p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h...

18
୰つᶍ⮬య㝔䛻䛚䛡䜛 ⤒Ⴀ䛻㛵䛩䜛せᅉศᯒ 䡚䛺⤒Ⴀ䛾⟇䛿䠛 ⥲┬ᆅ᪉⾜㈈ᨻ䝕䞊䝍䛛䜙ぢ䛘䜛䝰䝜䡚 1 ᠕⩏ሿᏛ Ꮫ㝔 ᗣ䝬䝛䝆䝯䞁䝖◊✲⛉ ⚄ᡞ ་⒪䞉䝦䝹䝇䜿䜰䝕䞊䝍䛾ศᯒ䜎䛷䛻2 䝕䞊䝍 䠄་⒪䞉䝦䝹䝇䜿䜰䠅 ⮬య ಖ㝤⪅ ಶே ་⒪ ᶵ㛵 ⮬య ಖ㝤⪅ ་⒪ ᶵ㛵 䝕䞊䝍 ಖᣢ⪅ 䝕䞊䝍 ศᯒ ಶே ෆ㒊 እ㒊 䝕䞊䝍 䝕䞊䝍 䝕䞊䝍 䝕䞊䝍

Transcript of p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h...

Page 1: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

1

2

Page 2: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

3

2

1

3

1

3

1

1 1

1

1

3_

HP

HP

/ ( )WELLNESS

4

151

Page 3: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

5

GIS

6

1.2.3.4.

5.6.7.8.

Page 4: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

1.

7

2012

1.

8

48%52%

N 834

78 77

19 18

175191

7894

54 50

0

50

100

150

200

250

2012

766 2729 4 887 9732 8

Page 5: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

1.

9

2013.11.13

H10:10 H11 153

. . .

2.

10

Page 6: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

11

3.

4.

12

,2008

2008n=436 100 100 299 300

Page 7: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

4.

13

,2013

2013

200

5.

14

JMP11.0t

VIF

Page 8: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

5.

15

2012 47 200 399

1 2012

2 WELLNESS

1

5.

16

5

DPC

2

2

22

2

1

Page 9: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

5.

17

No R2

1 X1Structure

0.012 X2 0.03345

X3X4X5

100X3: X4: X5:

0.000.040.03

6 X6 1: 2: 7:1 0.007 X7 % P 0.158 X8 O

utcome

0.029 X9 0.0210 X10 0.0511 X11 100 0.0012 X12 100 0.0013 X13 1: 2: 0.0114 X14 0.031516

X15X16 X15: X16:2

0.150.15

17 X17 % 0.0318 X18 2 0.0519 X19 DPC 2 0.06

5.

18

No R2

20 X20 2 0.0821 X21 2 0.112223

X22X23

2X23: X24:

0.090.13

2425

X24X25

2X24: X25: 65

0.130.12

2627

X26X27 X26: X27:

0.000.05

28293031

X28X29X30X31

1X28: X29:

X30: X31:

0.040.000.050.05

32 X32 % 0.1833343536

X33X34X35X36

X33: X34: X35: X36:

0.000.160.180.16

3738

X37X38 X37: X38:

% 0.030.00

39 X39 1 0.04Y

Page 10: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

5.

19

1

2

3,4,5

6

7

8

9

10

11

12

13

14

15,16

17

5.

20

18

19

20

21

22,23

24,25

26,27

28 31

32

33 36

37,38

39

Page 11: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

6.(1) 0.63(2) 308806(3) Y 351966(4) 151 ( 21 )

21

Y = 1295347.6 < >

+ 10930.098 X764.674 X150.902 X27

+ 18.132 X31 1 13.771 X341.644 X350.760 X3615.750 X39 1

6.

(5) R2

22

X15 R2 0.27

X15&X31 R2 0.40

X15&X31&X34 R2 0.51

X15&X31&X34&X39 R2 0.56

X15&X31&X34&X39&X7 R2 0.59

X15&X31&X34&X39&X7&X35 R2 0.64

X15&X31&X34&X39&X7&X35&X36 R2 0.65

X15&X31&X34&X39&X7&X35&X36&X39 R2 0.66

Page 12: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

6.

(6)

23

t p VIF1295347.6 2.34 0.0218

X7 10930.098 3.8 0.0003 1.550301X15 64.6744 2.94 0.0043 1.735469X27 0.90185 1.56 0.122 1.108055X31 18.1315 4.96 <0.0001 1.272439X34 3.77115 3.09 0.0027 1.606402X35 1.64407 2.43 0.0172 1.657074X36 0.76019 1.64 0.1046 1.593358X39 15.7505 4.07 <0.0001 1.51787

7.(1)

241

Ns1 1

R2 0.66R2 0.63

+ 10,930 1%

64,674 1

902 1

+ 18,131 1

3,771 1

1,644 1

760 1

15,750 1

Page 13: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

200 399

25

26

Page 14: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

1000902

27

28

Page 15: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

29

30

Page 16: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

1

1

8.

11

31

8.200 399

32

400 199

Page 17: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

E mail [email protected]

34

Page 18: p0d +¬ /$S7TFûFÚFáG ) Fû6õFéG 0[ I ( Ò · 2014-11-12 · 11 d ¼ Å r º ' ° c > ´ º h ß r Ñ 2 < ± g 4 4 ¼ c < ± g 4 4) 2afþ3ã Ó *Ë # cfþ 5 *Ë ( 4 fþ

• 1) (2010) :

• 2) Donabedian A (1966) : Evaluating the quality of medical care. Milbank Mem FundQ,44(3) : 166 203

• 3) Donabedian A (1980): The definition of quality and approaches to its assessment.Exploration s in quality assessment and monitoring ( Volume1) .Health AdministrationPress, Ann Arbor, Michigan

• 4) (2008), 55 11

• 5) (2013), 47

• 6) 2012 http://www.soumu.go.jp/main_sosiki/czaisei/kouei_kessan.html

• 7)http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/iryou/teikyouseido/

• 8) 2 WELLNESS http://www.wellness.co.jp/siteoperation/msd/

35