記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: For current medical education, community-based primary care for the elderly is an essential topic. This study aimed to establish a scale of community-based assessment for clinical and emergency practice (C-CEP). METHODS: A self-assessment scale for C-CEP was developed according to four steps. Initially, we reviewed publications from the societies of the United States, British, and Japan regarding educational goals. In addition, we searched MEDLINE for educational goals regarding attitude, skills, and knowledge. Getting together, we established 23 items as the educational goals of the C-CEP. Second, we collected responses for these 23 items from 5th-grade medical students (n = 195). Third, we conducted an exploratory factor analysis (EFA) using their responses to determine the fundamental structure of the self-assessment scale. Finally, a confirmatory factor analysis (CFA) was performed to assess the fitness of the self-assessment scale developing the EFA, resulting in modification of the items. RESULTS: In EFA and CFA results, C-CEP Scale consisted of four factors with 15 items: "Attitude and communication in emergency care," Basic clinical skills," "Knowledge of community healthcare," and "Knowledge of evidence-based medicine perseverance." The model fit indices were acceptable (Goodness of Fix Index = 0.928, Adjusted Goodness of Fit Index = 0.900, Comparative Fit Index = 0.979, and Root Mean Square Error of Approximation = 0.045). The values of McDonald's omega as an estimate of scale reliability were more than 0.7 in all four factors. As for test-retest reliability, the intraclass correlation coefficients were ≥ 0.58 for all factors. All four factors of the C-CEP Scale correlated positively with the Medical Professionalism Evaluation Scale subscales. CONCLUSIONS: We developed a valid and reliable self-assessment scale to assess student competence.

DOI： 10.1186/s12909-022-03848-z

PubMed

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記述言語：日本語   出版者・発行元：日本健康学会  

医中誌

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本保健医療福祉連携教育学会  

DOI： 10.32217/jaipe.15.1_2

CiNii Research

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：(一社)日本病院総合診療医学会  

医中誌

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：日本保健医療福祉連携教育学会  

医中誌

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

In the 1990s, interprofessional education (IPE) was introduced to health professionals in higher education; it has come to be regarded as a standard learning method. However, major barriers remain regarding its introduction and smooth operation. This study conducted a questionnaire survey at educational facilities for health professionals in Japan; it developed scales to measure the recognition of barriers to and benefits of IPE implementation. We surveyed chairpersons responsible for 2,690 courses in Japanese health education facilities. We used for analysis the responses related to 767 courses (valid response rate, 28.5%). In all, 216 courses (28.7%) implemented IPE. We conducted exploratory factor analysis and developed scales for measuring the recognition of barriers to IPE implementation (15 items) and its benefits (11 items). We observed a significant relationship between the state of IPE implementation and recognition of barriers to and benefits of IPE. Using information and communication technology and faculty development for faculty members would be effective in removing the barriers to IPE implementation.

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

GANBATTA: ("Well done!") is a term used frequently in Japan to praise children in medical settings when they have worked hard or made a courageous attempt. Therefore, the aim of this study was to clarify the factor structure of behaviors associated with ganbatta in young children (age 3-7 years) undergoing blood sampling or vaccine injection. A cross-sectional questionnaire survey was carried out on 150 selected pediatric nursing educators holding a nursing license (age ≥20 years). An exploratory factor analysis was then conducted using the principal factor method with promax rotation to confirm the construct validity. Cronbach's α coefficients were calculated for each identified factor to verify the internal consistency of the item. The mean (standard deviation) lengths of pediatric nursing and pediatric nursing education experience were 7.8 (4.7) and 9.9 (8.1) years, respectively. The cumulative contribution rate was 70.4%. The KMO measure of sampling adequacy was 0.927. The p value of Bartlett's test of sphericity was <0.001%. Finally, among the children's behaviors, 5 factors were identified and 25 items were selected: Factor 1, Proactive participation, containing 7 items; Factor 2, Sense of relief and joy after needle removal, 6 items; Factor 3, Negative emotional expression, 4 items; Factor 4, Information-seeking, 5 items; and Factor 5, Moving on from the needle procedure, 3 items. These findings indicate that ganbatta is a complex concept that encompasses a variety of aspects in young children in relation to needle procedures. Evaluating a young child's ganbatta behaviors during a needle procedure can serve as an indicator to evaluate the quality of care provided by nurses. Sharing the evaluated results with children and their parents may serve as a foundation to open discussions in regard to higher-quality care. In addition, observing ganbatta behaviors during a needle procedure and providing feedback to the child could help them feel like they have done a good job.

DOI： 10.1080/24694193.2020.1764147

PubMed

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.23750/abm.v91i2-S.9172

PubMed

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記述言語：日本語   出版者・発行元：札幌医科大学保健医療学部  

その他リンク： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2020&ichushi_jid=J05973&link_issn=&doc_id=20200626360004&doc_link_id=%2Ffc8hoken%2F2020%2F000009%2F004%2F0022-0026%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Ffc8hoken%2F2020%2F000009%2F004%2F0022-0026%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

医中誌

J-GLOBAL

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Wiley  

DOI： 10.1111/jonm.12822

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：F1000 Research Ltd  

<ns4:p>This article was migrated. The article was not marked as recommended. Background: There has been an increasing number of articles that have studied the topic of medical professionalism. The aims of this study were to develop a scale of medical professionalism. Methods: The concepts of medical professionalism as defined by associations and groups of physicians, nurses and physiotherapists were investigated. The surveys using self-administered questionnaires were conducted on students and junior residents. An exploratory factor analysis, calculation of the coefficient alpha, and correlation coefficients with other scales were performed. Results:A factor analysis resulted in the extraction of 30 items in 7 factors as items of the Level 1 scale for pre-clinical level students. The correlation coefficients between the scores for the 7 factors and KiSS-18 were in the range of 0.23 - 0.76. The coefficient alpha of all 30 items was 0.90. A factor analysis resulted in the extraction of 31 items in 8 factors from the Level 2 scale for students at the time of graduation. The correlation coefficient between the scores for the 8 factor and "Reflective skills" of the P-MEX was 0.31 - 0.59. The coefficient alpha for all 30 items was 0.93. Conclusion: Construct validity, criterion-related validity and reliability were generally confirmed for the two scales.</ns4:p>

DOI： 10.15694/mep.2019.000091.1

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：(株)毎日学術フォーラム  

医中誌

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記述言語：日本語   出版者・発行元：北海道生命倫理研究会  

その他リンク： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J06278&link_issn=&doc_id=20190422240002&doc_link_id=http%3A%2F%2Fid.nii.ac.jp%2F1599%2F00013998%2F&url=http%3A%2F%2Fid.nii.ac.jp%2F1599%2F00013998%2F&type=%8ED%96y%88%E3%89%C8%91%E5%8Aw%81F%8ED%96y%88%E3%89%C8%91%E5%8Aw%8Aw%8Fp%8B%40%8A%D6%83%8A%83%7C%83W%83g%83%8A_ikor&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80183_3.gif

医中誌

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

PURPOSE:The undergraduate version of the Interprofessional Learning Scale (UIPLS) was developed to evaluate students' competency in interprofessional education because the existing scales were too professional for entry-level students to understand and respond to effectively. In addition, existing scales have some noted problems with validity and reliability. METHODS:An early 49-item version of the UIPLS was completed by 837 first-year students from two universities and one technical college, including departments for various professionals, in Hokkaido prefecture, Japan. The most common age group was 18-19 years (89.4%) and 61.2% were women. Ten items from the Minnesota Multiphasic Personality Inventory were used to exclude respondents who tended to create a socially favorable impression and/or a possible random and incorrectly scored profile. Kikuchi's Social Skills Scale (18 items) was also used as an external standard to demonstrate the convergent validity of the UIPLS. RESULTS:Eighteen items across four factors were extracted by factor analysis: "reflection on group work," "attitude towards group work," "knowledge of interprofessional working," and "skill in group work." Internal consistency was confirmed by Cronbach's alpha coefficient (>0.75). CONCLUSIONS:With good indicators of its validity and reliability, the UIPLS shows some promising aspects to evaluate students' competency for interprofessional working.

その他リンク： http://orcid.org/0000-0003-4765-459X

PubMed

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：日本保健医療福祉連携教育学会  

医中誌

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：(一社)日本医療・病院管理学会  

DOI： 10.11303/jsha.55.123

医中誌

J-GLOBAL

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担当区分：責任著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

The purpose of this study was to refine the items on a scale measuring interprofessional collaborative competency that was developed by the authors in an earlier pilot study. A questionnaire-based study was conducted with a sample of 2133 health professionals using the reformulated questionnaire. Construct validity was tested by comparing the survey results with a covariance structure analysis and the domains of interprofessional collaboration competencies presented in previous studies. A second survey was conducted 2 weeks later with a sample of 571 nursing professionals, using the same survey form to test its reliability. We constructed a model comprising 29 observed variables and six latent variables (the Chiba Interprofessional Competency Scale: CICS29), and obtained the following values for the model's goodness of fit: GFI = 0.925, AGFI = 0.908, CFI = 0.950, RMSEA = 0.049. With regard to reliability, we obtained scores ranging from 0.65 to 0.77 for the intraclass correlation coefficients of the six domains. Compared with the interprofessional collaboration scales indicated in previous studies, the CICS29 was found to have subsumed the key concepts that should be configured as interprofessional collaboration competencies. The CICS29 appeared to have satisfactory levels of reliability and validity and is recommended as a scale for measuring competencies of interprofessional practice.

その他リンク： http://orcid.org/0000-0003-4765-459X

DOI： 10.1080/13561820.2016.1233943

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：札幌医科大学医学部  

DOI： 10.15114/smj.85.39

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本公衆衛生学会  

DOI： 10.11236/jph.63.8_397

医中誌

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（大学，研究機関等紀要）   出版者・発行元：北海道大学大学院教育学研究院  

医師，看護師，理学療法士の３職種の13のプロダクト（文書・声明文・綱領等）の内容を精査し，90のコード，21のカテゴリ，７領域，３分野で構成された「医療プロフェッショナリズム概念」を構築した。次に，1990年以降のプロフェッショナリズム概念の変遷を検討した。「科学的根拠に基づく医療・ケア」，「専門職連携・協働におけるコンフリクト・マネジメント」，「ハンド・オーバー」，「安全文化の普及・推進」，「マス・メディアの利用と情報提供のあり方」などの新しい概念の登場によるプロフェッショナリズム概念の拡大がみられた。また，患者の意思決定への参加から，患者の自律性を尊重するなど，プロフェッショナリズム概念の質の変化が認められた。概念の変化に応じた卒前・卒後の教育・学習の転換が求められるが，専門職連携教育をプロフェッショナリズムを涵養する１つの方略として提示した。We constructed the concept of "multidisciplinary medical professionalism." It comprised 90 codes,21 categories, 7 domains, and 3 areas, and examined 13 products (e.g., document, statement, code, and study) from professional associations of doctors, nurses, and physical therapists. We traced the history of the concepts of professionalism from the 1990s. We identified the extending as well as the new concepts of professionalism: "evidence-based medicine and practice," "conflict management in collaborative practice,""hand over,""dissemination and promotion of safety culture," and "utilizing mass media and providing information to citizens." Qualitative changes to the concept of professionalism,for example, the role of patients having changed from passive to active in the decision-making process, were identified. Hence, a transformation in pre-service and in-service training for professions in health-care coinciding with changes to the concept of professionalism is required. We propose introducing interprofessional education as a strategy to nurture medical professionalism.

DOI： 10.14943/b.edu.126.1

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記述言語：英語   掲載種別：研究論文（大学，研究機関等紀要）   出版者・発行元：札幌医科大学  

DOI： 10.15114/smj.84.27

医中誌

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本老年看護学会  

本研究では,介護老人保健施設の看護職160人,介護職275人,リハビリテーション関連職(以下,リハ職)99人の他職種に対する情報授受の認識を,情報内容ごとに明らかにするため自記式質問紙調査を実施した.情報は,入所者の健康や日常生活状況,機能訓練,家族介護力等9項目で構成し,項目ごとに「情報提供している(受けている)認識」の回答を4段階で求めた.情報授受の認識の分析にはWilcoxonの符号付順位検定を用いた.看護職は「入所者の健康や治療および日常生活状況」等の7項目,介護職は「入所者の健康や治療および日常生活状況やADL(日常生活動作)」等の8項目,リハ職は「入所者のADLや訓練内容」等の7項目について他職種との情報授受の認識にそごがあった.その背景として,看護職は医療職としての責任と老年看護に対する意欲が高く,介護職は安全にかつ根拠に基づいた日常生活援助を実践するため,また,リハ職は効率的にリハビリテーションを提供するためであると推察された.

DOI： 10.20696/jagn.19.2_58

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記述言語：日本語   出版者・発行元：北海道生命倫理研究会  

In the present study, we focus on the extent to which elderly living in solitude are satisfied with their lifestyles. To examine this issue, semi-structured interviews were conducted with twelve elderly persons (ages 69-90). The transcripts from these interviews were analyzed through a qualitative-inductive approach. Overall, the obtained information could be classified into seven categories. Concerning their self-relationships, five categories could be noted: (1) Manners of interpretation regarding what it means to live alone; (2) attitudes and behavior exhibited in order to find pleasure and meaning in one&#039;s life; (3) attitudes and behavior employed to survive hardship; (4) pride felt in one&#039;s endeavors and past achievements; and (5) intentions behind self-confrontation. Concerning relationships with others, two categories could be seen: (6) An existence that provides encouragement to the elderly and (7) feelings of being useful to others. The information provided during the interviews suggests that in order for the elderly to better accept their present situation, it is necessary that they are able to find ways of deepening and improving both their self-relationships and relationships with others.

DOI： 10.15114/hjbe.3.13

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：北海道生命倫理研究会  

People aged 65 or older comprised 24.1% of Japan's population in 2012, implying that currently one in four people are elderly. Approximately half of these aging households comprise elderly people living alone, and the number of these single-person households is expected to increase. Some studies have dispelled the myth that almost all elderly people living alone experience loneliness. Therefore, we should acknowledge and support their continuing to live alone, rather than insisting on institutionalizing them or sending them to live with their children. To understand and support self-dependent elders we may be required to learn about their life histories and life circumstances. In addition, we should understand that the elderly are mature and capable of handling any situation owing to their experiencing multitudinous stressful life events during the course of their lives, such as bereavement, retirement, or severe sickness I have developed a hypothesis that the lives of the elderly living alone were supported by their psychological elasticity, which includes their resilience, sense of coherence (SOC), and recovery concept. This paper discusses the importance of the studies that clarify the process of nurturing and internalization of psychological elasticity in the elderly.

DOI： 10.15114/hjbe.2.20

J-GLOBAL

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本保健医療福祉連携教育学会  

J-GLOBAL

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

その他リンク： http://orcid.org/0000-0003-4765-459X

DOI： 10.3109/13561820.2013.851070

PubMed

Web of Science

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：京都大学  

The aim of this study was to evaluate the effectiveness of Interprofessional Education (IPE), which is implementedsoon after students enter university. Sapporo Medical University began implementing IPE in the Medicine, Nursing,Physical Therapy and Occupational Therapy departments in 2004. The program currently runs from the first to the fourthyear of university and comprises lectures, exercises and practicum training. The optional course for-first year students wasupdated in 2012. We examined changes in social skills (KiSS-18) and Readiness for Interprofessional Learning Scale (RIPLS)scores before and after practicum training. The subjects included 39 students who completed both surveys (valid responserate: 67.2%). Dependent variable scores on the three RIPLS subscales improved after practical training. A significantdifference was observed in KiSS-18 scores between male and female students before the practicum. Female students hadalready received a high KiSS-18 score before the practicum. Scores on KiSS-18 and two RIPLS subscales (Teamwork andCollaboration, and IPE Opportunities) increased significantly for male students, whereas scores on the third RIPLS subscale(Uniqueness of Profession) increased significantly for female students. We found that early implementation of practicaltraining in IPE had at least a short-term effect, and that these effects varied depending on gender.

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記述言語：日本語   掲載種別：研究論文（学術雑誌）  

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本保健医療社会学会  

患者・家族によって認知、判断される「医療事故」を調査、分析し、その特徴を考察した。福岡県民2,000名を対象とした、郵送法による質問紙調査を行った。有効回収率は27.9%であった。対象者本人およびその家族の「医療事故」体験は計175ケース報告された。ICD-10コードでは「新生物」(14.3%)が、問題の原因に関する臨床的分類では、疾病の見逃しや発見の遅れを表す「診断」(32.0%)が最も多かった。患者・家族によって認知・判断される「医療事故」の特徴として、第1に、患者・家族は「医療管理下」と判断する状況における予期せぬ死亡、著しい病状の悪化、QOLの低下を、医療行為や医療的な管理の問題として捉えていた。第2に、医療専門家の情報によって形成された治療や治療結果への期待と、実際の結果が異なった場合が挙げられる。第3に、医療機関/医療専門家間の診断・治療・治療結果が不一致である状況が挙げられた。

DOI： 10.18918/jshms.23.2_39

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本保健医療福祉連携教育学会  

医中誌

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：(株)日本看護協会出版会  

医中誌

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：Japan Society for Healthcare Administration  

本研究は患者・家族が歯科の「医療事故」をどのように認知，体験しているかそのプロセスを検討した。調査対象者2,000人を抽出し，自記式調査票を用いた郵送法による調査を行った（回収率29.0%）。歯科の「医療事故」体験について19事例の回答が得られ，うち1事例は聞き取り調査を行った。患者・家族が歯科の「医療事故」を認知するプロセスとして，異常な痛みの認知，感覚的に認知された異変，口腔機能の低下の異常が認知されていた。そして，診断/治療・治療結果の食い違い，治療結果の医学的な評価といった客観的な情報を通じて患者・家族は「医療事故」を認知していた。また，その過程において医療者の不適切な説明と対応が「医療事故」の認知に影響を及ぼしていた。医療者は患者の過去の受療歴と治療結果，患者が思い描く治療方法・結果について事前に聴取し，予測しうるネガティブな治療結果や症状について十分に説明することが求められる。

DOI： 10.11303/jsha.49.73

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語  

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）  

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本医療・病院管理学会  

J-GLOBAL

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記述言語：英語   出版者・発行元：日本健康学会  

その他リンク： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2007&ichushi_jid=J01424&link_issn=&doc_id=20071213080002&doc_link_id=%2Fdf9hueco%2F2007%2F007306%2F003%2F0225-0242%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fdf9hueco%2F2007%2F007306%2F003%2F0225-0242%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

医中誌

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：医学書院  

DOI： 10.11477/mf.1663100643

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）  

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：厚生統計協会  

その他リンク： http://search.jamas.or.jp/link/ui/2006177243

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：一般社団法人 日本医療情報学会  

近年わが国では，多くの医療機関で患者満足度調査の取り組みが行われており，調査で得られた情報を有効に活用することが求められている．従来の患者満足度に関する多くの調査・研究は，単施設の患者を対象としている．そこで本研究では，複数の医療機関の外来患者を対象にして，医療機関の規模・機能別の患者満足度と，患者満足度に影響を与える要因について検討した．その結果，医療機関の規模・機能に関わらず，医師の評価，設備・環境の評価，健康回復感が総合満足度に影響を与えており，なかでも，医師の評価が与える影響力は最も大きかった．大学病院については特異な関連要因が認められ，年齢が若い，長期通院をしている，待ち時間が長いほど，総合満足度が低くなるという結果であった．大学病院および大規模病院においては，待ち時間への特段の配慮など，他の規模・機能の医療機関とは異なった対策が講じられることが，外来患者の満足度の向上につながると考えられる．

DOI： 10.14948/jami.24.297

J-GLOBAL

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記述言語：日本語   出版者・発行元：医学書院  

DOI： 10.11477/mf.1541100824

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）  

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   出版者・発行元：杏林書院  

J-GLOBAL

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記述言語：日本語   掲載種別：研究論文（学術雑誌）  

J-GLOBAL

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：医療経済研究機構  

医中誌

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（大学，研究機関等紀要）   出版者・発行元：東京学芸大学  

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