{"created":"2023-07-25T08:14:43.074983+00:00","id":15844,"links":{},"metadata":{"_buckets":{"deposit":"7e090fa3-d933-4944-86a8-f9fcc0a056c3"},"_deposit":{"created_by":18,"id":"15844","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"15844"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00015844","sets":["57:86"]},"author_link":["139410"],"item_5_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2021-03-10","subitem_date_issued_type":"Collected"}]},"item_5_date_granted_54":{"attribute_name":"学位授与年月日 ","attribute_value_mlt":[{"subitem_dategranted":"2021-03-25"}]},"item_5_degree_grantor_53":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"鹿児島大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"17701","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_42":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(医学)","subitem_degreename_language":"ja"},{"subitem_degreename":"Doctor of Philosophy in Medical Science","subitem_degreename_language":"en"}]},"item_5_description_17":{"attribute_name":"ファイル（説明）","attribute_value_mlt":[{"subitem_description":"博士論文全文, 最終試験結果の要旨, 論文審査の要旨","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Background and Aim\nIn recent years, interest in the quality of medical care has rapidly increased worldwide. However, quality indicators that contribute to establishing standard treatment in stroke medicine, especially rehabilitation, are not well-developed in Japan. Japan has established Kaifukuki (convalescent) rehabilitation wards, and the development of quality indicators for stroke rehabilitation in the convalescent phase is an urgent issue.\nMethods\nWe first reviewed the literature regarding quality indicators for stroke rehabilitation. Next, we extracted candidate indicators from identified reports and guidelines and surveyed educational hospitals certified by the Japanese Association of Rehabilitation Medicine. On the basis of the survey results, we reevaluated the suitability of the proposed indicators in discussions with an expert panel.\nResults\nThe questionnaire survey highlighted several important items that revealed there is room for improvement in adherence. For stroke rehabilitation in the convalescent phase, we adopted 15 indicators that were feasible as indicators to be used for comparisons between facilities, based on scoring by and opinions of the expert panel. These indicators measured structure (2 indicators), process (5 indicators), and outcome (8 indicators).\nConclusion\nThis is the first study to establish quality indicators to standardize stroke rehabilitation in Japan. We developed this set of 15 indicators using an evidence-based approach. However, many tasks remain for continuous quality improvement.\n\nSeiji Miura, Ryuji Miyata, Shuji Matsumoto, Takahiro Higashi, Yoshinobu Wakisaka, Tetsuro Ago, Takanari Kitazono, Koji Iihara, Megumi Shimodozono\nQuality Management Program of Stroke Rehabilitation Using Adherence to Guidelines: A Nationwide Initiative in Japan\nJournal of Stroke and Cerebrovascular Diseases 28(9) p.2434-2441 2019\nhttps://doi.org/10.1016/j.jstrokecerebrovasdis.2019.06.028","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_dissertation_number_55":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲総研第599号"}]},"item_5_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier","subitem_publisher_language":"en"},{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"},{"subitem_publisher":"カゴシマ ダイガク","subitem_publisher_language":"ja-Kana"}]},"item_5_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_5_text_44":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_text_value":"【指導教員:下堂薗恵】"}]},"item_5_text_47":{"attribute_name":"date.appl","attribute_value_mlt":[{"subitem_text_value":"【学位申請日】2020-08-05"}]},"item_5_version_type_14":{"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"三浦, 聖史","creatorNameLang":"ja"},{"creatorName":"ミウラ, セイジ","creatorNameLang":"ja-Kana"},{"creatorName":"Miura, Seiji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"139410","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":"2021-09-30"}],"displaytype":"detail","filename":"Diss_三浦_聖史_ISK599_2020.pdf","filesize":[{"value":"610.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"Diss_三浦_聖史_ISK599_2020","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/15844/files/Diss_三浦_聖史_ISK599_2020.pdf"},"version_id":"15f5bc33-e9c3-4667-a32c-e0a38c5da94a"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-04-15"}],"displaytype":"detail","filename":"Result_Miura_Seiji_isk_599.pdf","filesize":[{"value":"196.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Result_Miura_Seiji_isk_599","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/15844/files/Result_Miura_Seiji_isk_599.pdf"},"version_id":"7fe89f7b-12a3-4105-8aa4-0c59d1eedc65"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-04-15"}],"displaytype":"detail","filename":"Comments_Miura_Seiji_isk_599.pdf","filesize":[{"value":"94.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Comments_Miura_Seiji_isk_599","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/15844/files/Comments_Miura_Seiji_isk_599.pdf"},"version_id":"7b1a172d-284f-4c65-a4d7-ab048be4a37c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Stroke Rehabilitation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"quality indicator","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"healthcare","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"evidence-based practice","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":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Quality Management Program of Stroke Rehabilitation Using Adherence to Guidelines : A Nationwide Initiative in Japan","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Quality Management Program of Stroke Rehabilitation Using Adherence to Guidelines : A Nationwide Initiative in Japan","subitem_title_language":"en"},{"subitem_title":"脳卒中リハビリテーションの標準化に資する質の指標の開発に関わる研究","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"18","path":["86"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-04-15"},"publish_date":"2021-04-15","publish_status":"0","recid":"15844","relation_version_is_last":true,"title":["Quality Management Program of Stroke Rehabilitation Using Adherence to Guidelines : A Nationwide Initiative in Japan"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-01-09T01:59:49.133051+00:00"}