Authorship：Lead author,　Corresponding author   Language：Japanese   Publishing type：Research paper (bulletin of university, research institution)  

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

Abstract

Aim

This study observed changes in respiratory rate measurement (RRM) and identified barriers and challenges in clinical practice that influence healthcare worker behaviour, aiming to improve RRM in a hospital setting.

Design

An observational study was conducted.

Methods

We observed and analysed changes in the behaviour of healthcare workers at a hospital where multi‐nudges were introduced to improve RRM.

Results

We checked respiration rate using electronic data and discovered that the original measurement rates were low. Measurement rates rapidly increased after posters were added. Barriers such as time constraints and measurement equipment were also noted.

Conclusion

RRM was found to be effective in promoting behavioural economics in medical settings. The results show that incorporating behavioural science principles into medical interventions has the potential to positively change behaviour.

Implications for the Profession and/or Patient Care

By increasing nurses' awareness of respiratory rate measurement and addressing barriers to it, the measurement rate of respiratory rate can also increase, leading to more accurate patient evaluations and triage.

Impact

What problem did the study address?

The proportion of respiratory rate measurements leading to rapid response system (RRS) calls was low.

What were the main findings?

The study observed that a multi‐nudge approach effectively changes the behaviour of ward nurses, resulting in enhanced quality of medical care.

Where and on whom will the research have an impact?

This research can serve as a valuable reference for leaders promoting healthcare quality projects, by offering a method to encourage behavioural change.

Reporting Method

This study complied with the EQUATOR guidelines and its reporting adheres to the STROBE checklist.

Patient or Public Contribution

No patient or public contribution.

DOI： 10.1111/jocn.17396

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Authorship：Corresponding author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Society for Healthcare Administration  

In 2022, the Japan Society for Healthcare Administration (JSHA) launched the Young Members Association (YMA) for exchange and study among young members, presentation of their achievements, and career development. As an activity of the YMA, we conducted the first hospital tour at Toho University Medical Center Ohashi Hospital. Thirteen individuals, including graduate students, medical professionals, and researchers, participated in the tour, comprising lectures by the administrative director, deputy director, and others, a hospital tour, and group discussions. Ohashi Hospital downsized from 433 to 319 beds with relocation, and efforts and design innovations were made to achieve high turnover and unit price. Consequently, the tour participants deepened their learning on architecture and management. Simultaneously, they gained new perspectives and suggestions for future activities by exchanging with other participants from different backgrounds. The YMA will continue to plan hospital tours and other events to promote the development of the JSHA.

DOI： 10.11303/jsha.61.37

CiNii Research

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：BMJ  

Introduction

Many developed countries including Japan are experiencing declining birth rates, particularly in urban areas. A gap between the planned number of children and the actual number of children exists, that is attributed to various factors such as: childcare leave and employment policies, childcare services, financial support, husbands’ contributions to household chores and childcare, marriage support, community, and couples’ well-being. Therefore, we propose HAMA study for having a baby, parenting, and marriage life (HAMA = ‘H’aving ‘A’ baby, parenting, and ‘MA’rriage life) in Yokohama (an urban area) to examine these issues.

Methods and analysis

In this large-scale cohort study, we will elucidate the actual situation of families and child-rearing in Yokohama, evaluate the current policies and propose future measures to prevent a decline in the birth rate. Overall, 10 000 young married couples (wives aged 20–39 years as of 2022) will be randomly selected, and a survey form will be sent to them annually. They will be followed-up for 5 years to examine the factors associated with the planned number of children, well-being of the couple, childcare support policies, externalisation of housework and childcare, fathers’ participation in housework and childcare, wives’ free time, loneliness and social connectedness, relationship with the spouse and if they are working, questions regarding their work style and work-life balance will also be included. Ultimately, a conceptual model of the planned number of children and associated factors will be developed.

Ethics and dissemination

This study has been approved by the Ethics Committee of Yokohama City University (reference number: 2022–10) and will be conducted following appropriate ethical guidelines. Opportunities to withdraw consent to participate in the survey are provided to participants. The results of this survey will be published as research papers in relevant journals and will be reported to the administration of Yokohama city and other agencies.

DOI： 10.1136/bmjopen-2023-076557

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Publishing type：Research paper (bulletin of university, research institution)  

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Publishing type：Research paper (scientific journal)  

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Authorship：Last author   Language：Japanese   Publishing type：Research paper (bulletin of university, research institution)  

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Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Marketing Academy  

DOI： 10.7222/marketingreview.2023.001

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Springer Science and Business Media LLC  

Abstract

Background

In Japan’s super-aging society, the number of long-term care service providers is increasing, and the quality of care is a matter of concern. One aspect of the quality of care is the user’s quality of life. The questionnaires EQ-5D and WHO-5 are representative indicators of quality of life. Herein, we aimed to measure the quality of life in long-term care service users in Japan and to clarify the relationship between quality of life and the level of care required.

Methods

A questionnaire study was conducted in 106 facilities of 22 corporations. In addition to the EQ-5D and WHO-5, sex, age, and the level of care required were assessed by descriptive statistics. Bonferroni’s multiple comparison test was used to analyze each quality of life score, and the differences by sex and age were analyzed multiple regression analyses, with each quality of life score as the objective variable.

Results

Of 4647 cases collected, 2830 were analyzed, with no missing data. Both indicators tended to be lower than the general older population. Those scores tended to be higher in females than males (EQ-5D: males, 0.58 ± 0.26; females, 0.60 ± 0.24; P = 0.06 and WHO-5: males, 13.8 ± 5.92; females 14.9 ± 5.70; P < 0.001). In terms of age, those under 65 years old with specific diseases had lower EQ-5D scores than those in other age groups (P < 0.001); however, WHO-5 scores did not differ by age. Multiple regression analysis showed a significant association between the EQ-5D score and level of care required, except for support-required level 1, which tended to worsen as the level of care required increased. Conversely, the WHO-5 score was significantly lower for care need levels 2, 4, and 5.

Conclusions

The quality of life of long-term care service users was worse than that of the general older population, it tended to be low among males and those under 65 years old with specific diseases. Furthermore, it gradually decreased as the level of care required increased. It is important to monitor users’ quality of life as a quality indicator of care, to improve and manage it.

DOI： 10.1186/s12877-022-03662-8

PubMed

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Other Link： https://link.springer.com/article/10.1186/s12877-022-03662-8/fulltext.html

Language：Japanese   Publisher：日本公衆衛生学会  

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Japan Medical Association  

DOI： 10.31662/jmaj.2021-0219

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Language：Japanese   Publishing type：Research paper (scientific journal)  

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Language：English   Publishing type：Research paper (international conference proceedings)   Publisher：Springer  

DOI： 10.1007/978-3-030-22015-0_25

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DOI： 10.1136/bmjopen-2018-023696

PubMed

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：BMJ Publishing Group  

Objectives In this longitudinal study, we examined changes in the geographical distribution of physicians in Japan from 2000 to 2014 by clinical specialty with adjustments for healthcare demand based on population structure. Methods The Japanese population was adjusted for healthcare demand using health expenditure per capita stratified by age and sex. The numbers of physicians per 100 000 demand-adjusted population (DAP) in 2000 and 2014 were calculated for subprefectural regions known as secondary medical areas. Disparities in the geographical distribution of physicians for each specialty were assessed using Gini coefficients. A subgroup analysis was conducted by dividing the regions into four groups according to urban-rural classification and initial physician supply. Results Over the study period, the number of physicians per 100 000 DAP decreased in all specialties assessed (internal medicine: -6.9%, surgery: -26.0%, orthopaedics: -2.1%, obstetrics/gynaecology (per female population): -17.5%) except paediatrics (+33.3%) and anaesthesiology (+21.1%). No reductions in geographical disparity were observed in any of the specialties assessed. Geographical disparity increased substantially in internal medicine, surgery and obstetrics and gynaecology(OB/GYN). Rural areas with lower initial physician supply experienced the highest decreases in physicians per 100 000 DAP for all specialties assessed except paediatrics and anaesthesiology. In contrast, urban areas with lower initial physician supply experienced the lowest decreases in physicians per 100 000 DAP in internal medicine, surgery, orthopaedics and OB/GYN, but the highest increase in anaesthesiology. Conclusion Between 2000 and 2014, the number of physicians per 100 000 DAP in Japan decreased in all specialties assessed except paediatrics and anaesthesiology. There is also a growing urban-rural disparity in physician supply in all specialties assessed except paediatrics. Additional measures may be needed to resolve these issues and improve physician distribution in Japan.

DOI： 10.1136/bmjopen-2017-018538

Scopus

PubMed

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：BMJ PUBLISHING GROUP  

Objectives: The objective of this study was to longitudinally examine the geographic distribution of physicians in Japan with adjustment for healthcare demand according to changes in population age structure.
Methods: We examined trends in the number of physicians per 100 000 population in Japan's secondary medical areas (SMAs) from 2000 to 2014. Healthcare demand was adjusted using health expenditure per capita. Trends in the Gini coefficient and the number of SMAs with a low physician supply were analysed. A subgroup analysis was also conducted where SMAs were divided into 4 groups according to urban-rural classification and initial physician supply.
Results: The time-based changes in the Gini coefficient and the number of SMAs with a low physician supply indicated that the equity in physician distribution had worsened throughout the study period. The number of physicians per 100 000 population had seemingly increased in all groups, with increases of 22.9% and 34.5% in urban groups with higher and lower initial physician supply, respectively. However, after adjusting healthcare demand, physician supply decreased by 1.3% in the former group and increased by 3.5% in the latter group. Decreases were also observed in the rural groups, where the number of physicians decreased by 4.4% in the group with a higher initial physician supply and 7.6% in the group with a lower initial physician supply.
Conclusions: Although the total number of physicians increased in Japan, demand-adjusted physician supply decreased in recent years in all areas except for urban areas with a lower initial physician supply. In addition, the equity of physician distribution had consistently deteriorated since 2000. The results indicate that failing to adjust healthcare demand will produce misleading results, and that there is a need for major reform of Japan's healthcare system to improve physician distribution.

DOI： 10.1136/bmjopen-2016-013922

Web of Science

PubMed

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Language：Japanese   Publisher：(株)毎日学術フォーラム  

CiNii Books

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Event date： 2021.10

Language：Japanese   Presentation type：Oral presentation (general)  

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Event date： 2020.10

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Event date： 2019.11

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Event date： 2019.10

Language：Japanese   Presentation type：Poster presentation  

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Event date： 2019.10

Language：Japanese   Presentation type：Poster presentation  

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Language：English   Presentation type：Poster presentation  

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Language：Japanese   Presentation type：Symposium, workshop panel (nominated)  

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