住民の医療行動に関する分析 : 茨城県出島村の事例
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概要
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The purpose of this study is to analyze the spatial organization of rural residents use of medical facilities, and to consider this organization as part of their general living behavior. With this aim in mind we have studied how residents of Dejima-mura Ibaraki prefecture select medical facilities and how this process of selection creates a medical service area.The method used was a centralization survey: Interviews with rural residents, medical employees and local identify the medical service areas. We tabulated the addresses of patients using each medical facility: This information was provided from the local government officers national health insurance records of consultations.The results can be summarized in four sections.(1) In a rural community, the medical service network does not change much, and the spatial organization of medical facilities is relatively fixed.(2) For each area, the proportion of patients seeking consultation to the total population was calculated. The highest proportion was observed in the southern area. This was due to the lotus root cultivation, an occupational disease of lotus root growing area.(3) Selection of medical facilities is influenced by a variety of factors: distance, type of illness, age of patient, residential history, quality and age of medical facilities, patients personal reference for certain physicians, physicians reputation, etc.(4) In this community there is a dual structure, composing the medical service area inside the community, and one outside. The former, which could be called the “consultation area” has changed to some extent because of hospitals opening up or closing down. The latter, however, which could be called the “hospitalization area”, exhibits a fixed pattern, despite recent developments in motalization.
- 東北地理学会の論文