{"created":"2023-06-20T15:46:15.365394+00:00","id":846,"links":{},"metadata":{"_buckets":{"deposit":"3a94ecf5-aa46-4853-9ac8-32e06f63a41e"},"_deposit":{"created_by":4,"id":"846","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"846"},"status":"published"},"_oai":{"id":"oai:uoeh-u.repo.nii.ac.jp:00000846","sets":["13:22:41"]},"author_link":["3566","3564","3569","3559","3568","3562","3558","3561","3567","3563","3565","3560"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"282","bibliographicPageStart":"271","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"産業医科大学雑誌"},{"bibliographic_title":"Journal of UOEH ","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The World Health Organization (WHO) aims to enable all people to receive health services, and has proposed effective coverage (EC) as an index for this aim. EC refers to “the fraction of potential health gain that is actually delivered to the population through the health system, given its capacity,” and is used to indicate the percentage of the population whose diseases are well controlled among those who require treatment or are receiving treatment. This study aimed to evaluate the effects of occupational health services on EC. We hypothesized that occupational health services provided to employees by full-time occupational health practitioners, such as occupational physicians and occupational health nurses, improve EC for hypertension, diabetes mellitus and hyperlipidemia compared to those services provided by part-time occupational health practitioners. We conducted a cross-sectional study to analyze the results of general medical examinations, personnel information, and medical expense claims in fiscal year 2011. A total of 91,351 male employees at a company group participated in the study. The EC for hypertension, diabetes mellitus and hyperlipidemia was measured and compared between the employees in workplaces with occupational health practitioners (OH group) and the employees in workplaces without occupational health practitioners (non-OH group). The EC for hypertension and diabetes mellitus was significantly greater in the OH group than in the non-OH group (aOR:1.41, 95%CI:1.20-1.66 for hypertension; aOR:1.53, 95%CI:1.17-2.00 for diabetes mellitus), while the EC for hyperlipidemia was comparable (aOR:1.11, 95%CI:0.92-1.34). Occupational health services provided by full-time occupational health practitioners greatly improve health management after a medical examination.","subitem_description_type":"Abstract"},{"subitem_description":"WHOは「各国・地域において，人々が経済的困難を伴わず保健医療サービスを享受すること」を目標としており，その指標としてEffective Coverage（EC）という概念を提唱している．ECとは“その国または地域における健康システムを通して，実際に人々に健康増進をもたらすことができる割合”と定義されており，産業保健の場面では治療が必要，もしくは治療を受けているうち，適切に疾病管理されている率に該当すると考えられる．本研究では産業保健サービスの効果を評価することを目的とし，「常勤の産業保健スタッフ（産業医または産業看護職）による労働者への産業保健サービスの提供は，高血圧，糖尿病，脂質異常症の各項目について，ECを向上させる」という仮説をたてて検証した．2011年度の一般健康診断，人事情報，及びレセプトからの個々のデータを分析した横断的研究である．特定の大規模企業グループの91,351人の男性労働者を対象とした．常勤の産業保健スタッフがいる事業場に所属する労働者（OH群）とそれ以外の事業場に所属する労働者（non-OH群）において高血圧，糖尿病，脂質異常症の各項目別にECを算出し，比較した．OH群はnon-OH群に比べて，高血圧・糖尿病において有意にECが高率であったが，脂質異常症については有意な差を認めなかった（高血圧aOR 1.41:95%CI 1.20-1.66，糖尿病aOR 1.53: 95%CI 1.17-2.00，脂質異常症aOR 1.11: 95%CI 0.92-1.34）．常勤の産業保健スタッフによる産業保健サービスの提供は，健康診断後の適切な管理に大きく影響する．","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"産業医科大学（産業医科大学学会）"}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"Journal of UOEH"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/browse/juoeh/41/3/_contents/-char/ja","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"産業医科大学雑誌"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.uoeh-u.ac.jp/kouza/journal/i_2019-3j.html","subitem_relation_type_select":"URI"}}]},"item_10001_select_24":{"attribute_name":"記事区分","attribute_value_mlt":[{"subitem_select_item":"Original"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"ISSN 0387-821X(PRINT), ISSN 2187-2864(ONLINE)","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"橋口, 克頼"}],"nameIdentifiers":[{"nameIdentifier":"3558","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"永田, 智久"}],"nameIdentifiers":[{"nameIdentifier":"3559","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"森, 晃爾"}],"nameIdentifiers":[{"nameIdentifier":"3560","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"永田, 昌子"}],"nameIdentifiers":[{"nameIdentifier":"3561","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"藤野, 善久"}],"nameIdentifiers":[{"nameIdentifier":"3562","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"伊藤, 正人"}],"nameIdentifiers":[{"nameIdentifier":"3563","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hashiguchi, Katsuyori","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3564","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nagata, Tomohisa","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3565","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Mori, Koji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3566","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nagata, Masako ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3567","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fujino, Yoshihisa ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3568","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ito, Masato","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3569","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":"2019-12-18"}],"displaytype":"detail","filename":"S00041302.pdf","filesize":[{"value":"608.7 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"S00041302.pdf","url":"https://uoeh-u.repo.nii.ac.jp/record/846/files/S00041302.pdf"},"version_id":"99d22681-84ff-40ac-8dec-928b37ae658a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"UHC","subitem_subject_scheme":"Other"},{"subitem_subject":"EC","subitem_subject_scheme":"Other"},{"subitem_subject":"横断的研究","subitem_subject_scheme":"Other"},{"subitem_subject":"診療報酬明細書","subitem_subject_scheme":"Other"},{"subitem_subject":"産業保健スタッフ","subitem_subject_scheme":"Other"},{"subitem_subject":"UHC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"EC","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cross-sectiona study","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"medical claim","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"occupational health practitioner","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"産業保健サービスの存在は企業における高血圧および糖尿病のEffective Coverageを向上させる","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"産業保健サービスの存在は企業における高血圧および糖尿病のEffective Coverageを向上させる"},{"subitem_title":"Occupational Health Services Improve Effective Coverage for Hypertension and Diabetes Mellitus at Japanese Companies","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"4","path":["41"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-12-18"},"publish_date":"2019-12-18","publish_status":"0","recid":"846","relation_version_is_last":true,"title":["産業保健サービスの存在は企業における高血圧および糖尿病のEffective Coverageを向上させる"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-06-20T15:55:14.039368+00:00"}