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大学・研究所にある論文を検索できる 「大規模診療報酬情報データベースを用いた看護体制の充実度と患者アウトカムの関連評価」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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大規模診療報酬情報データベースを用いた看護体制の充実度と患者アウトカムの関連評価

森田, 光治良 東京大学 DOI:10.15083/0002005025

2022.06.22

概要

これまでの看護師に関する医療の質評価研究は、(i)患者あたりの看護師数、(ii)高度な教育を受けた看護師の配置、(iii)職場環境などの構造要因を対象としている。今回、高度実践看護師配置、夜勤看護師配置充実という構造要因と患者アウトカムの関連について大規模入院診療報酬情報データベースを用いて検討した。ICUにおける高度実践看護師が死亡率低下と関連すること、一般病棟における夜間看護職員配置加算導入が在院日数短縮と関連することが示された。本研究の結果からも、医療の質の評価および、診療報酬改定によって行われる政策的誘導の効果を検証し、その後の政策の評価と改善に繋げることが重要と考えられる。

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