Clarifying Problems with Emergency Healthcare Systems in Japanese Long-Term Care Facilities for Older People

• Material Type: 博士論文
• Title: Clarifying Problems with Emergency Healthcare Systems in Japanese Long-Term Care Facilities for Older People
• Author/Editor: Sato, Nobuhiro
• Publication, Distribution, etc.: 新潟大学
• Publication Date: 2018-09-20
• Publication Date (W3CDTF): 2018-09-20
• Alternative Title: Clarifying Problems with Emergency Healthcare Systems in Japanese Long-Term Care Facilities for Older People; 日本の高齢者施設における救急医療システムの問題点を明らかにする
• Degree grantor/type: 新潟大学
• Date Granted: 2018-09-20
• Date Granted (W3CDTF): 2018-09-20
• Dissertation Number: 甲第4502号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第4502号
• Text Language Code: eng
• Subject Heading: Older People; Emergency Healthcare System; Japan; Long-Term Care; Staffing Problems
• Note (General): Background: Long-term care facilities for older people play an important role as alternatives to family care in an aging society. This study aimed to assess staffing problems linked to emergency healthcare for residents of these facilities, and to investigate the relationship between these problems and the characteristics of the facilities. Methods: The study surveyed managers of long-term care facilities for older people in a Japanese urban area between September and December 2014. The type of care facility, the number of staff and any problems providing or accessing emergency healthcare for the residents were evaluated. Multiple logistic regression analysis was used to explore the factors common to facilities reporting staffing problems linked to emergency healthcare of residents. Results: In total, 321 long-term care facilities were eligible for this study and 226 (70%) returned the questionnaire. We compared the characteristics of facilities reporting and not reporting staffing problems in emergency healthcare of residents. The type of care facility was significantly associated with staffing problems in emergency healthcare of residents both during the day (p< 0.01) and at night (p= 0.04). The facilities most likely to report problems were group homes for older people with dementia, because of staffing shortages. Conclusions: Problems in emergency healthcare systems in Japanese long-term care facilities for older people varied by type of care facility. Our data underscore the need for telemedicine and consideration of mergers between smaller facilities such as group homes for older people with dementia.; 学位の種類: 博士（医学）. 報告番号: 甲第4502号. 学位記番号: 新大院博（医）甲第839号. 学位授与年月日: 平成30年9月20日; Health. 2017, 9, 1159-1175.; 新大院博（医）甲第839号; 元資料の権利情報 : (C) 2017 by authors and Scientific Research Publishing Inc.
• DOI: info:doi/10.4236/health.2017.98084; https://doi.org/info:doi/10.4236/health.2017.98084
• Persistent ID (NDL): info:ndljp/pid/11217071; https://dl.ndl.go.jp/pid/11217071
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2019-01-04T08:16:43+09:00
• Date Created (W3CDTF): 2019-09-10
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10191/50783
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp