@article{oai:gchs.repo.nii.ac.jp:00000105,
 author = {飯田, 苗恵 and Iida, Mitsue and 鈴木, 美雪 and Suzuki, Miyuki and 塩ノ谷, 朱美 and Shionoya, Akemi and 坪井, りえ and Tuboi, Rie and 佐々木, 馨子 and Sasaki, Kyoko and 大澤, 真奈美 and Osawa, Manami and 齋藤, 基 and Saito, Motoi and 柿沼, 直美 and Kakinuma, Naomi and 山路, 聡子 and Yamazi, Satoko and 神山, 智子 and Kamiyama, Tomoko and 北爪, 明子 and Kitazume, Akiko and 牛込, 久美子 and Ushigome, Kumiko and 依田, 裕子 and Yoda, Yuko},
 journal = {群馬県立県民健康科学大学紀要},
 month = {Mar},
 note = {Article, 目的：全国及び群馬県の訪問看護ステーション（以下，ST）の経営状況と事業所特性及び地域特性，経営管理との関連を明らかにし，比較検討する．
方法：全国2,000人及び群馬県163人のST管理者を対象とし，自記式質問紙調査を実施した．有効回答は全国473人，群馬県55人で，経営状況と各項目との関連はχ2検定及びKruskal-Wallis検定を，さらに経営状況を目的変数とするロジスティック回帰分析を行った．
結果：全国では，看護師常勤・看護師非常勤・事務職員非常勤の従業者数，1人1日平均訪問回数，北海道・東北地域，収支のモニタリングが黒字に関連していた．群馬県では関連がみられず，全国に比して赤字のST割合が多く，経営管理の得点が低かった．
結論：経営状況の改善には，ST規模の拡大やST管理者の収支のモニタリングに焦点を当てた行動の有効性が示唆された．群馬県では，経営管理に関する分析の強化が必要である．, Objectives: The financial status of home-visit nursing stations (STs) was analyzed in relation to business office characteristics, local community characteristics and business management, and the results between Gunma Prefecture and all prefectures in Japan were compared.
Methods: A self-administered questionnaire survey was completed by 163 ST managers in Gunma Prefecture and 2000 ST managers from all over Japan. Valid responses were collected from 55 managers from Gunma Prefecture and 473 managers from all over Japan. The association between management status with each variable was analyzed by the chisquare test and Kruskal-Wallis test. In addition, logistic regression analysis was carried out with the status of management as the dependent variable.
Results: For STs all prefectures in Japan, profitable business (black-ink balance) was associated with the number of employees (full-time nurses, part-time nurses and part-time clerical staff), the mean number of care receiver homes visited daily by each nurse, the district (Hokkaido/Tohoku) and revenue/expenditure balance monitoring. In Gunma Prefecture, the percentage of red-ink operation STs was higher and the score for business management was lower than in all prefectures in Japan.
Conclusions: These results suggest that management actions focusing on expansion of the scale of STs and on revenue/ expenditure balance monitoring by ST managers are effective in improving the status of management. In Gunma Prefecture, reinforcement of how to analyze business management is needed., 原著, 群馬県立県民健康科学大学紀要14, 19-34. (2019)},
 pages = {19--34},
 title = {地域包括ケアシステムにおける訪問看護ステーションの経営状況と事業所特性及び地域特性，経営管理との関連―全国と群馬県の比較―},
 volume = {14},
 year = {2019}
}