1.Clinical Research Support in Mito Kyodo General Hospital: Current Practice and Future Problems
Sanae AOTO ; Keiko FUJIE ; Yoshio NAKATA ; Hiroyuki KOBAYASHI ; Shigeyuki WATANABE ; Atsushi HIRANO ; Koichi HASHIMOTO
Journal of the Japanese Association of Rural Medicine 2017;65(6):1177-1187
Clinical research is essential for the practice of evidence-based medicine. This study reports on our current practice of clinical research support in Mito Kyodo General Hospital and discusses future challenges. In April 2013, the University of Tsukuba hired a clinical research assistant to provide clinical research support in Mito Kyodo General Hospital. The clinical research assistant worked full-time in the hospital in collaboration with 3 university faculty members. The target population for this study comprised 450 medical personnel including doctors, nurses, and other medical staff. From April 2014, 1 of the 3 faculty members visited the hospital once a month to offer clinical research consultations and deliver a lecture on nursing research. We analyzed past records of clinical research support and conducted a questionnaire survey to explore the level of satisfaction of the medical personnel. Four-hundred and ninety records of 91 research topics proposed by 68 medical personnel were identified. Of these, 93.4% were proposed by doctors or nurses. Most studies employed an observational study design (64.8%) and were conducted in order to make a presentation at an academic conference (51.1%). The consultation sessions were held 1–5 times, for 40–405 min, and lasted from 1–84 days per research topic. Consultations mostly pertained to research design and protocol planning (57.1%). Forty-seven clients were invited to participate in the questionnaire survey, 30 of whom provided valid responses. The results showed that 96.6% of the clients were satisfied with the consultations. The number of clients who participated in the consultations comprised only 15.1% of the target population. These practice biases need to be addressed in future. However, nearly all respondents were satisfied with the consultations. These findings suggest that our clinical research support was beneficial to medical personnel.
2.A PILOT FIELD SURVEY ON THE IN VITRO DRUG SUSCEPTIBILITY OF PLASMODIUM FALCIPARUM IN LAO PDR
TOSHIMITSU HATABU ; VIENGXAY VANISAVETH ; NAO TAGUCHI ; JUN KOBAYASHI ; M. KAIISSAR MANNOOR ; HISAMI WATANABE ; HIROMU TOMA ; SAMLANE PHOMPIDA ; SHIGEYUKI KANO
Tropical Medicine and Health 2005;33(2):103-104
3.Factors contributing to the burden of home care for doctors
Takuya Shinjo ; Masakatsu Shimizu ; Shigeyuki Kobayashi ; Shoji Hamano ; Toru Okano ; Hiroomi Nakamura ; Akihiro Ishikawa ; Masako Sekimoto ; Hiroyuki Makimura ; Akira Honjo ; Kobe Medical Association Home Care Group
Palliative Care Research 2014;9(1):107-113
Objective: The aim of this study is to explore the factors associated with the burden of home care for doctors. Methods: In July 2013 a survey was mailed to a cross-section of clinics and hospitals in Kobe City. Results: Questionnaires were sent to 1,589 clinics and hospitals and 899 (57%) responded. Of these, data from 807 respondents were available for analysis. The burden of home care was felt to be considerable for 30% and slight for 31% of respondents. Determinants associated with the burden of home care were; 80 years and older doctors (P=0.05), particular medical measures (P=0.036), building links with other medical facility or care staff (P=0.002), and ensuring the sufficient time and staff (P<0.001). Conclusion: The majority of doctors reported a burden associated with home care.
4.A survey of home care provided by hospitals and clinics in an urban area of Japan
Masakatsu Shimizu ; Takuya Shinjo ; Shigeyuki Kobayashi ; Shoji Hamano ; Toru Okano ; Hiroomi Nakamura ; Akihiro Ishikawa ; Masako Sekimoto ; Hiroyuki Makimura ; Akira Honjo ; Kobe Medical Association Home Care Group
Palliative Care Research 2015;10(1):301-305
Objective:The aim of this study was to investigate the current status of home care provided by hospitals and clinics in Kobe City. Methods:In July 2013 a survey was mailed to a cross-section of all clinics and hospitals in Kobe City. Results:Questionnaires were sent to 1,589 clinics and hospitals and 899(57%)responded. Regular and urgent home visits by doctors were provided by 50% and 65% of respondents, respectively. End-of-life care for dying patients at home and in nursing homes was provided by 31% and 18% of respondents, respectively. The average time spent on home visits was 2.3±1.7 days per week. Care for cancer patients, participation in national palliative care lectures, and holding a discussion at the admitting hospital before discharge for home care, were performed by 23%, 7.0%, and 6.9% of respondents, respectively. Conclusion:The majority of hospitals and clinics in Kobe City provided home care.