1.Factors Affecting People's Preferences of Visiting a Kakaritsukei (Home-doctor)
Sayaka Sekine ; Kenichi Komatsu ; Dai Matsushima ; Taro Takeshima ; Ryusuke Ae ; Shinji Fujiwara ; Eriko Matsushima ; Masanobu Okayama ; Eiji Kaiji
General Medicine 2010;11(2):71-77
Objectives : To determine factors related to peoples' preference for visiting home-doctors when experiencing new health problems.
Method : A questionnaire survey was conducted of people receiving annual health checkups in municipalities in the vicinity of Jichi Medical University Hospital. We surveyed personal characteristics, test equipment, having of a home-doctor, and answers to an assumed scenario (asking about willingness to visit a home-doctor in case of getting certain health problems).
According to the responses to the scenario, we divided the subjects into two groups (a home-doctor group: visiting a home-doctor; and a specialist group: not visiting a home-doctor) and statistically compared the two groups.
Results : In the analytic sample of 1,829, the home-doctor group numbered 1,097 individuals (60%) and the specialist group numbered 732 individuals (40%). The home-doctor group statistically had more home-doctors than the specialist group (adjusted odds ratio, 95% confidence interval: 2.47, 2.00-3.05).
More home-doctors in the home-doctor group had test equipment than home-doctors in the specialist group: Gastrointestinal test equipment (gastroscopy, colonoscopy, or ultrasonography) (adjusted odds ratio, 95% confidence interval: 1.39, 1.06-1.83).
Conclusion : We revealed two factors relating to the preference for visiting home-doctors: First, those people had home-doctors, and, second, the home-doctors had test equipment.
2.Intervention in Clinical Department by Infection Control Team as Part of Its Prophylactic Activities
Yuji BESSHO ; Mie SUZUKI ; Eriko TAKAKURA ; Akiya MORI ; Yumi MATSUSHIMA ; Kenji YANOU ; Tetsuya MURATA ; Keiki KAWAKAMI ; Shinji YAMAMOTO ; Yoshio SEKO ; Masayuki HAMADA
Journal of the Japanese Association of Rural Medicine 2006;55(4):381-387
Since the Infection Control Team (ICT) was organized in 1999, our hospital has been engaged in evidence-based operations against nosocomial infections. The ICT's major activities included guidance in preventive measures against infections, surveillance involving continuous environmental monitoring, proposition as regards prescription of antibacterial medicines, and consultation with clinicians about prophylaxis. The team comprising physicians, nurses, pharmacists and clinical laboratory technicians has made expert propositions to clinicians. To be concrete, the team members, with the liaison clerk playing a central role, met with physicians in charge or with other staff members of the hospital, studied the infection cases in question, and presented the study findings to the clinicians. Fundamentally, therefore, it is not that the ICT intervenes in the affairs of the clinical department by way of directions but that it presents clinicians with the ideas gained through discussion between ICT members and physicians and other hospital staffers. While cementing a relationship of mutual trust between hospital employees, the ICT is expected to engage in nosocomial infection prevention activities by joining forces transdeoartmentally.
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Prophylactic
3.10-11 Having Residents under the COVID-19 Pandemic - Experiences in the Spring of 2020
Kayoko MATSUSHIMA ; Eriko OZONO ; Yusuke MATSUZAKA ; Syoko ASHIZUKA ; Noriko SHIGETOMI ; Toshimasa SHIMIZU ; Masafumi HARAGUCHI ; Takeshi WATANABE ; Takashi MIYAMOTO ; Hayato TAKAYAMA ; Kenichi KANEKO ; Yuji KOIDE ; Atsuko NAGATANI ; Hisayuki HAMADA
Medical Education 2020;51(3):331-333