Time changes in the geographical distribution of physicians and factors associated with starting rural practice in Japan

Ishikawa, Masatoshi

doi:10.1002/hpm.2964

Cited by 3 publications

(2 citation statements)

References 19 publications

(43 reference statements)

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“…In terms of regional differences, the more rural the area, the more likely it is that the region has fewer physicians. [ 20 ] It is possible that the promotion of task shifting has contributed to alleviating the shortage of doctors.…”

Section: Discussionmentioning

confidence: 99%

The role of task shifting in reforming the working styles of pediatricians in Japan: A questionnaire survey

Ishikawa

2022

Medicine

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We aimed to shorten the working hours of pediatricians who are regularly experiencing overwork in Japan, recommended tasks for task shifting must be identified, and the impact of promoting task shifting on both the quality of medical care and working hours must be examined. Characteristics of the pediatric department must also be considered. A questionnaire survey was conducted with pediatricians working in hospitals across Japan. A multiple logistic regression analysis was performed with pediatricians who did not recommend task shifting in the workplace as the explained variable and the attributes of the responding pediatricians (gender, age, primary workplace, number of pediatricians, pediatric medical management fee) as the explanatory variables. Details about the tasks recommended for task shifting and the impact of recommending task shifting on the quality of medical care and working hours were described. Questionnaires were sent nationwide to 848 hospitals that calculated pediatric inpatient medical management fees and received responses from 1539 pediatricians in 416 hospitals (response rate: 49%). As a characteristic of 231 (15%) doctors who thought that the task shift had not progressed at all at their place of employment, significant positive associations were found in men, working at national and public university hospitals, private university hospitals, and private hospitals and pediatric inpatient medical care management fee 1 hospitals. Task shifting was not recommended overall, as the task items that a majority of pediatricians marked as “transferred” were limited to “medication instructions” and “intravenous injection of antibiotics, etc” More than half of the respondents (60%, a total of 921 doctors) reported that the quality of medical care improved slightly or significantly when task shifting was promoted. The most frequent response to survey items querying the number of work hours that could be shortened through task shifting was “1 to 2 hours.” The tasks suitable for task shifting were identified based on the characteristics of participants’ pediatric departments. Results suggest that task shifting was not recommended in university hospitals and that promotion of task shifting could improve the quality of medical care and reduce the working hours of pediatricians.

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Section: Discussionmentioning

confidence: 99%

The role of task shifting in reforming the working styles of pediatricians in Japan: A questionnaire survey

Ishikawa

2022

Medicine

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“…Regression analysis and one-sample t-test were used to characterize nurses' organizational commitment and job qualifications according to different dimensions in another study (Gabrani et al 2016). Ishikawa used logistic regression analysis to estimate relevant factors resulting from the geographic distribution of physicians according to health policies (Ishikawa 2020). Regression analysis models have been widely used to solve many problems in the field of healthcare (Atalan 2014).…”

Section: Introductionmentioning

confidence: 99%

Application of Integer Response Optimization Models for the Healthcare Resources

Atalan¹

2023

acin

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This study investigated the relationship between the number of hospitals and healthcare professionals in the Turkish healthcare system. The study data covers the years 1967-2018. In the study, statistical analysis was performed, and the integer response optimization models were created using the linear regression response optimization models. The Pearson correlation test was applied to show the relationship between decision variables. The percentage of variation of the response variable specified by the linear regression model was calculated as 97.85. The numbers of nurses (p value=0.001, f value=21.36, t value=-4.62), midwives (p value=0.001, f value=24.88, t value=4.99), and OHP (Other health professionals) (p value=0.001, f value=24.16, t value=4.92) were found to be effective on the number of hospitals, doctors and pharmacists were not effective on the number of hospitals with a margin of error of 1.00% or 5.00%. The optimum number of healthcare workers required to provide health services in 1798 hospitals was calculated as 153128 doctors, 165244 nurses, 56351 midwives, 32032 pharmacists, and 177409 OHP. As a result of this study, we confirmed that the Turkish government should be able to provide health services in more hospitals with the existing healthcare system resources.

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Increase in the number of female physicians and the geographical maldistribution of physicians in Japan

Matsumoto,

Seto,

Hatakeyama

et al. 2024

Health Policy and Technology

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Time changes in the geographical distribution of physicians and factors associated with starting rural practice in Japan

Cited by 3 publications

References 19 publications

The role of task shifting in reforming the working styles of pediatricians in Japan: A questionnaire survey

The role of task shifting in reforming the working styles of pediatricians in Japan: A questionnaire survey

Application of Integer Response Optimization Models for the Healthcare Resources

Increase in the number of female physicians and the geographical maldistribution of physicians in Japan

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