{"created":"2023-06-19T11:24:39.452497+00:00","id":5410,"links":{},"metadata":{"_buckets":{"deposit":"6e5e43ab-e517-4f00-8a2c-cde20afe8252"},"_deposit":{"created_by":1,"id":"5410","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5410"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005410","sets":["7","7:23"]},"author_link":["16957","16961","16960","16956","16958","16955","16959"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"151","bibliographicPageStart":"149","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"日本遠隔医療学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"眼科領域でも専門的な診断・治療が必要な機会が増加しているが、地方病院では対応できない場合も多く、その際は専門施設への診療依頼が必要となる。しかし地域の特性として患者の移動など負担が大きい。改善方法の一つとして、遠軽厚生病院眼科では遠隔医療システムを導入し、旭川医科大学病院との診療連携に取り組んでいる。現在運用中である動画像伝送システムを用いて診療支援を依頼した14症例について、その傾向を検討した。目的としては、大学病院で行われた手術後の担当医による診察および治療方針の相談が最も多くを占めていた。緊急支援を要請した症例は5例で、専門医の指示のもと地元での対応が可能であった。いずれも、患者・地方医師双方の負担を減らす可能性とともに、その後も診療支援のもと治療継続することによって、地域医療での専門医不足や医療格差を補えることが期待される。今後は、システムの効率的な運用を検証し、更なる活用を検討している。","subitem_description_type":"Abstract"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2015052196","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1880-800X","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2015052196"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"525"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"377"}]},"item_5_text_7":{"attribute_name":"著者 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