{"created":"2023-05-25T05:26:05.952614+00:00","id":4755,"links":{},"metadata":{"_buckets":{"deposit":"eb7050f2-a794-4297-a423-39931ceef88c"},"_deposit":{"created_by":17,"id":"4755","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"4755"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00004755","sets":["29:31:160:162"]},"author_link":["14516","14518","14517","14513","14514","14520","14509","14521","14524","14522","14508","14512","14511","14510","14515","14523","14507","14519"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Trend of target diseases in rehabilitation medicine of our hospital"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"トウイン ニ オケル リハビリテーション タイショウ シッカン ノ ドウコウ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-08-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"75","bibliographicPageStart":"71","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"山形大学紀要. 医学 : 山形医学"},{"bibliographic_title":"Bulletin of the Yamagata University. Medical science : Yamagata medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"論文(Article)","subitem_description_type":"Other"}]},"item_3_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"背景：保険診療の改正や社会の高齢化に伴い、リハビリテーション診療を取り巻く状況は変化している。そこで今後のリハビリテーション診療の動向に対応するため、各疾患別リハビリテーション単位数と対象疾患の動向を調べた。\n方法：2012年から2016年度に当院で算定した各疾患別リハビリテーション単位数を集計した。個人に対して同時に処方された理学・作業・言語療法処方箋は一元化し、処方箋から疾患名を抜粋して各疾患別リハビリテーションに該当する区分に分けて件数を調べた。\n結果：総単位数は36，900単位から57，613単位へ増加していた。処方箋、療法士数と単位数の増加に強い相関を認めた。疾患別単位数では心大血管の増加が最大で脳血管が最小だった。疾患名は心大血管系、癌・腫瘍の比率が増大し、脳血管系、呼吸器系は減少していた。\n考察：療法士一人当たりのリハビリテーション実施単位数が定められているため、可能な算定単位数は療法士の数に応じて変動する。また介入に先立ちリハビリテーション処方する医師や処方数の増加も必要である。社会動向の変化を反映して対象疾患も変わるが、実際の算定には医師の判断や算定条件等、種々の要因が関わっていることが示唆された。","subitem_description_type":"Other"}]},"item_3_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"14513","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ナリタ, 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