在宅医療における看護婦の裁量権拡大と医療の質の変化に関する研究

研究期間:平成11-12年度 ; 研究種目: 基盤研究C2 ; 課題番号:1167233

A Mathematical Model of Value Co-Creation Dynamics Using a Leverage Mechanism

Service marketing for sustainability can be addressed in studies on human wellbeing promoted by delight and value co-creation within service systems. However, there is scant research on formal models of value co-creation dynamics with respect to customer delight. This study aimed to formulate a mathematical model of value co-creation dynamics based on a “seesaw catapult” using a lever system. This is based on the concept presented in ISO/TS 24082 and involved service providers’ customer centricity and customers’ active participation. We solved the maximization problem for a ball’s height (i.e., customer experience) by optimizing customers’ active participation and the scale of data collection. Theoretical analysis of rotational motion dynamics revealed nonlinear, complementary, and trade-off relationships in the model. Optimal conditions for the variables were obtained, and additional conditions of the service provider’s customer centricity were derived to achieve customer delight. In this study, a switchback co-creation process of the service system was constructed based on these findings. This study contributes to the value co-creation literature by providing a normative model of co-creation dynamics that enables deductive development and generates various co-creation processes. Service marketing sustainability can be expanded by exploring appropriate co-creation scenarios that maintain and engage people in service systems

Models for Designing Long-Term Care Service Plans and Care Programs for Older People

The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come. Under Japanese Long-term Care Insurance System, long-term care is provided based on long-term care programs, which were designed by care providers on the basis of long-term care service plans, which were designed by care managers. However, defined methodology for designing long-term care service plans and care programs has not been established yet. In this paper, we propose models for designing long-term care service plans and care programs for older people, both by incorporating the technical issues from previous studies and by redesigning the total methodology according to these studies. Our implementation model consists of "Function, " "Knowledge Structure, " and "Action Flow. " In addition, we developed the concrete knowledgebases based on the Knowledge Structure by visualizing, summarizing, and structuring the inherent knowledge of healthcare/welfare professionals. As the results of the workshop and retrospective verification, the adequacy of the models was suggested, while some further issues were pointed. Our models, knowledgebases, and application make it possible to ensure the quality of long-term care for older people

Models for Designing Long-Term Care Service Plans and Care Programs for Older People

The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come. Under Japanese Long-term Care Insurance System, long-term care is provided based on long-term care programs, which were designed by care providers on the basis of long-term care service plans, which were designed by care managers. However, defined methodology for designing long-term care service plans and care programs has not been established yet. In this paper, we propose models for designing long-term care service plans and care programs for older people, both by incorporating the technical issues from previous studies and by redesigning the total methodology according to these studies. Our implementation model consists of “Function,” “Knowledge Structure,” and “Action Flow.” In addition, we developed the concrete knowledgebases based on the Knowledge Structure by visualizing, summarizing, and structuring the inherent knowledge of healthcare/welfare professionals. As the results of the workshop and retrospective verification, the adequacy of the models was suggested, while some further issues were pointed. Our models, knowledgebases, and application make it possible to ensure the quality of long-term care for older people

慢性障害者の役割再獲得に関する研究

研究期間:平成11-12年度 ; 研究種目:基盤研究C2 ; 課題番号:11835019原著には既発表論文の別刷を含む

受益者指向の施設間保健医療介護情報のオンライン流通基盤

研究期間:平成13-15年度 ; 研究種目:基盤研究B2 ; 課題番号:13480105原著には既発表論文の別刷を含む