Geographical Information Analysis of Difficulty of Access to Hospital to the Elderly Living in Mountainous Areas
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- IDE Masayoshi
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- HAYAKAWA Tomihiro
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- KASHIWADA Reiko
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- YONEDA Eriko
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- ANDO Nozomu
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- WATARIGUCHI Toshitaka
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- SUZUKI Yoshinori
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- KOBAYASHI Shinya
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- TSUZUKI Mizuo
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- ESAKI Yoshie
- Dept. of Internal Medicine, Asuke Hospital, Aichi, Japan
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- KATO Ken
- Aichi Medical Association Research Institute
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- AMANO Hiroshi
- Aichi Medical Association Research Institute
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- MIYAJI Makoto
- Aichi Medical Association Research Institute
Bibliographic Information
- Other Title
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- 中山間地に住まう高齢者の通院困難性の地理情報学的分析
- ナカヤマ カンチ ニ スマウ コウレイシャ ノ ツウイン コンナンセイ ノ チリ ジョウホウガクテキ ブンセキ
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Abstract
We examined how difficult it would be for the elderly living in mountainous areas to go to the nearest hospital using a Voronoi tessellation representing the mathematical concept of neighborhood. We defined the index of the nursing-care capacity for the elderly as the ratio of the number of caregivers to the number of the elderly receiving nursing-care.<br> The mean age of those who drive to the hospital by themselves worked out at 70±9.8 years. Meanwhile, that of those who go to the hospital by bus or taken to hospital in a car driven by a family member came to 80±7.0years. The latter was significantly older than the former.<br> The areas of the Voronoi tessellation generated by patients' places of residence were divided into three groups according to the size. The plots of these three groups of the the places of residence on the map had a three-layer and doughnut-like structure, i. e., inner-, middle-, and outer-layer.<br> The index of the nursing-care capacity in 2008 was less than 1.0 for the patients under 80 years of age. This means that when those who were at the age of 50 in 2008 become old and need nursing-care, access to the hospital will become harder to them than at present. For those who are over 80 years of age and live in the outer layer that is far away from arterial road, it will be almost impossible.<br> These findings suggest that outpatient care with transportation assistance by a family member at present should be reconsidered because of the future lack of care personnel. It would also be necessary to consider the welfare of older people from the geographical point of view in order to manage the problems concerning the various physical and sociological difficulties of the elderly.
Journal
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- JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 61 (4), 582-601, 2013
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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Details 詳細情報について
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- CRID
- 1390282679889058944
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- NII Article ID
- 10031146895
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- NII Book ID
- AN00196216
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- ISSN
- 13497421
- 04682513
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- NDL BIB ID
- 024240904
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed