{"created":"2021-03-01T06:22:17.185895+00:00","id":5586,"links":{},"metadata":{"_buckets":{"deposit":"f8be594e-d024-4722-9cae-f16350381b8e"},"_deposit":{"id":"5586","owners":[],"pid":{"revision_id":0,"type":"depid","value":"5586"},"status":"published"},"_oai":{"id":"oai:repository.dl.itc.u-tokyo.ac.jp:00005586","sets":["125:126:347","9:233:280"]},"item_7_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-22","bibliographicIssueDateType":"Issued"},"bibliographic_titles":[{}]}]},"item_7_date_granted_25":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2012-03-22"}]},"item_7_degree_grantor_23":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"University of Tokyo (東京大学)"}]}]},"item_7_degree_name_20":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(医学)"}]},"item_7_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"近年、地域の基幹病院の救急外来(救外)において、時間外の軽症患者を対象とする特別料金の導入が広がっている。特別料金が、重症患者も含む患者の救外受療率にどのような影響を与えるか、一自治体病院のデータを用いて考察した。その結果、特別料金導入後に、救外受診後に入院した患者の受療率は有意な変化を認めなかったが、入院しなかった患者の受療率は6割程度に減少していた。救外の適正利用を呼びかけるとともに特別料金を導入することで、入院を必要としない患者の時間外受診を選択的に減らせる可能性が示唆された。特別料金導入に伴って生じうる受診の遅れや差し控えによる患者の健康に対する影響は、今後さらなる検討が必要である。","subitem_description_type":"Abstract"}]},"item_7_dissertation_number_26":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第28193号"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"11630","nameIdentifierScheme":"WEKO"}],"names":[{"name":"いなだ, はるひこ"}]}]},"item_7_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15083/00005577","subitem_identifier_reg_type":"JaLC"}]},"item_7_select_21":{"attribute_name":"学位","attribute_value_mlt":[{"subitem_select_item":"doctoral"}]},"item_7_subject_13":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_7_text_22":{"attribute_name":"学位分野","attribute_value_mlt":[{"subitem_text_value":"Medical Science(医学)"}]},"item_7_text_24":{"attribute_name":"研究科・専攻","attribute_value_mlt":[{"subitem_text_value":"Department of Social Medicine, Graduate School of Medicine (医学系研究科社会医学専攻)"}]},"item_7_text_27":{"attribute_name":"学位記番号","attribute_value_mlt":[{"subitem_text_value":"博医第3852号"}]},"item_7_text_4":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"東京大学大学院医学系研究科社会医学専攻"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"稲田, 晴彦"}],"nameIdentifiers":[{"nameIdentifier":"11629","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-06-01"}],"displaytype":"detail","filename":"h23_inada.pdf","filesize":[{"value":"617.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"h23_inada.pdf","url":"https://repository.dl.itc.u-tokyo.ac.jp/record/5586/files/h23_inada.pdf"},"version_id":"8009b904-c946-4c9f-baf0-9fc59e09d307"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"thesis","resourceuri":"http://purl.org/coar/resource_type/c_46ec"}]},"item_title":"時間外診療の特別料金導入が一自治体病院の救急外来受療率に与えた影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"時間外診療の特別料金導入が一自治体病院の救急外来受療率に与えた影響"}]},"item_type_id":"7","owner":"1","path":["280","347"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-02-24"},"publish_date":"2014-02-24","publish_status":"0","recid":"5586","relation_version_is_last":true,"title":["時間外診療の特別料金導入が一自治体病院の救急外来受療率に与えた影響"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-19T03:47:11.045023+00:00"}