{"created":"2023-06-20T15:53:18.101673+00:00","id":122,"links":{},"metadata":{"_buckets":{"deposit":"32d2c42a-9b68-4357-b6f7-61595260f0d2"},"_deposit":{"created_by":2,"id":"122","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"122"},"status":"published"},"_oai":{"id":"oai:fukui-hsu.repo.nii.ac.jp:00000122","sets":["6:19"]},"author_link":["261","262","264","259","265","263","267","266","260"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-10-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"87","bibliographicPageStart":"85","bibliographicVolumeNumber":"12","bibliographic_titles":[{"bibliographic_title":"福井医療科学雑誌"},{"bibliographic_title":"Fukui Journal of Medical Sciences","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"要旨:介護老人保健施設では、薬剤費で大部分を占める医療費が、要介護度により定められた一定の入所費に包括される、いわゆる「まるめ」となっている。この医療費が、要介護度の上昇に伴う、複数科受診、高価な新薬の増加などにより、新田塚ハイツでは年々増加し、平成25年度には年間1,400万円にも達しており、県内の上位5番目となった。そこで、複数科･多剤投薬の適正化を定期処方に行い、1年間275万円以上の削減、2薬剤相互副作用発現率の高い6剤以上の投与数の削減を目的として、平成25年8月より薬剤費検討会を立ち上げた。その結果、1年間での削減額が約315万円、6剤以上の投薬者が26%から14%に減少し、目的が達成された。削減の影響により2名に一部復薬をしたが、他に問題はなかった。過剰でも過少でもない、適正な薬剤投薬とケアを目指して今後も努力すべきである。","subitem_description_type":"Abstract"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.57502/00000110","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"福井医療大学"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"24240176","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"吉田, 博美"}],"nameIdentifiers":[{"nameIdentifier":"259","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"齋藤, 等"}],"nameIdentifiers":[{"nameIdentifier":"260","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"三崎, 幸蔵"}],"nameIdentifiers":[{"nameIdentifier":"261","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"杉浦, 和美"}],"nameIdentifiers":[{"nameIdentifier":"262","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山田, 勝人"}],"nameIdentifiers":[{"nameIdentifier":"263","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"石森, 芳恵"}],"nameIdentifiers":[{"nameIdentifier":"264","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"伊達, ひとみ"}],"nameIdentifiers":[{"nameIdentifier":"265","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山寺, 憂生"}],"nameIdentifiers":[{"nameIdentifier":"266","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中西, 正一"}],"nameIdentifiers":[{"nameIdentifier":"267","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-12-15"}],"displaytype":"detail","filename":"BD00012539_001.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"BD00012539_001.pdf","url":"https://fukui-hsu.repo.nii.ac.jp/record/122/files/BD00012539_001.pdf"},"version_id":"4ffc359d-2c3e-43d0-9a2f-41864150679f"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"老健ハイツにおける薬剤費削減の取り組み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"老健ハイツにおける薬剤費削減の取り組み"}]},"item_type_id":"10001","owner":"2","path":["19"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-10-31"},"publish_date":"2015-10-31","publish_status":"0","recid":"122","relation_version_is_last":true,"title":["老健ハイツにおける薬剤費削減の取り組み"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2023-10-25T01:27:07.438941+00:00"}