{"created":"2023-06-20T14:15:01.117030+00:00","id":745,"links":{},"metadata":{"_buckets":{"deposit":"18214c4c-7e06-4198-92e5-44a7a86f37c3"},"_deposit":{"created_by":3,"id":"745","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"745"},"status":"published"},"_oai":{"id":"oai:niu.repo.nii.ac.jp:00000745","sets":["3:4:18"]},"author_link":["1923","66"],"item_10_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"212","bibliographicPageStart":"205","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"長崎国際大学論叢"},{"bibliographic_title":"Nagasaki International University Review","bibliographic_titleLang":"en"}]}]},"item_10_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"中根, 允文","creatorNameLang":"ja"},{"creatorName":"ナカネ, ヨシブミ","creatorNameLang":"ja-Kana"},{"creatorName":"NAKANE, Yoshibumi","creatorNameLang":"en"}],"familyNames":[{"familyName":"中根","familyNameLang":"ja"},{"familyName":"ナカネ","familyNameLang":"ja-Kana"},{"familyName":"NAKANE","familyNameLang":"en"}],"givenNames":[{"givenName":"允文","givenNameLang":"ja"},{"givenName":"ヨシブミ","givenNameLang":"ja-Kana"},{"givenName":"Yoshibumi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66","nameIdentifierScheme":"WEKO"}]}]},"item_10_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10_description_24":{"attribute_name":"Abstract","attribute_value_mlt":[{"subitem_description":"I intend to reflect on the history of the development of psychiatric care in Nagasaki Prefecture with a focus on the achievements of Dr. Noboru Ishida, the first professor of the Department of Neuropsychiatry, Nagasaki University School of Medicine. There is insufficient space here to cover all of his achievements and more information still needs to be collected, so in the interval I will tentatively present this information in the form of research notes. There are currently 39 mental hospitals in Nagasaki Prefecture with a total of 8,415 beds prepared for patients with psychiatric disorders ; 7,059 patients are currently admitted. The average duration of their stay is 440.9 days with a facility utilization rate of 83.5% (for both, current data was as of the end of June 2002). With reference to Nagasaki Prefecture's total population, beds number 55.2 beds per 10,000 people and admittances total 51.7 patients per 10,000 people. In terms of trends nationwide, there are 28.0 beds per 10,000 Japanese and the average duration of stay is 364 days, so both of these numbers for Nagasaki surpass those nationwide. In statistical data related to medical care overall, western Japan has higher numbers than eastern Japan (more facilities and beds, higher medical expenses per person, etc.) ; in psychiatric care, these trends are even more marked. However, they are even more exaggerated in Nagasaki. At what point did trends like these become so striking? That Nagasaki has good facilities and services for psychiatric care should be welcomed, but the actual content of that care should be examined. While there is insufficient space here to refer to psychiatric care as a whole in depth, I have sought to discuss this topic somewhat while following in the footsteps of the late professor Noboru Ishida, who contributed largely to its development.","subitem_description_type":"Other"}]},"item_10_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"いま、長崎県における精神科医療の展開に関する歴史を、長崎大学医学部精神神経科学教室の初代教授である石田昇の成果を中心に振り返りつつある。完成させるには今しばらくの情報収集が必要であり、その途中経過として、ここには研究ノートの形で紹介してみたい。現在、長崎県下には３９ケ所の精神科病院があり、総数で８,４１５ベッドが精神科疾患の患者のために準備されていて、入院患者数は７,０５９人である（図１）。彼等の平均入院日数は４４０.９日（図２）であり、利用率は８３.５％（図３）になっている（いずれも、平成１４年６月末現在のデータ）。長崎県の人口と比較したとき、ベッド数は万対５５.２床（図４）、入院数は万対５１.７人となる。全国の動向と比較したとき、全国でベッド数が万対２８.０床、万対在院患者数が２６.０人、そして平均日数は３６４日であり、いずれもその数値が大きく全国を上まっている。医療全体に関わる統計データで、西日本地区が東日本に比して全体的に高い数値をみており（病院数・病床数が多い、個人当たりの医療費が高いなど）、精神科医療では更にその傾向が顕著である。しかし、長崎は同傾向が更に著しくなっているのである。いつの頃から、このような傾向が目立ってきたのであろうか。長崎の精神科医療に関するハードの面が充実していること自体は歓迎すべきであろうが、実際はその内容が問われるべきであることも事実である。ここでは、長崎県における精神科医療の全般について広く言及するゆとりはなく、まずはその展開に大きく寄与した故石田昇教授の足跡をたどりながら、若干の考察を試みてみたい。","subitem_description_type":"Abstract"}]},"item_10_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"長崎国際大学"}]},"item_10_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11766493","subitem_source_identifier_type":"NCID"}]},"item_10_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-4094","subitem_source_identifier_type":"ISSN"}]},"item_10_subject_25":{"attribute_name":"Keyword","attribute_value_mlt":[{"subitem_subject":"psychiatric care, Nagasaki, history, Prof. N. Ishida","subitem_subject_scheme":"Other"}]},"item_10_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中根, 允文"},{"creatorName":"ﾅｶﾈ, ﾖｼﾌﾞﾐ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1923","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-05-16"}],"displaytype":"detail","filename":"RN07-020.pdf","filesize":[{"value":"248.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"RN07-020","url":"https://niu.repo.nii.ac.jp/record/745/files/RN07-020.pdf"},"version_id":"ebe6e59e-4f45-4201-ada0-0370e8646777"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"精神科医療","subitem_subject_scheme":"Other"},{"subitem_subject":"長崎","subitem_subject_scheme":"Other"},{"subitem_subject":"歴史","subitem_subject_scheme":"Other"},{"subitem_subject":"石田昇","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":"長崎における精神科医療の歴史 - 石田昇の足跡をたどりつつ -","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"長崎における精神科医療の歴史 - 石田昇の足跡をたどりつつ -"},{"subitem_title":"The History of Psychiatric Care in Nagasaki : In the Footsteps of the Late Professor Noboru Ishida","subitem_title_language":"en"}]},"item_type_id":"10","owner":"3","path":["18"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-04-01"},"publish_date":"2015-04-01","publish_status":"0","recid":"745","relation_version_is_last":true,"title":["長崎における精神科医療の歴史 - 石田昇の足跡をたどりつつ -"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-11-29T03:06:20.362085+00:00"}