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Before-after (1998 and 2008) trend analyses on regional clustering of clinical dentist-to-population ratio in all 1,976 municipalities of Japan
https://nsg.repo.nii.ac.jp/records/3966
https://nsg.repo.nii.ac.jp/records/3966b6ac122a-bdeb-41e7-a2c7-7b1e12c36e79
名前 / ファイル | ライセンス | アクション |
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078_093_e1101.pdf (1.9 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2012-11-02 | |||||
タイトル | ||||||
タイトル | Before-after (1998 and 2008) trend analyses on regional clustering of clinical dentist-to-population ratio in all 1,976 municipalities of Japan | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | clinical dentist-to-population ratio | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | before-after study | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | regional clustering | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | LISA (local indicator of spatial association) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | spatial multiple regression analysis | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Takiguchi, Toru
× Takiguchi, Toru× Aoyama, Hitoshi× Fukai, Kakuhiro× Yamamoto, Tatsuo× Ando, Yuichi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: The main purpose of this study was to obtain geographic clustering information in order to identify shortages (“cold spots”) and surpluses (“hot spots”) of dentists in all municipalities of Japan. Methods: Pretreatment steps were conducted to recover the lost comparability between pre-1998 and post-2008 data due to the large-scale merging of municipalities (42.1% reduction) in the Heisei era. Moran’s I, LISA and spatial multiple regression analyses with AIC were performed to verify regional clustering. Dependent variables of the regression analyses were the clinical dentist-to-population ratio in 2008 (Model 1) and the difference between 1998 and 2008 (Model 2). Results: The R2 was 0.8379 (p<0.0001) for Model 1 and 0.5832 (p<0.0001) for Model 2. The initial dentist-to-population ratio in 1998 showed the highest significance in both models. However, the coefficient of Model 2 was negative, which was exactly the opposite of that of Model 1. Furthermore, indices relating to urbanization and hospital dentist-to-population ratio in 1998 were also highly significant (p<0.01) after adjustment for confounding factors. High- High clustered municipalities are located in most urbanized areas, whereas Low-Low clustered municipalities are located in remote areas far from urbanized areas. This study revealed that factors which attract dental clinics are urbanization and hospitals with dental care capabilities. Conclusion: Clinical dentist-topopulation ratios have improved only in municipalities in urbanized areas in the past ten years. On the contrary, accessibility of dental treatment has not improved in remote/isolated areas. | |||||
書誌情報 |
Niigata journal of health and welfare 巻 11, 号 1, p. 78-93, 発行日 2011 |
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出版者 | ||||||
出版者 | Niigata Society of Health and Welfare | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1346-8782 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11614542 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | 論文(Article) | |||||
資源タイプ・NII | ||||||
Journal Article | ||||||
資源タイプ・DCMI | ||||||
text |