日本核心医院派遣替代医生前往农村诊所。
Dispatch of replacement doctors from core hospitals to rural clinics in Japan.
作者信息
Kotani Kazuhiko
机构信息
Division of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, Japan.
出版信息
J Rural Med. 2024 Oct;19(4):310-311. doi: 10.2185/jrm.2024-019. Epub 2024 Oct 1.
OBJECTIVES
Core hospitals play an important role in rural healthcare, and the dispatch of replacement doctors (DRD) from core hospitals to rural clinics is included in medical care plans at the prefectural level in Japan.
MATERIAL AND METHODS
The conditions of DRD implementation in core hospitals (n=345) were observed using national data from 2022.
RESULTS
DRD was present in 101 (29.3%) core hospitals. A greater number of doctors per 100 beds (median: 16.7) was observed when DRD was present than when it was absent (median: 11.0; <0.05).
CONCLUSION
More studies are warranted regarding the number of doctors and their functions in core hospitals to ensure DRD.
目的
核心医院在农村医疗保健中发挥着重要作用，日本县级医疗保健计划将核心医院向农村诊所派遣替代医生（DRD）纳入其中。
材料与方法
利用2022年的全国数据观察了345家核心医院实施DRD的情况。
结果
101家（29.3%）核心医院存在DRD。存在DRD的医院每100张床位的医生数量更多（中位数：16.7），而不存在DRD的医院每100张床位的医生数量较少（中位数：11.0；P<0.05）。
结论
有必要就核心医院医生数量及其职能开展更多研究，以确保DRD的实施。
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