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{"sheet":"Ⅱ-1 ","index":0,"n_rows":57,"n_cols":18,"rows_kept":57,"cut":false,"hidden":false,"merged":[[2,1,2,6],[4,0,6,0],[4,1,6,1],[4,2,6,2],[4,3,5,4],[4,5,4,12],[33,0,34,0],[48,0,49,0],[4,13,4,17],[5,5,6,5],[5,6,5,7],[5,8,5,12],[5,13,5,17],[19,0,20,0]]}
["Ⅱ","都道府県レベルでのがん診療の質の向上を目指したPDCAサイクル確保の取り組みについて"]
[]
["1．","都道府県レベルでのがん診療の質の向上を目指したPDCAサイクルの確保について"]
[]
["提出\nNo","都道府県","施設","PDCAサイクルの確保に関する\n会議体の設置",null,"（設置している場合）",null,null,null,null,null,null,null,"（設置していない場合）"]
[null,null,null,null,null,"\n会議体の名称","会議体による\n会議の開催回数",null,"会議体の構成員数",null,null,null,null,"PDCAサイクルの確保についての検討の場"]
[null,null,null,"設置していない","設置している",null,"通算開催\n回数","H30年度の\n開催回数","～5名","6～10名","11～15名","16～20名","21名～","　検討してない","都道府県がん診療連携拠点病院の担当者間","都道府県のがん診療\n連携協議会","都道府県内のがん診療連携協議会の各領域の専門部会","その他"]
[1,"北海道","北海道がんセンター",null,"○","北海道がん診療連携協議会\n医療の質改善部会",4,1,null,null,null,null,"〇"]
[2,"青森県","青森県立中央病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[3,"岩手県","岩手県がん診療連携協議会","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[4,"宮城県","大崎市民病院",null,"○","宮城県がん診療提供体制\n検討委員会",5,1,null,null,null,"○"]
[5,"秋田県","秋田大学医学部附属病院",null,"○","評価・改善部会",12,4,null,null,null,"○",null,null,null,"○"]
[6,"山形県","山形県立中央病院","○",null,null,null,null,null,null,null,null,null,null,"○"]
[7,"福島県","福島県立医科大学附属病院",null,"○","地域連携部会",1,1,null,null,"○"]
[8,"茨城県","茨城県立中央病院","○",null,null,null,null,null,null,null,null,null,null,null,"○"]
[9,"栃木県","栃木県立がんセンター","○"]
[10,"群馬県","群馬大学医学部附属病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[11,"埼玉県","埼玉県立がんセンター",null,"○","ＰＤＣＡサイクル部会",8,3,null,null,null,null,"〇",null,"○"]
[12,"千葉県","千葉県がんセンター",null,"○","PDCAサイクル専門部会",10,2,null,null,null,null,"〇"]
[13,"東京都","東京都立駒込病院",null,"○","評価・改善部会",14,3,null,null,null,null,"〇"]
[null,"東京都","がん研究会有明病院",null,"○","評価・改善部会",14,3,null,null,null,null,"〇"]
[14,"神奈川県","神奈川県立がんセンター","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[15,"新潟県","新潟県立がんセンター新潟病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[16,"富山県","富山県立中央病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[17,"石川県","金沢大学附属病院","○",null,null,null,null,null,null,null,null,null,null,null,"○"]
[18,"福井県","福井県立病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[19,"山梨県","山梨県立中央病院",null,"○","PDCAサイクル推進委員会",2,1,null,null,null,"○"]
[20,"長野県","信州大学医学部附属病院",null,"○","長野県がん診療拠点病院\n整備検討委員会",23,3,null,null,"○"]
[21,"岐阜県","岐阜大学医学部附属病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[22,"静岡県","静岡県立静岡がんセンター","○",null,null,null,null,null,null,null,null,null,null,null,"○"]
[23,"愛知県","愛知県がんセンター",null,"○","PDCAサイクル推進検討部会",9,2,null,null,null,null,"〇"]
[24,"三重県","三重大学医学部附属病院",null,"○","PDCAサイクル部会",3,1,null,null,null,null,"〇"]
[25,"滋賀県","滋賀県立総合病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[26,"京都府","京都府立医科大学附属病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[null,"京都府","京都大学医学部附属病院","○",null,null,null,null,null,null,null,null,null,null,null,"○"]
[27,"大阪府","大阪国際がんセンター","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[28,"兵庫県","兵庫県立がんセンター","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[29,"奈良県","奈良県立医科大学附属病院",null,"○","PDCAサイクル評価チーム委員会",5,1,null,"○",null,null,null,null,null,"○"]
[30,"和歌山県","和歌山県立医科大学附属病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[31,"鳥取県","鳥取大学医学部附属病院",null,"○","鳥取県がん診療研修会",6,2,null,null,null,null,"〇"]
[32,"島根県","島根大学医学部附属病院",null,"○","がん診療部会","記載無し",1,null,null,null,"○"]
[33,"岡山県","岡山大学病院",null,"○","PDCA評価部会",0,0,null,null,"○"]
[34,"広島県","広島大学病院","○",null,null,null,null,null,null,null,null,null,null,null,"○"]
[35,"山口県","山口大学医学部附属病院","○",null,"山口県がん診療連携協議会\n実務担当者会議",17,2,null,null,null,"○"]
[36,"徳島県","徳島大学病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[37,"香川県","香川大学医学部附属病院",null,"○","情報・広報部会",1,0,null,"○"]
[38,"愛媛県","四国がんセンター",null,"○","ＰＤＣＡ部会",1,1,null,null,null,null,"〇"]
[39,"高知県","高知大学医学部附属病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[40,"福岡県","九州がんセンター","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[null,"福岡県","九州大学病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[41,"佐賀県","佐賀大学医学部附属病院",null,"○","佐賀県がん診療連携拠点病院\n緩和ケア部会",1,1,null,null,"○",null,null,null,null,null,"○"]
[42,"長崎県","長崎大学病院","○",null,null,null,null,null,null,null,null,null,null,null,null,"○"]
[43,"熊本県","熊本大学医学部附属病院",null,"○","ＰＤＣＡサイクル推進ＷＧ",4,1,null,null,null,"○"]
[44,"大分県","大分大学医学部附属病院",null,"○","大分県がん診療連携協議会\nがん診療評価専門部会",5,1,null,null,"○"]
[45,"宮崎県","宮崎大学医学部附属病院",null,"○","宮崎県がん診療連携協議会",20,2,null,null,"○",null,null,null,null,"○"]
[46,"鹿児島県","鹿児島大学病院",null,"○","各部門毎のＰＤＣＡ会議",2]
[47,"沖縄県","琉球大学医学部附属病院",null,"○","沖縄県がん診療連携協議会\nベンチマーク部会",0,0,null,null,"○",null,null,null,null,"○"]

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["Ⅱ","都道府県レベルでのがん診療の質の向上を目指したPDCAサイクル確保の取り組みについて"]
[]
["2．","都道府県レベルでのがん診療の質の向上を目指したPDCAサイクルの確保について ①"]
[]
["No","都道府県","施設","都道府県レベルでのがん診療の質の向上を目指したPDCAサイクル確保に関する現時点の取り組み状況"]
[null,null,null,"都道府県内のPDCA\nサイクルの確保に\n関する責任者",null,"都道府県内のPDCA\nサイクルの確保に\n関する実務担当者",null,"PDCAサイクル確保の方法を定めた上での都道府県内の取り組み",null,"都道府県内のPDCAサイクルの確保の手段"]
[null,null,null,"決めていない","決めている","決めていない","決めている","開始していない","開始している","現況報告書を用いたがん診療連携拠点病院の診療機能等の\n情報共有","院内がん登録のデータを用いたがん診療に関する情報共有","がん診療評価指標QIの研究（がん登録部会QI）へ参加","がん診療連携拠点病院における診療体制に関する調査(東京大学大学院 水流聡子)へ参加","都道府県内で定めたフォーマットを用いた各病院が取り組むがん診療の質の改善を目指した活動についての情報共有","特定のメンバーが訪問する形での病院の実地調査","病院間のメンバーが相互に訪問する形での病院の実地調査","その他"]
[1,"北海道","北海道がんセンター",null,"○",null,"○",null,"○","○","○","○",null,"○","○","○"]
[2,"青森県","青森県立中央病院","○",null,"○",null,"○"]
[3,"岩手県","岩手県がん診療連携協議会","○",null,"○",null,"○",null,"○","○",null,"○"]
[4,"宮城県","大崎市民病院",null,"○",null,"○",null,"○","○","○","○","○","○","○","○"]
[5,"秋田県","秋田大学医学部附属病院",null,"○",null,"○",null,"○",null,"○","○",null,"○","○","○"]
[6,"山形県","山形県立中央病院",null,"○",null,"○",null,"○","○",null,null,"○"]
[7,"福島県","福島県立医科大学附属病院",null,"○",null,"○",null,"○","○","○","○",null,null,null,"○"]
[8,"茨城県","茨城県立中央病院",null,"○",null,"○","○"]
[9,"栃木県","栃木県立がんセンター",null,"○",null,"○",null,"○",null,null,null,"○"]
[10,"群馬県","群馬大学医学部附属病院",null,"○",null,"○",null,"○","○","○","○","○"]
[11,"埼玉県","埼玉県立がんセンター",null,"○",null,"○",null,"○",null,null,null,"○"]
[12,"千葉県","千葉県がんセンター",null,"○",null,"○",null,"○",null,"○",null,null,"○"]
[13,"東京都","東京都立駒込病院",null,"○",null,"○",null,"○","○","○","○",null,"○",null,"○"]
[null,"東京都","がん研究会有明病院",null,"○",null,"○",null,"○",null,"○",null,null,"○",null,"○"]
[14,"神奈川県","神奈川県立がんセンター",null,"○",null,"○",null,"○",null,"○","○","○",null,null,"○"]
[15,"新潟県","新潟県立がんセンター新潟病院","○",null,"○",null,null,"○","○","○","○","○"]
[16,"富山県","富山県立中央病院","○",null,"○",null,null,"○",null,"○","○"]
[17,"石川県","金沢大学附属病院","○",null,"○",null,null,"○",null,null,null,null,null,null,"○"]
[18,"福井県","福井県立病院",null,"○",null,"○",null,"○","○","○","○","○","○",null,"○"]
[19,"山梨県","山梨県立中央病院","○",null,null,"○","○",null,null,null,null,null,null,"○"]
[20,"長野県","信州大学医学部附属病院","○",null,"○",null,null,"○",null,"○","○",null,null,"○",null,"定めたPに対して各部会でチェック"]
[21,"岐阜県","岐阜大学医学部附属病院","○",null,"○",null,"○"]
[22,"静岡県","静岡県立静岡がんセンター",null,"○",null,"○",null,"○","○",null,null,"○",null,"○"]
[23,"愛知県","愛知県がんセンター中央病院",null,"○",null,"○",null,"○",null,null,"○",null,"○"]
[24,"三重県","三重大学医学部附属病院",null,"○",null,"○",null,"○",null,null,null,"○"]
[25,"滋賀県","滋賀県立総合病院","○",null,"○",null,null,"○","○","○",null,null,"○"]
[26,"京都府","京都府立医科大学附属病院",null,"○",null,"○",null,"○","○",null,"○"]
[null,"京都府","京都大学医学部附属病院",null,"○",null,"○",null,"○","○",null,"○"]
[27,"大阪府","大阪国際がんセンター","○",null,"○",null,"○",null,null,null,null,null,"○",null,null,"施設の取り組みを公開している"]
[28,"兵庫県","兵庫県立がんセンター","○",null,"○",null,"○",null,null,"○","○"]
[29,"奈良県","奈良県立医科大学附属病院",null,"○",null,"○",null,"○",null,null,"○",null,null,"○"]
[30,"和歌山県","和歌山県立医科大学附属病院","○",null,"○",null,null,"○",null,null,"○",null,"○",null,"○"]
[31,"鳥取県","鳥取大学医学部附属病院",null,"○",null,"○",null,"○","○",null,null,"○","○"]
[32,"島根県","島根大学医学部附属病院",null,"○",null,"○",null,"○","○",null,null,null,"○"]
[33,"岡山県","岡山大学病院","○",null,null,"○","○",null,"○","○","○","○",null,null,"○"]
[34,"広島県","広島大学病院",null,"○",null,"○",null,"○",null,"○","○",null,null,null,"○"]
[35,"山口県","山口大学医学部附属病院",null,"○",null,"○",null,"○","○","○","○",null,"○",null,"○","各種がん治療成績の評価"]
[36,"徳島県","徳島大学病院",null,"○",null,"○","○",null,"○",null,"○","○","○","○","○"]
[37,"香川県","香川大学医学部附属病院",null,"○",null,"○",null,"○",null,null,"○"]
[38,"愛媛県","四国がんセンター",null,"○",null,"○",null,"○",null,"○","○","○",null,null,"○"]
[39,"高知県","高知大学医学部附属病院","○",null,"○",null,null,"○",null,"○","○",null,null,null,"○"]
[40,"福岡県","九州がんセンター","○",null,"○",null,"○",null,null,null,"○",null,null,null,"○"]
[null,"福岡県","九州大学病院","○",null,"○",null,"○",null,null,null,"○"]
[41,"佐賀県","佐賀大学医学部附属病院","○",null,null,"○",null,"○","○","○"]
[42,"長崎県","長崎大学病院","○",null,null,"○",null,"○","○","○",null,null,"○",null,"○"]
[43,"熊本県","熊本大学医学部附属病院",null,"○",null,"○",null,"○","○"]
[44,"大分県","大分大学医学部附属病院",null,"○",null,"○",null,"○",null,null,null,null,"○"]
[45,"宮崎県","宮崎大学医学部附属病院",null,"○",null,"○","○",null,"○",null,null,null,null,null,"○"]
[46,"鹿児島県","鹿児島大学病院","○",null,"○",null,"○",null,null,"○","○",null,null,null,null,"がん登録研修でアンケートをとる"]
[47,"沖縄県","琉球大学医学部附属病院",null,"○",null,"○",null,"○","○","○","○"]

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["Ⅱ"," 都道府県レベルでのがん診療の質の向上を目指したPDCAサイクル確保の取り組みについて"]
[]
["2．"," 都道府県レベルでのがん診療の質の向上を目指したPDCAサイクルの確保について ②"]
[]
["No","都道府県","施設","都道府県レベルでのがん診療の質の向上を目指したPDCAサイクル確保に関する現時点の取り組み状況"]
[null,null,null,"PDCAサイクル部会等での都道府県内のがん診療の現状を踏まえた問題や課題について",null,"都道府県内のがん診療の課題や問題に基づく都道府県内で達成すべき共通の目標",null,"（共通の目標を\n設定している場合）",null,"「都道府県がん対策推進計画」に基づく、都道府県内での共通の目標",null,"都道府県内共通の目標達成に向けた各がん診療連携拠点病院の行動計画",null,"都道府県内共通の目標達成に向けた各がん診療連携拠点病院の行動計画の進捗状況について、都道府県内のPDCAサイクル部会・委員会等での確認",null,"都道府県内で設定した目標達成状況について、PDCAサイクル部会・委員会等での評価"]
[null,null,null,"整理していない","整理している","設定していない","設定している","共通の目標","共通の指標","設定していない","設定している","立案していない","立案している","行っていない","行っている","行っていない","行っている"]
[1,"北海道","北海道がんセンター",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[2,"青森県","青森県立中央病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[3,"岩手県","岩手県がん診療連携協議会","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[4,"宮城県","大崎市民病院",null,"○",null,"○","がん患者の苦痛スクリーニングの強化、化学療法の副作用モニタリング",null,null,"○",null,"○",null,"○",null,"○"]
[5,"秋田県","秋田大学医学部附属病院",null,"○",null,"○","県内共通のＰＤＣＡサイクルシートに記載し共有",null,null,"○","○",null,"○",null,null,"○"]
[6,"山形県","山形県立中央病院","○",null,"○",null,"－","－","○",null,"○",null,"○",null,"○"]
[7,"福島県","福島県立医科大学附属病院",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[8,"茨城県","茨城県立中央病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[9,"栃木県","栃木県立がんセンター","○",null,null,"○","がん診療の質の向上","がん診療連携拠点病院における診療体制に関する調査における適合率","○",null,"○",null,"○",null,null,"○"]
[10,"群馬県","群馬大学医学部附属病院",null,"○",null,"○","がん診療の質向上、病状説明の改善、同意説明文書の整備",null,null,"○","○",null,null,"○",null,"○"]
[11,"埼玉県","埼玉県立がんセンター",null,"○",null,"○","①医科歯科連携、②外来在宅緩和ケア連携、③相互訪問","①件数、②在宅医への紹介実績、③回数",null,"○",null,"○",null,"○",null,"○"]
[12,"千葉県","千葉県がんセンター",null,"○",null,"○","緩和ケアチーム活動の質向上、緩和ケア研修会受講率向上","緩和ケア研修会受講率",null,"○",null,"○",null,"○",null,"○"]
[13,"東京都","東京都立駒込病院",null,"○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[null,"東京都","がん研究会　有明病院",null,"○",null,"○","各専門部会において、設置部会有","自己評価票",null,"○",null,"○","○",null,"○"]
[14,"神奈川県","神奈川県立がんセンター","○",null,null,"○",null,null,"○",null,"○",null,null,"○",null,"○"]
[15,"新潟県","新潟県立がんセンター新潟病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[16,"富山県","富山県立中央病院","○",null,null,"○","予防の強化と早期発見の推進、質の高い医療の確保など",null,null,"○","○",null,"○",null,"○"]
[17,"石川県","金沢大学附属病院",null,"○","○",null,null,null,null,"○","○",null,"○",null,"○"]
[18,"福井県","福井県立病院",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[19,"山梨県","山梨県立中央病院","○",null,null,"○","苦痛のスクリーニングの普及",null,"○",null,"○",null,"○",null,"○"]
[20,"長野県","信州大学医学部附属病院",null,"○",null,"○","院内がん登録精度向上",null,"○",null,null,"○",null,"○",null,"○"]
[21,"岐阜県","岐阜大学医学部附属病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[22,"静岡県","静岡県立静岡がんセンター",null,"○",null,"○","県民全体で県内全てのがん患者、体験者、その家族を｢支える｣他","喫煙する県民の割合を減らす　他",null,"○",null,"○",null,"○",null,"○"]
[23,"愛知県","愛知県がんセンター",null,"○",null,"○","免疫チェックポイント阻害薬の有害事象対策等","リスクアセスメント表\n（別添メールにて送付）","○",null,"○",null,null,"○",null,"○"]
[24,"三重県","三重大学医学部附属病院",null,"○",null,"○","患者状態を認識するためのチェックシートを作成する",null,"○",null,null,"○",null,"○",null,"○"]
[25,"滋賀県","滋賀県立総合病院","○",null,null,"○","がんに携わる医療従事者の基本的な緩和ケアの理解","がん医療に携わる医師の緩和ケア研修会受講率",null,"○","○",null,"○",null,"○"]
[26,"京都府","京都大学医学部附属病院","○",null,null,"○","地域連携クリティカルパスの適用件数","拠点病院等におけるELNEC-Jの実施数","○",null,null,"○",null,"○","○"]
[null,"京都府","京都府立医科大学附属病院","○",null,"○",null,null,null,"○",null,null,"○",null,"○","○"]
[27,"大阪府","大阪国際がんセンター","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[28,"兵庫県","兵庫県立がんセンター","○",null,null,"○","がん検診の受診率向上、就労支援、がん教育",null,null,"○","○",null,"○",null,"○"]
[29,"奈良県","奈良県立医科大学附属病院",null,"○",null,"○",null,null,null,"○",null,"○","○",null,null,"○"]
[30,"和歌山県","和歌山県立医科大学附属病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[31,"鳥取県","鳥取大学医学部附属病院",null,"○",null,"○","専門病院とかかりつけ医による切れ目のない安心で質の高い医療提供",null,null,"○",null,"○",null,"○",null,"○"]
[32,"島根県","島根大学医学部附属病院",null,"○","○",null,null,null,null,"○",null,"○",null,"○",null,"○"]
[33,"岡山県","岡山大学病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[34,"広島県","広島大学病院",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[35,"山口県","山口大学医学部附属病院",null,"○",null,"○","各種がんにおける生存率の公表，患者満足度調査の実施","DPCにおける医療機関係数の体制評価係数がん最大ポイントの取得",null,"○",null,"○",null,"○",null,"○"]
[36,"徳島県","徳島大学病院",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[37,"香川県","香川大学医学部附属病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[38,"愛媛県","四国がんセンター",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[39,"高知県","高知大学医学部附属病院",null,"○",null,"○","公平中立な相談の場の具体化","「がん相談対応評価表」を用いた事例検討",null,"○","○",null,"○",null,"○"]
[40,"福岡県","九州がんセンター","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[null,"福岡県","九州大学病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[41,"佐賀県","佐賀大学医学部",null,"○",null,"○","　緩和ケアパスの作成",null,null,"○",null,"○",null,"○",null,"○"]
[42,"長崎県","長崎大学病院",null,"○",null,"○",null,null,null,"○",null,"○","○",null,"○"]
[43,"熊本県","熊本大学病院",null,"○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[44,"大分県","大分大学医学部附属病院",null,"○",null,"○","相談支援センターの周知を目標に広報活動を行う",null,null,"○",null,"○",null,"○",null,"○"]
[45,"宮崎県","宮崎大学医学部附属病院",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]
[46,"鹿児島県","鹿児島大学病院","○",null,"○",null,null,null,"○",null,"○",null,"○",null,"○"]
[47,"沖縄県","琉球大学医学部附属病院",null,"○","○",null,null,null,"○",null,"○",null,"○",null,"○"]

{"sheet":"Ⅱ-3・4","index":3,"n_rows":53,"n_cols":5,"rows_kept":53,"cut":false,"hidden":false,"merged":[[0,1,0,4],[44,0,45,0],[15,0,16,0],[29,0,30,0]]}
["Ⅱ","　都道府県レベルでのがん診療の質の向上を目指したPDCAサイクル確保の取り組みについて"]
[]
["No","都道府県","施設名","3. 都道府県レベルでのPDCAサイクルの確保に関する取り組みに関して、「工夫していること」または「問題点」等について","4. 国立がん研究センターが行っている、各都道府県が都道府県レベルでのPDCAサイクルを確保していくことを支援するための取り組み（PDCAサイクルフォーラムの開催や、ホームページによる各都道府県の取り組みの紹介など）に関するご意見等"]
[1,"北海道","北海道がんセンター"]
[2,"青森県","青森県立中央病院"]
[3,"岩手県","岩手県がん診療連携協議会"]
[4,"宮城県","大崎市民病院","①宮城県がん診療連携協議会その下に②がん診療提供体制検討委員会③その他領域別の専門委員会8部会でPDCAを回している。"]
[5,"秋田県","秋田大学医学部附属病院"]
[6,"山形県","山形県立中央病院","－","－"]
[7,"福島県","福島県立医科大学附属病院","がん相談やがん登録など検討が進んでいる部分と診療部門等これから進めていく部分等がある。"]
[8,"茨城県","茨城県立中央病院",null,"ＰＤＣＡサイクルという方法論を重視した取り組みは行っていないが，実際にＰＤＣＡサイクルについては日常的に使用していると考えている。\nＰＤＣＡサイクルを目的化することについては疑問に思う。\n（茨城県がん診療連携協議会は，希望の際傍聴可能。積極的に公表せず）"]
[9,"栃木県","栃木県立がんセンター","今年度、協議会にＰＤＣＡサイクルに関する専門部会を設置予定（９月～11月に第１回の部会を開催予定）"]
[10,"群馬県","群馬大学医学部附属病院","各部会でPDCAサイクルを回すようにしているが、病院間で意識の差がある。"]
[11,"埼玉県","埼玉県立がんセンター","部会でＰＤＣＡサイクルの確保を目指しているが、具体的な改善行動につなげられていない。"]
[12,"千葉県","千葉県がんセンター","2019年度、都道府県内共通フォーマットを改定し、都道府県内の共通目標を設定した県レベルのPDCAサイクルと、その達成に向けて各拠点病院等が取り組む施設レベルのPDCAサイクルとの連動性が明確になるようにした。","各病院の現況報告書のデータについて集計・分析するツールを開発し、提供していただきたい。"]
[13,"東京都","東京都立駒込病院","施設数が多いため、医療圏のブロック単位で取り組んでいる。"]
[null,"東京都","がん研究会　有明病院"]
[14,"神奈川県","神奈川県立がんセンター","・全体で行うには、各部会の事務量で限界。\n・各病院で弱点は異なり、全体での取り組みは困難。\n・相談支援部会、緩和ケア部会では積極的に取り組んでいる。\n・がんパス部会ではバリアンス解析等パスの運用そのものがPDCAサイクルとなるので実務者WGで情報を共有している。","・年間スケジュールを公表していただきたい（前年度末には次年度の予定を把握したい）"]
[15,"新潟県","新潟県立がんセンター新潟病院"]
[16,"富山県","富山県立中央病院"]
[17,"石川県","金沢大学附属病院","相互訪問を毎年ペアを変えながら行っている。また、このような取り組みに過度の労力がかからないように工夫している。","「PDCAサイクルの確保」のキャッチフレーズはよいが、それにより各拠点病院に事務作業などの負担が増えないように配慮すべき。"]
[18,"福井県","福井県立病院"]
[19,"山梨県","山梨県立中央病院","なし","なし"]
[20,"長野県","信州大学医学部附属病院"]
[21,"岐阜県","岐阜大学医学部附属病院"]
[22,"静岡県","静岡県立静岡がんセンター","都道府県拠点病院である当センターでは、医師、保健師、MSWによる相談チームが県内各地域（例年8～9市町）に出向く、出張がんよろず相談を平成15年から継続実施している。\n出張がんよろず相談では、相談を受けるだけでなく、患者の視点からの地域調査として患者・家族の要望や市町担当者（保健師等）の意見を聞き、各拠点病院や県庁に情報提供し、がん医療体制や医療行政の改善に役立てている。","特になし"]
[23,"愛知県","愛知県がんセンター","現状、相互評価しやすい「がん薬物療法部門」の取組を優先的に行っており、将来的には、がん診療の向上に関わる取組を行っていくこととしている。医療の質・安全管理の専門家に毎回参加していただき、アドバイスをいただいており、それが活動の活性化、適正化に役立っている。","平成30年度のPDCAサイクルフォーラムにおいて、「病院間の相互評価」にフォーカスを当てた説明が行われました。愛知県が直面している課題であり、とても参考になりました。"]
[24,"三重県","三重大学医学部附属病院","PDCAサイクル部会に参加する施設間で、取り組み状況に格差があるため、熱心な施設の取り組みを報告してもらい、それを参考にして検討を進めてもらっている。","QIの研究と水流Drの調査研究があり、取り組みに一貫性がないように思える。必ずしも一本化する必要はないかもしれないが、両方に参加するのは、負担が大きいと思われるので、施設の状況に応じた選択が必要と考える。そのための判断基準等を示してほしい。"]
[25,"滋賀県","滋賀県立総合病院"]
[26,"京都府","京都大学医学部附属病院"]
[null,"京都府","京都府立医科大学附属病院"]
[27,"大阪府","大阪国際がんセンター","施設ごとにしているので、府下の施設としての実施は二重手間であると批判があったので、希望する施設のみの参加としている。"]
[28,"兵庫県","兵庫県立がんセンター","特になし","特になし"]
[29,"奈良県","奈良県立医科大学附属病院"]
[30,"和歌山県","和歌山県立医科大学附属病院","当県の緩和ケア部会では①部会での各拠点病院の実績報告及び評価②県内でのPDCAサイクルフォーラムの開催③拠点病院相互のピアレビューを実施することでPDCAサイクルの確保を目指しているが、明確な目標の策定や具体的な改善行動に繋げられていないのが現状である。","講師（指導者）の派遣や好事例の紹介について、支援をお願いしたい。"]
[31,"鳥取県","鳥取大学医学部附属病院","年2回がん診療研修会を開催し、各部会の実務者が集まり、今後の方向性について検討している。"]
[32,"島根県","島根大学医学部附属病院"]
[33,"岡山県","岡山大学病院"]
[34,"広島県","広島大学病院","毎年，県協議会及び各部会にておいて具体的な課題を設定し，各拠点病院でPDCAサイクルの確立に取り組んでいる。県協議会では，今年度から国指定の拠点病院の持ち回りで，県レベルの取組みに関する企画を担当することを試行している。","PDCAフォーラム等で各都道府県の具体的な取り組みを参考にさせていただいております。今後も引き続き，様々な情報提供をお願いいたします。"]
[35,"山口県","山口大学医学部附属病院","特になし","特になし"]
[36,"徳島県","徳島大学病院"]
[37,"香川県","香川大学医学部附属病院","特になし","特になし"]
[38,"愛媛県","四国がんセンター","ＰＤＣＡ部会が設立され活動を開始したばかりで、これから具体的な活動が開始される","各地方のＰＤＣＡ部会の活動について情報共有して欲しい"]
[39,"高知県","高知大学医学部附属病院","共通のチェックシートを用いるなど形式的なことは共同して行っているが、各機関の行動計画に落とし込むといった実務レベルの改善には、いまだ至っていない。"]
[40,"福岡県","九州がんセンター","各専門部会にてPDCAサイクルを実施することとしており、部会によって担当分野について病院間実地調査等を行っている。"]
[null,"福岡県","九州大学病院"]
[41,"佐賀県","佐賀大学医学部"]
[42,"長崎県","長崎大学病院"]
[43,"熊本県","熊本大学病院"]
[44,"大分県","大分大学医学部附属病院","・県立図書館で年に数回「１日まちの保健室」を設置し、がん予防指導を兼ねて広報を行っている。\n・一般の人を対象に、がん相談支援センターの認知度に関するアンケート調査を予定している。"]
[45,"宮崎県","宮崎大学医学部附属病院"]
[46,"鹿児島県","鹿児島大学病院"]
[47,"沖縄県","琉球大学医学部附属病院","沖縄県がん診療連携協議会の下部組織にベンチマーク部会を設置し、役割としては、PDCAサイクル確保に関する協議を行うこととなっているが、運営事務スタッフ不足のため、開催できていない。","現況報告書の情報共有、院内がん登録の施設別データの情報共有、DPCQIの情報共有は、沖縄県がん診療連携協議会で行っている。"]