{"created":"2023-06-19T10:37:32.495020+00:00","id":1604,"links":{},"metadata":{"_buckets":{"deposit":"2ff4dca5-5b3f-4460-a7bf-82b9983a82c2"},"_deposit":{"created_by":3,"id":"1604","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1604"},"status":"published"},"_oai":{"id":"oai:iwate-pu.repo.nii.ac.jp:00001604","sets":["19:28:261:262"]},"author_link":["5322","2561"],"item_7_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-11-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"108","bibliographicPageStart":"89","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"総合政策"},{"bibliographic_title":"Journal of policy studies","bibliographic_titleLang":"en"}]}]},"item_7_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"本研究の目的は岩手県南東部の被災県立病院を主な事例にして、その再建プロセスにおける問題を明らかにし、再建の課題を提示することである。県立の高田、大槌、山田、大東の各病院は東日本大震災で被災したが、それらの再建にあたって、病床数の削減をはじめ医療供給の大幅な見直しが提示された。問題は次の4 点である。(1)地域住民と県(医療局)の協議あるいは懇談が実質的になかった。(2)県が様々な理由をあげたことが地域住民に非常に大きな不安を広げることになっている。(3)大東病院の再建方針には過去からの経緯や他の3 病院への影響がかなり加味されている。(4)地域住民の動向が低調であったり、反対運動型にとどまっていた。再建の課題は次の4 点である。(1)住民ニーズを反映するための意思決定システムを抜本的に見直す。(2)地域医療のビジョンや県立病院等の存在意義を県・住民間でしっかり共有する。(3)医師不足、医師の勤務環境に対する県の対策を充実、強化する。(4)地域医療とくに公立病院における住民参加、ボランティアの推進であり、全県的な取組みのモデルを目指す。","subitem_description_type":"Other"}]},"item_7_description_15":{"attribute_name":"表示順","attribute_value_mlt":[{"subitem_description":"8","subitem_description_type":"Other"}]},"item_7_description_16":{"attribute_name":"アクセション番号","attribute_value_mlt":[{"subitem_description":"KJ00009526559","subitem_description_type":"Other"}]},"item_7_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"調査報告","subitem_description_type":"Other"}]},"item_7_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Investigative Report","subitem_description_type":"Other"}]},"item_7_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA11348438","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13446347","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":""}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"桒田, 但馬","creatorNameLang":"ja"},{"creatorName":"クワダ, タジマ","creatorNameLang":"ja-Kana"},{"creatorName":"Kuwada, Tajima","creatorNameLang":"en"}],"familyNames":[{},{},{}],"givenNames":[{"givenNameLang":"ja"},{"givenNameLang":"ja-Kana"},{"givenNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kuwada, Tajima","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-12-27"}],"displaytype":"detail","filename":"KJ00009526559.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00009526559.pdf","url":"https://iwate-pu.repo.nii.ac.jp/record/1604/files/KJ00009526559.pdf"},"version_id":"36b471ea-5bfd-4fde-92ba-545811cf600d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"東日本大震災","subitem_subject_scheme":"Other"},{"subitem_subject":"県医療局","subitem_subject_scheme":"Other"},{"subitem_subject":"病床削減","subitem_subject_scheme":"Other"},{"subitem_subject":"地域包括ケア","subitem_subject_scheme":"Other"},{"subitem_subject":"住民参加","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":"岩手沿岸における公立病院再建の実態と課題 : 被災県立病院を中心に","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"岩手沿岸における公立病院再建の実態と課題 : 被災県立病院を中心に"}]},"item_type_id":"7","owner":"3","path":["262"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-12-27"},"publish_date":"2016-12-27","publish_status":"0","recid":"1604","relation_version_is_last":true,"title":["岩手沿岸における公立病院再建の実態と課題 : 被災県立病院を中心に"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-18T08:14:33.706578+00:00"}