... PDCA. 1
. 2
5.3% (16) 15.6% (47) 17.2% ( 52) 61.9% ( 187) 26.9% ( 75) 18.6% (52) 16.8% (47) 37.6% (105) 24.3% ( 71) 21.2% (62) 14.4% (42) 40.1% (117) 29.0% ( 184) 17.8% (113) 12.9% (82) 40.2% ( 255) 32.4% ( 11) 23.5% (8) 38.2% ( 13) 5.9% (2) 20.% ( 73) 20.2% (71) 20.2% (71) 38.9% (137) 286 3
250,000 1,200 240,000 230,000 220,000 235,510 233,874 230,823 228,280 224,615 221,866 219,474 217,392 216,374 213,556 212,606 1,150 1,100 1,050 1,000 210,000 950 200,000 190,000 983 975 961 943 931 917 908 897 892 881 886 900 850 180,000 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 800 500 H2785 H2762 H2798 600 600 600 500 400 400 400 300 200 100 381 308 365 211 138 200 0 200 400 189 52 80 111 1 44 84 200 0 200 400 143 379 65 59 112 166 171 0 100 1 60 H21 H22 H23 H24 H25 H26 H27 600 800 H21 H22 H23 H24 H25 H26 H27 600 800 H21 H22 H23 H24 H25 H26 H27 H21 H22 H23 H24 H25 H26 H27 99.6 102.7 102.2 102.6 101.4 100.9 100.0 H21 H22 H23 H24 H25 H26 H27 11.7 11.4 11.2 10.2 10.5 11.3 9.1 H21 H22 H23 H24 H25 H26 H27 97.2 100.8 101.2 101.7 100.0 99.3 98.7 H21 H22 H23 H24 H25 H26 H27 12.2 11.3 11.2 10.7 10.0 10.5 10.5 H21 H22 H23 H24 H25 H26 H27 95.0 98.1 99.1 99.2 98.4 97.7 97.6 H21 H22 H23 H24 H25 H26 H27 13.9 13.2 12.8 13.2 12.8 12.5 11.6 4
200300 H2786 H27199 H27243 600 600 600 400 400 400 200 200 200 0 0 0 200 400 88 91 97 109 101 133 192 200 400 236 114 100 147 183 157 88 200 400 35 25 23 39 45 41 57 600 600 600 800 H21 H22 H23 H24 H25 H26 H27 800 H21 H22 H23 H24 H25 H26 H27 800 H21 H22 H23 H24 H25 H26 H27 H21 H22 H23 H24 H25 H26 H27 95.3 97.5 97.4 97.3 97.1 97.2 96.6 H21 H22 H23 H24 H25 H26 H27 15.2 15.0 15.4 15.5 15.0 14.3 14.3 H21 H22 H23 H24 H25 H26 H27 95.3 97.7 97.9 96.9 96.1 96.7 98.1 H21 H22 H23 H24 H25 H26 H27 16.4 15.7 16.8 17.3 16.6 16.0 16.0 H21 H22 H23 H24 H25 H26 H27 98.4 98.8 98.9 98.1 97.9 98.1 97.5 H21 H22 H23 H24 H25 H26 H27 22.6 23.4 24.1 24.3 24.5 25.0 24.1 19.0 17.0 15.0 13.0 11.0 500 400500 300400 17.6 18.4 19.0 16.9 15.8 16.1 17.0 15.3 14.6 13.7 15.0 13.0 13.0 13.1 13.0 11.0 15.7 15.8 14.1 14.2 14.5 13.4 11.4 11.6 11.9 12.3 12.7 19.0 17.0 15.0 13.3 13.4 13.8 13.0 12.0 12.3 11.5 10.6 11.0 10.5 10.4 11.0 10.3 9.0 9.0 9.0 7.0 7.0 7.0 5.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 5.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 5.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 200300 100200 100 19.0 19.0 19.0 17.0 17.0 17.0 15.0 15.0 15.0 13.0 11.0 9.0 7.0 9.5 9.2 9.2 9.6 9.5 10.0 10.2 9.9 10.5 10.9 11.5 13.0 11.0 9.0 7.0 7.8 7.4 7.4 7.5 7.6 7.6 7.8 7.7 7.8 8.0 7.9 13.0 11.0 9.0 7.0 6.5 6.3 6.2 6.3 6.1 6.2 6.5 6.6 6.7 6.6 6.6 5.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 5.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 5.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 18.0 16.0 14.0 12.0 10.6 10.5 10.6 10.9 11.3 11.8 12.3 12.3 13.0 13.5 13.9 10.0 8.0 6.0 4.0 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 5
6
20609000 40 14,000 1564 12,730 24 12,000 11,662 10,000 8,000 6,000 1564 62.1% 25.1% 3,685 6,773 65 8,674 3,464 50.9% 39.9% 65 4,000 2,000 14 0 1950 1960 1970 1980 1990 2000 2010 2013 2015 2025 2035 2045 2055 241101 25 201012,80663.823.0 1.43 (2013) 1,204 4,418 791 1.35 7
0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 0 500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 202565 201065 20256565 2016 2019 2017 2018 2020 2014 2016 2016
3.5 3.0 3.27 3.16 3.13 3.12 3.09 11 2.5 0.73 0.70 0.72 0.73 0.70 2.0 0.22 0.22 0.22 0.21 0.20 1.5 1.0 1.80 1.76 1.79 1.79 1.79 0.5 0.0 2011 2012 2013 2014 2015 12 10 20163 1. 96.3% 2.43.6% 3.38.9% 4.38.6% 5.34.9% 43.9.9% 44. 8.5% 45. 7.7% 46. 6.0% 47. 3.9% 100 43. 60.0%) 44. 58.8% 45. 57.1% 46. 54.5% 47.50.0% 20163 31 2017417 11 12893200406 201415015km 150 15Km300
. A B C D 10
8 12 4 12 4 16 19 20 39 28 28 28 281012 29 22 11
. PDCA 12
13
100 14
KPI KPI KPI 2913 HP 69 92 291 429 494 858 0 100 200 300 400 500 600 700 800 14 251 310 701 858 0 200 400 600 800 15
22 30,000 12.0 50,000 50.0 25,000 20,000 15,000 10,000 5,000 10.0 8.0 6.0 4.0 2.0 40,000 30,000 20,000 10,000 40.0 30.0 20.0 10.0 0 18 19 20 21 22 0.0 0 18 19 20 21 22 0.0 etc. 250,000 200,000 150,000 100,000 50,000 0 18 19 20 21 22 10,000 8,000 6,000 4,000 2,000 0 600 500 400 300 200 100 0 20 21 22 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 20 22 215,000 12,000 800 30.0% 210,000 205,000 200,000 195,000 190,000 185,000 22 23 24 25 26 27 10,000 8,000 6,000 4,000 2,000 0 700 600 500 400 300 200 100 0 22 23 24 25 26 27 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 30,000 10.0 50.0 25,000 20,000 15,000 8.0 6.0 50,000 40,000 30,000 40.0 30.0 10,000 4.0 20,000 20.0 5,000 2.0 10,000 10.0 0 0.0 22 23 24 25 26 27 0 22 23 24 25 26 27 0.0 16
100 17
PDCA Action Structure (1) (2) 18
A-1-a A-1-b-1-1 A-1 A-1-b-1 A-1-b-1-2 A-1-b A-1-b-2 A-1-b-1-3 A B A-2 A-3 B-1 B-2 B-3 B-3 A-2-a A-2-b B-1-a B-1-b B-1-c B-1-d B-1-e A-1-b-3 A-2-a-1 A-2-a-2 A-2-a-2-1 A-2-a-2-2 Input Output B-3 B-1-a B-1-e B-1-e B-3 A-2-a-1 A-2-a-2 A-2-a A-1-b B-1-a 753 19
502 7.5 20
A 57867.4 B27832 75488651 76.. 21
第 4 回地域医療の確保と公 病院改 の推進に関する調査研究会 ( 平成 29 年 3 28 ) 伊関委員提出資料
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ICT H21 H30 417 126 305 ICT 87 60 62 31
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