{"created":"2023-07-27T07:47:05.606607+00:00","id":21614,"links":{},"metadata":{"_buckets":{"deposit":"6442fcc2-25c7-4ec8-b3c9-4570d608b824"},"_deposit":{"created_by":21,"id":"21614","owners":[21],"pid":{"revision_id":0,"type":"depid","value":"21614"},"status":"published"},"_oai":{"id":"oai:doshisha.repo.nii.ac.jp:00021614","sets":["4251:7070:7071:7093:7112","8:2792:2814:2833"]},"author_link":["2419","2419"],"item_1693811493084":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1694490770713":{"attribute_name":"権利者情報","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"DA15814934","nameIdentifierScheme":"AID"}],"rightHolderNames":[{"rightHolderLanguage":"ja","rightHolderName":"同志社大学政策学会"}]}]},"item_1695605350696":{"attribute_name":"助成情報","attribute_value_mlt":[{"subitem_award_numbers":{"subitem_award_number":"JP22590496","subitem_award_uri":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-22590496/"},"subitem_award_titles":[{"subitem_award_title":"産科勤務医不足対策のための労働と賃金バランスに関する研究","subitem_award_title_language":"ja"}],"subitem_funder_identifiers":{"subitem_funder_identifier":"https://doi.org/10.13039/501100001700","subitem_funder_identifier_type":"Crossref Funder"},"subitem_funder_names":[{"subitem_funder_name":"文部科学省","subitem_funder_name_language":"ja"}]}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"130","bibliographicPageStart":"119","bibliographicVolumeNumber":"12","bibliographic_titles":[{"bibliographic_title":"同志社政策科学研究","bibliographic_titleLang":"ja"},{"bibliographic_title":"Doshisha University policy & management review","bibliographic_titleLang":"en"}]}]},"item_1_contributor_30":{"attribute_name":"研究代表者","attribute_value_mlt":[{"contributorNames":[{"contributorName":"Yonemoto, Kuramoto","lang":"en"},{"contributorName":"米本, 倉基","lang":"ja"},{"contributorName":"ヨネモト, クラモト","lang":"ja-Kana"}],"familyNames":[{"familyName":"Yonemoto","familyNameLang":"en"},{"familyName":"米本","familyNameLang":"ja"},{"familyName":"ヨネモト","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Kuramoto","givenNameLang":"en"},{"givenName":"倉基","givenNameLang":"ja"},{"givenName":"クラモト","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"2419","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000010390048","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/1000010390048"},{"nameIdentifier":"10390048","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=10390048"}]}]},"item_1_description_12":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究ノートは、日本の医師不足の理由のひとつである病院勤務医の診療所開業医への転出が、両者の報酬格差にあるとの指摘に対して、わが国と欧米先進国の医師のキャリアとその報酬水準を比較し、政策について検討したものである。報酬水準の比較は、先行研究にならって、主にOECDによるデータを基に、アメリカ、イギリス、フランス、ドイツの4カ国を対象に、職務形態である専門医と総合医の別、雇用形態である自営医と勤務医の別に日本の勤務医と開業医との間で行った。その結果、日本の開業医の報酬は、著しく高い水準にあること、それに対して日本の勤務医の報酬は低い水準であることが確認され、報酬格差は転出の理由となっていることが示唆された。しかし、開業医の高い報酬水準は、多額の個人負債で開業せざるを得ない事情を考えれば可処分所得でみると著しく高いとは断言できず、直ちに開業医の報酬水準を下げるのではなく、稼働率の低い医療機器などの開業コストを見直す政策を優先すべきであるとの結論を得た。他方、勤務医の報酬水準は高める必要があるとし、特に過重労働とされる産科、小児科、外科、麻酔科などに従事する病院勤務専門医への報酬加算が、適切な病院内の人事考課制度によって配分される必要があるとの結論を得た。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"This research compared the doctor's career and remuneration level of Japan and the West. This is because there is indication that the difference of the remuneration between a medical specialist and a general practitioner has brought about a medical specialist's shortage. This comparison was performed in five nations, the United States, Britain, France, Germany, and Japan, based on the data of OECD, etc. This investigation showed that a Japanese general practitioner's remuneration was in a very high level. On the other hand, it turned out that a Japanese medical specialist's remuneration is a low level. From this, it was suggested that the difference of the remuneration between a Japanese medical specialist and general practitioner is a reason for changing a career to a general practitioner from a medical specialist. However, Decreasing required expense, when a general practitioner opens an individual clinic is a policy to which priority is given rather than lowering a general practitioner's remuneration. On the other hand, it is necessary to raise a Japanese medical specialist's remuneration level.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_1_description_13":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究ノート(Note)","subitem_description_language":"ja","subitem_description_type":"Other"},{"subitem_description":"本研究は平成22年度文部科学省科学研究費(基盤C)の「産科勤務医不足対策のための労働と賃金バランスに関する研究」(代表;米本倉基)の助成によるものである。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_1_description_25":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14988/pa.2017.0000012665","subitem_identifier_reg_type":"JaLC"}]},"item_1_publisher_15":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"同志社大学政策学会","subitem_publisher_language":"ja"}]},"item_1_relation_24":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"掲載刊行物所蔵情報へのリンク ／ Link to Contents"}],"subitem_relation_type":"isFormatOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doors.doshisha.ac.jp/opac/opac_link/bibid/SB00953026/?lang=0","subitem_relation_type_select":"URI"}}]},"item_1_select_10":{"attribute_name":"所属機関識別子種別","attribute_value_mlt":[{"subitem_select_item":"kakenhi"}]},"item_1_select_11":{"attribute_name":"所属機関識別子","attribute_value_mlt":[{"subitem_select_item":"34310"}]},"item_1_source_id_17":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18808336","subitem_source_identifier_type":"PISSN"}]},"item_1_source_id_19":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11408121","subitem_source_identifier_type":"NCID"}]},"item_1_subject_27":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"498.14","subitem_subject_scheme":"NDC"}]},"item_1_text_8":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"同志社大学大学院総合政策科学研究科博士課程後期課程"}]},"item_1_text_9":{"attribute_name":"著者所属（英）","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Doshisha University"}]},"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":"Yonemoto, Kuramoto","creatorNameLang":"en"},{"creatorName":"米本, 倉基","creatorNameLang":"ja"},{"creatorName":"ヨネモト, クラモト","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-03-14"}],"displaytype":"detail","filename":"019012020010.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"019012020010.pdf","url":"https://doshisha.repo.nii.ac.jp/record/21614/files/019012020010.pdf"},"version_id":"92f33951-a193-427f-88fb-3e8d1306dcf3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"医師の報酬","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"医師不足対策","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"勤務医の開業","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"立ち去り型サボタージュ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"医師のキャリア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"医療政策","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"欧米の家庭医","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"総合医政策","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"欧米との比較による日本の医師報酬政策の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"欧米との比較による日本の医師報酬政策の検討","subitem_title_language":"ja"},{"subitem_title":"オウベイ トノ ヒカク ニヨル ニホン ノ イシ ホウシュウ セイサク ノ ケントウ","subitem_title_language":"ja-Kana"},{"subitem_title":"A comparison of remuneration data for doctors in Japan and in the West","subitem_title_language":"en"}]},"item_type_id":"1","owner":"21","path":["2833","7112"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-03-14"},"publish_date":"2012-03-14","publish_status":"0","recid":"21614","relation_version_is_last":true,"title":["欧米との比較による日本の医師報酬政策の検討"],"weko_creator_id":"21","weko_shared_id":-1},"updated":"2024-02-26T07:28:49.861955+00:00"}