Takahashi Kohei, Morimura Naoto, Takeuchi Ichiro, Abe Takeru, Toida Chiaki, Hattori Jun, Hattori Kyoko, Honda Hideki, Uchiyama Munehito, Matsuda Kiyoshi, Nakagawa Yoshihide, Asari Yasushi
Advanced Critical Care and Emergency Center Yokohama City University Medical Center Yokohama Japan.
Department of Emergency Medicine Graduate School of Medicine and Faculty of Medicine The University of Tokyo Tokyo Japan.
Acute Med Surg. 2018 Jul 15;5(4):329-336. doi: 10.1002/ams2.353. eCollection 2018 Oct.
This study examines the use of the medical risk/resource ratio (RRR) and need for medical resources (NMR) as new indicators of the imbalance in medical demand and supply in disasters. These indicators are used to quantify the medical demand-supply imbalance per disaster base hospital, examine the demand-supply imbalance in the region, and verify the need for medical support.
We calculated the RRR of each disaster base hospital by dividing the revised estimate of the number of patients with the number of empty beds. We calculated the required number of hospital beds as the NMR to restore the RRR of each disaster base hospital to two. The RRR and NMR were combined, and prioritization for medical support was classified into three levels.
The median RRR was 23 (range, 1-101), and the median NMR was 943 (range, 0-2,124). Fifteen hospitals had a medical support priority of 1, five hospitals had a priority of 2, and 13 hospitals had a priority of 3.
The medical demand-supply imbalance and amount of medical support needed can be quantified using RRR and NMR, which allows examination of the priority level for medical support.
本研究探讨使用医疗风险/资源比（RRR）和医疗资源需求（NMR）作为灾害中医疗供需失衡的新指标。这些指标用于量化每个灾害基地医院的医疗供需失衡情况，检查该地区的供需失衡情况，并验证医疗支持的必要性。
我们通过将修订后的患者数量估计值除以空床数量来计算每个灾害基地医院的RRR。我们将所需病床数量计算为NMR，以使每个灾害基地医院的RRR恢复到2。将RRR和NMR相结合，医疗支持的优先级分为三个级别。
RRR的中位数为23（范围为1-101），NMR的中位数为943（范围为0-2124）。15家医院的医疗支持优先级为1，5家医院的优先级为2，13家医院的优先级为3。
使用RRR和NMR可以量化医疗供需失衡情况以及所需的医疗支持量，从而能够检查医疗支持的优先级水平。
