Challenges and prospects of the Aomori Regional Medical Care Vision from the perspective of a medical social worker at a hospital with convalescent beds
| Autor: | Tohru, Takizawa, Takayuki, Kasai |
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| Jazyk: | japonština |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | 青森保健医療福祉研究 = Aomori Journal of Health and Welfare. 3(1):28-34 |
| ISSN: | 2435-6794 |
| Popis: | 〔目的〕 本研究は青森県の地域医療構想の認識状況や課題を明らかにすることを目的に，回復期病床を有する医療機関に勤務する医療ソーシャルワーカー（MSW）を対象に質問紙調査を行う。〔方法〕 対象は青森県内の回復期病床（回復期リハビリテーション病棟，地域包括ケア病棟）を有する医療機関に勤務するMSW である。方法はGoogle フォームによる無記名のWeb アンケートで，回答数は18人であった。〔結果〕 「青森県は回復期病床を2025年において4,238床必要であると推計しています。この病床の機能転換についてあなたはどう思いますか？」の質問では，「増やすことは十分可能だ」が1 人（5.6％），「回復期病床を増やすことは，やや困難がある」が12人（66.7％），「極めて難しいと思う」が4 人（22.2％），「その他」が1 人（5.6％）と回答があった。「回復期病床を増やすことについて，どのような問題があると思いますか」と複数回答で質問したところ，「地域や在宅の療養環境が整っていないことが問題である。」が15人（83.3％），「退院先の確保が難しくなる。病院間で競争となる。」が11人（61.1％）と回答があった。〔考察〕 MSW の約9 割が回復期病床を増やすことを「困難（やや＋極めて）」と答えていた。MSW は病院と地域の双方の視点をもつが，退院先や在宅医療など地域の環境を整えることなしには，構想を進められないと考えていた。 [Objective]A questionnaire survey of Medical Social Worker (MSW) was conducted to clarify the recognition status and issues of the Regional Medical Care Visions in Aomori Prefecture.[Methods]MSWs working in hospitals with convalescent beds (recovery phase rehabilitation ward and community comprehensive care ward) in Aomori Prefecture were surveyed and valid responses were received from eighteen MSWs. The method was an anonymous web survey using Google Forms.[Results]The answers to the question "Aomori Prefecture estimated that 4,238 beds will be needed for convalescent beds in 2025. What do you think about the functional conversion of these beds?" are as follows. One respondent (5.6%) answered "it is very possible to increase the number of convalescent beds", 12 respondents (66.7%) answered that "it will be somewhat difficult to increase the number of convalescent beds", 4 respondents (22.2%) answered "it will be extremely difficult" while 1 respondent (5.6%) responded with "other". The question "What issues do you think are related to an increase of the number of convalescent beds?" Respondents may select multiple responses out of the 9 alternatives. The main results were as follows; 83.3% of respondents answered "the problem is that the medical treatment environment in the community and home care is not prepared." and 61.1% of respondents answered "it will become difficult to secure discharge destinations. Hospitals will be competing with each other."[Conclusions]About 90% of MSWs answered that it would be "difficult (somewhat＋extremely)" to increase the number of convalescent beds. MSWs have both hospital and community perspectives and believed that the Regional Medical Care Visions could not move forward unless the local environment, including discharge destinations and home healthcare, is adequately prepared. |
| Databáze: | OpenAIRE |
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