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群馬県立県民健康科学大学(Gunma Prefectural College of Health Sciences ) >
03 紀要論文=Departmental Bulletin Paper >
群馬県立県民健康科学大学紀要 >
第14巻(2019) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/12403

Title: 地域包括ケアシステムにおける訪問看護ステーションの経営状況と事業所特性及び地域特性,経営管理との関連―全国と群馬県の比較―
Other Titles: Financial Status of Home-Visit Nursing Stations in Community-Based Integrated Care Systems Analyzed in Relation to Business Office Characteristics, Local Community Characteristics and Business Management ― Comparison between Gunma Prefecture and All Prefectures in Japan ―
Authors: 飯田, 苗恵
Iida, Mitsue
鈴木, 美雪
Suzuki, Miyuki
塩ノ谷, 朱美
Shionoya, Akemi
坪井, りえ
Tuboi, Rie
佐々木, 馨子
Sasaki, Kyoko
大澤, 真奈美
Osawa, Manami
齋藤, 基
Saito, Motoi
柿沼, 直美
Kakinuma, Naomi
山路, 聡子
Yamazi, Satoko
神山, 智子
Kamiyama, Tomoko
北爪, 明子
Kitazume, Akiko
牛込, 久美子
Ushigome, Kumiko
依田, 裕子
Yoda, Yuko
Keywords: 訪問看護ステーション
全国調査
経営
収支
管理者
地域包括ケアシステム
home-visit nursing station
nationwide survey
management
revenue/expenditure balance
manager
community-based integrated care systems
Issue Date: Mar-2019
Publisher: 群馬県立県民健康科学大学
Citation: 群馬県立県民健康科学大学紀要14, 19-34. (2019)
Abstract: 目的:全国及び群馬県の訪問看護ステーション(以下,ST)の経営状況と事業所特性及び地域特性,経営管理との関連を明らかにし,比較検討する. 方法:全国2,000人及び群馬県163人のST管理者を対象とし,自記式質問紙調査を実施した.有効回答は全国473人,群馬県55人で,経営状況と各項目との関連はχ2検定及びKruskal-Wallis検定を,さらに経営状況を目的変数とするロジスティック回帰分析を行った. 結果:全国では,看護師常勤・看護師非常勤・事務職員非常勤の従業者数,1人1日平均訪問回数,北海道・東北地域,収支のモニタリングが黒字に関連していた.群馬県では関連がみられず,全国に比して赤字のST割合が多く,経営管理の得点が低かった. 結論:経営状況の改善には,ST規模の拡大やST管理者の収支のモニタリングに焦点を当てた行動の有効性が示唆された.群馬県では,経営管理に関する分析の強化が必要である.
Objectives: The financial status of home-visit nursing stations (STs) was analyzed in relation to business office characteristics, local community characteristics and business management, and the results between Gunma Prefecture and all prefectures in Japan were compared. Methods: A self-administered questionnaire survey was completed by 163 ST managers in Gunma Prefecture and 2000 ST managers from all over Japan. Valid responses were collected from 55 managers from Gunma Prefecture and 473 managers from all over Japan. The association between management status with each variable was analyzed by the chisquare test and Kruskal-Wallis test. In addition, logistic regression analysis was carried out with the status of management as the dependent variable. Results: For STs all prefectures in Japan, profitable business (black-ink balance) was associated with the number of employees (full-time nurses, part-time nurses and part-time clerical staff), the mean number of care receiver homes visited daily by each nurse, the district (Hokkaido/Tohoku) and revenue/expenditure balance monitoring. In Gunma Prefecture, the percentage of red-ink operation STs was higher and the score for business management was lower than in all prefectures in Japan. Conclusions: These results suggest that management actions focusing on expansion of the scale of STs and on revenue/ expenditure balance monitoring by ST managers are effective in improving the status of management. In Gunma Prefecture, reinforcement of how to analyze business management is needed.
Description: 原著
URI: http://hdl.handle.net/10087/12403
ISSN: 1991-0691
Appears in Collections:第14巻(2019)

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