看護従事者数に地域差が生じた要因

概要

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The purpose of this study is to analyze the factors that influence the regional difference in the number of nursing staff (nurses and assistant nurses). We analyzed the following data: the data of number of nurses, assistant nurses, midwives, public health nurses, doctors, sickbeds, population density, rate of persons over 65 ages (aged persons), of each prefecture in 1930, 1960, 1990 and 1996, and the demand and supply of nursing staff in 1991.Okinawa prefecture was excluded from the analysis because some data were incomplete. The conclusions are as follows.1. In 1930 and 1960 when the supply of the nursing staff was insufficient, the nursing staff tends to work in the big city bloc to meet demand for the necessary minimum. In 1990 and 1996 when the supply of the nursing staff became adequate, many nursing staff moved to the areas where the rate of aged persons was high.2. In all four period analyzed, the number of sickbeds of the hospitals was a more significant factor to decide the regional difference than the number of doctors.3. The rate of assistant nurses in nursing staff positively correlated with the rate of the aged persons. In areas where many hospitals did advanced medical treatment and medical education, the rate of assistant nurses in nursing staff was low.4. It was thought that the nurses tend to decide the place to work based on the birthplace and the economical aspects of living.
2001-09-30