{"created":"2023-06-19T06:41:46.786583+00:00","id":131,"links":{},"metadata":{"_buckets":{"deposit":"57fdb800-6b5b-45b0-876d-75fc09579809"},"_deposit":{"created_by":2,"id":"131","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"131"},"status":"published"},"_oai":{"id":"oai:opcnr.repo.nii.ac.jp:00000131","sets":["1:17"]},"author_link":["477","184","596","71"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"78","bibliographicPageStart":"71","bibliographic_titles":[{"bibliographic_title":"沖縄県立看護大学紀要"},{"bibliographic_title":"Journal of Okinawa Prefectural College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】沖縄県市町村の医療供給体制に注目し、介護保険制度開始直後3年間における老人医療費の市町村格差に関連する要因と今後の方向性を検討した。【方法】本県福祉保健部における2000～2002年度の県内52市町村の老人医療費、介護給付費、老人保健事業に関する３１変数について、Peasonの単相関分析および1人当たり老人医療費、1人当たり老人入院医療費、1人当たり介護給付費、1人当たり施設介護サービス費を従属変数としたStepwise法による重回帰分析を実施した。【結果】1人当たり老人医療費の市町村格差の最大要因は入院受診率で、次に1件当たり入院医療費、1人当たり入院外医療費、受診率であった。一方、60歳以上基本健康診査受診率は1人当たり老人医療費の抑制要因であった。病院数や病床数は市町村格差があるにも関わらず関連性は低かった。１人当たり老人入院費格差要因は、入院受診率であった。1人当たり介護給付費格差の最大要因は要介護認定者率であり、1人当たり施設介護サービス費に関連する変数は年次によって異なった。【結論】今後の市町村の老人医療費の市町村格差や高騰に関連する要因分析において、老人医療費指標としては、入院医療費、入院・入院外の受診率を用いることが有効であり、さらに老人保健事業、高齢者の受療意識と行動、および今後の介護保険施策と関連施設および地域環境等の要因との関連を追究する必要がある。|Factors related to the variations of medical expenditure of the elderly among 52 municipalities in Okinawa prefecture from 2000 to 2003 after introduction of the federal insurance of the elderly care was investigated. Pearson’s rank correlation was utilized in relation to 4 indexes ( medical expense per the elderly, inpatient expense per the elderly, federal insurance expense of elderly care per the elderly, and federal insurance expense of elderly nursing home per the elderly ) and 31 indexes of medical and federal insurance provisions for the elderly. To clarify what factors were associated with these 4 indexes, multiple regression analysis by stepwise were performed. The major factor, positively correlated significantly with the medical expense was service-acceptance rate of inpatient, and inpatient and outpatient expense per the elderly. It was the rate of health checkup for the elderly that was significantly negatively correlated with medical expense of the elderly.","subitem_description_type":"Abstract"}]},"item_10002_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"沖縄県立看護大学"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-5133","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"永吉, ルリ子"},{"creatorName":"ナガヨシ, ルリコ","creatorNameLang":"ja-Kana"},{"creatorName":"Nagayoshi, Ruriko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"596","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"宮地, 文子"},{"creatorName":"ミヤジ, フミコ","creatorNameLang":"ja-Kana"},{"creatorName":"Miyaji, Fumiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"477","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡村, 純"},{"creatorName":"オカムラ, ジュン","creatorNameLang":"ja-Kana"},{"creatorName":"Okamura, Jun","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"184","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川崎, 道子"},{"creatorName":"カワサキ, ミチコ","creatorNameLang":"ja-Kana"},{"creatorName":"Kawasaki, Michiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"71","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":"2021-07-05"}],"displaytype":"detail","filename":"No10p71.pdf","filesize":[{"value":"3.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"No10p71.pdf","url":"https://opcnr.repo.nii.ac.jp/record/131/files/No10p71.pdf"},"version_id":"29e4bc10-823c-473f-b09a-62b222408238"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"老人医療費","subitem_subject_scheme":"Other"},{"subitem_subject":"老人入院医療費","subitem_subject_scheme":"Other"},{"subitem_subject":"介護給付費","subitem_subject_scheme":"Other"},{"subitem_subject":"施設介護サービス費","subitem_subject_scheme":"Other"},{"subitem_subject":"老人保健事業","subitem_subject_scheme":"Other"},{"subitem_subject":"medical expense for elderly","subitem_subject_scheme":"Other"},{"subitem_subject":"impatient expense for elderly","subitem_subject_scheme":"Other"},{"subitem_subject":"federal insurance expense for elderly care","subitem_subject_scheme":"Other"},{"subitem_subject":"federal insurance expense for elderly nursing home","subitem_subject_scheme":"Other"},{"subitem_subject":"health care service for the elderly","subitem_subject_scheme":"Other"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"介護保険開始後３年間の沖縄県市町村における老人医療費格差要因の分析","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"介護保険開始後３年間の沖縄県市町村における老人医療費格差要因の分析"},{"subitem_title":"The Influencing Factors on the Elderly Medical Expenses among Municipalities, Okinawa Prefecture in three years after The Federal Insurance for the Elderly Care has started","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"2","path":["17"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-07-05"},"publish_date":"2021-07-05","publish_status":"0","recid":"131","relation_version_is_last":true,"title":["介護保険開始後３年間の沖縄県市町村における老人医療費格差要因の分析"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2023-06-19T06:54:15.687790+00:00"}