell's Brand-Contact lists. The authors also proposed to add Brand-strengthening strategies both for short-term strategies (large improvement is not required) and for long-term strategies (restructuring hardware and systems). This method would enable hospitals to collect customers' underlying expectations, and would create high-value brands. Trustful medical service would provide mutual and synergetic medical care effects. It is already considered out of date to conduct qualitative patient satisfaction interviews on current medical services to current customers. It is the only way to survive that hospitals themselves produce their original brands to increase patient loyalty and customer satisfaction. In the process, customer value should be reconsidered from both aspects of the quality of clinical care and of other medically related services. Then hospitals would be able to satisfy both customers' output and process expectations.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 25","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27967356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The bright and dark sides of introducing IT in hospitals.","authors":"Kimiaki Fukushima,&nbsp;Shiro Shimizu,&nbsp;Takeshi Yokoi,&nbsp;Hiroaki Mitani,&nbsp;Toshio Oi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 24","pages":"23-45"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27968192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}