Status and Future Needs of Regional Adult Congenital Heart Disease Centers in Japan : – A Nationwide Survey –
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概要
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Background: Although the prevalence of adult congenital heart disease (ACHD) in Japan continues to rise, the number and geographic distribution of facilities potentially serving as regional ACHD centers remains unknown. We examined trends in ACHD care in Japan to identify needs and to determine potential regional responses to this growing patient population. Methods and Results: A descriptive, cross-sectional, nationwide survey was conducted to assess the status and needs of cardiology specialists related to providing ACHD care. Questionnaires were mailed to 138 cardiology departments located in 8 geographical regions throughout Japan; respondents were asked to document the status and future direction of ACHD care for each facility. Of the 109 facilities that responded, approximately one-third currently treat or plan to treat all ACHD patients. Fourteen facilities (12.8%) fulfilled all criteria for becoming regional ACHD centers. Although each regional center was projected to serve a population of 9.1 million, in 2 regions, no centers possessed the necessary care structure. Conclusions: Our findings revealed a shortage of adult cardiologists dedicated to ACHD care. Moreover, basic as well as formal fellowship ACHD training was deemed necessary. In Japan, the number of potential regional ACHD centers has just reached international standards. However, based on the geographic gaps documented here, a strategy other than regional centralization might be required to deliver adequate ACHD care to rural areas. (Circ J 2011; 75: 2220-2227)
論文 | ランダム
- 地域社会を基盤とした生涯学習の観点から (日本教育経営学会第43回大会 シンポジウム 地方分権と教育経営)
- 分析化学の新しい息吹き-1-高速液体クロマトグラフィ-におけるラベル化剤の応用
- 学生が学会から学び得るもの (日本生体医工学会50周年記念号) -- (創立50周年へのメッセージ)
- 28a-E-3 FPU方程式に見られる弱非線型格子振動の1/fゆらぎIV
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