@article{oai:ir.kagoshima-u.ac.jp:00010981,
 author = {森, 隆子 and MORI, Ryuko and 浅尾, 晋也 and ASAO, Shinya and 兒玉, 慎平 and KODAMA, Shinpei and 波多野, 浩道 and HATANO, Hiromichi},
 issue = {1},
 journal = {鹿児島大学医学部保健学科紀要, Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University},
 month = {Mar},
 note = {本研究の目的は,小規模島嶼に暮らす住民の医療サービス利用に影響する要因を,特に地域レベルの社会的な相互扶助に注目し明らかにすることである。地域レベルの要因を社会的な要因(ソーシャルサポートの集落別標準化得点)と物理的な要因(人口規模,港との距離,島内診療所との距離)に大別し,重回帰分析で分析した。有効回答は190名であった。75～84歳群では地域レベルのソーシャルサポートのうち受領サポートが利用に影響していた。65～74歳群はかかりつけ医がいることが,75～84歳群では島内にかかりつけ医がいることが有意に影響していた。小規模島嶼において,①後期高齢者の医療サービス利用に地域レベルの社会的な相互扶助が影響すること,②前期高齢者ではかかりつけ医の有無が医療サービスの利用に影響すること,③海路による移動が後期高齢者の医療サービスの利用の大きな障害となることが示唆された。, The aim of this study was to identify community level determinants of medical care utilization in remote island, based on Andersen behavioral model. This study is the secondary analysis using data from survey on B island at 2006. In this survey, 237 residents aged over 55 under 85 at 7 villages in B island were surveyed. We used 190 residents for this analysis (response rate=80.2%). We used multiple regression analysis to analyze effects of standardized mean score of neighborhood social support as community level social factor and population and location of villages as community level geographical factor on medical care utilization. We divided the residents into 3 groups by age of over 55 under 65, over 65 under 75 and over 75 under 85. Among residentsa ged over 75 under 85, community level neighborhood social support was related to frequency of use of medical services. Among residents aged over 65 under 75 group, having a family doctor anywhere effected on frequency of use of medical services. But among residents aged over 75 under 85 group, having a family doctor in B island effected on frequency of use of medical services. The conclusions of this study are as follows: 1. Community level social support effected on medical care utilization in remote island.
2. Among early-stage elderly, having a family doctor anywhere effected on medical care utilization in remote island. 3. Travel by ship is a major barrier to medical care utilization of latter-stage elderly in remote island.},
 pages = {13--21},
 title = {小規模島嶼における医療サービス利用行動の規定要因の検討},
 volume = {22},
 year = {2012}
}