2017년 2월 6일 월요일

The run-around

The run-around

Acrobatic feats to turn a tub with feet with the run-around (the run-around, balancing a spinning washtub). I turned and came to call so buck-passing (I say commonly "I smear each other of the responsibility") or the buck-passing which I pushed sending things one after another, and turning it, a troublesome item to between posts.

Table of contents

"Run-around" in acrobatic feats

One of the acrobatic feats that bloomed over Meiji, the Taisho era. The foot trick by the iron percent company with the iron percent bear storehouse is famous.

Value of the art was accepted abroad while cultural exchange with Europe and America was gradually activated and European and American, the superior entertainer was invited and played an active part as エンターティナー. It is said that I impressed that Thomas Edison, and the picture which I photographed is left.

"Run-around" in the medical care

Concept

"The run-around" in the medical care is a term derived from news mediums such as TV. Most of uses to be seen by the news are used in the form called the different way of saying of the "acceptance difficulty" that "it is impossible of acceptance" of the hospital, and refer whether the ambulancecrew who rushed to the cause of the patient whom I reported the 119th to in an ambulance is acceptable to a medical institution and it is what is declined by reasons "to lack hands, supplies of the acceptance", the thing that refers whether you can convey a medical institution to a more highly advanced different medical institution again, and is declined likewise and is the name in question.

In late years there are worst belatedness and the case which it is, and results in death without a patient having a quite good hospital accept him by medical collapse to be started from the lack of the chronic doctor, bed. But considerably many examples are really the examples that "are impossible of acceptance" for the unavoidable reason, and there is the reported case that the hospital, doctor side seems to be an assailant using a term "run-around" with disregard to them [1].

Strong repulsion goes out of the medical side about this use saying "I twist the impression of a reader, the audience by an inappropriate use". In addition, I look away from the medical expenses reduction problem that is a true cause and the problem on the system such as the defect of the medical system, and there is criticism that I miss the eyes of the nation from essence of the medical care collapse by connecting it with the easy impression criticism to a hospital. In conjunction with a problem of the medical news of relationships, Senior Vice Minister of Health, Labour and Welfare Kyoko Nishikawa comments saying "the consciousness to cost was brought up to the reliable food among the nations by security, but is discussed the sterility when a side that the consciousness of the nation is not brought up in the medical field and accepts all does not have directionality to build medical care not a way of the indication to be bad together" [2].

In addition, it is the word that expressed actual feeling itself of the patient, and the term "run-around" might be seen from the world if the person of medical care side denies the use of the term easily saying "I may not understand the feelings of the declined person" and is the place where term itself run-around is discussed in the news whether you replace it in "acceptance inability". "It is impossible of acceptance" is because I do not express the poverty of the patient just to express the situation of individual hospitals [3].

In addition, it is usual that I request plural hospitals for the emergency acceptance request while emergency services take care of a patient on the site and the body of the patient "is turned" to many places and is not. Rather I will move using an ambulance after all, and in this case the body of the patient will be really performed "the run-around" of if I push it into the hospital which it is hard to receive by force for the reason of there not being the later sudden change or a hospitalization bed.

Present conditions

According to the nationwide survey by Ministry of Internal Affairs and Communications, as for the main cause of "the run-around", 2-4 percent, "bed no vacancy" are before and after 20% "it has difficulty with measures", and it is lower than 10% degree before and after 10%, "doctor absence" "during patient correspondence during an operation" before and after 20%, "the specialty outside". In addition, I express the thing which I replied when I cannot receive a medical institution by the reason of the thing that I am unable to manage from a symptom of the disabled whom the operation staff without facilities, 資器材 dealing with a symptom of the disabled lacks "to be hard to deal" here. They reflect recent obstetrics medical care collapse, and the perinatal disabled conveyance cases increase to 1,084 cases and 4 times of 2007 from 255 cases of 2004 the obstetrics that is higher than four times of inquiry number of times [4].

Though the emergency patients increase, there is the system providing emergency care in the extremely insufficient situation by the abolished House of the hospital, the closedown of the clinical department, the burden on medical doctor in hospital [5], and it is nominal "emergency care" now. When the medical institution side has it, the emergency care is at increased risk of the medical lawsuit, and, seeing from a medical profit side in the hospital management, as for the merit, the situation such as there not being it accelerates collapse of the emergency care. In addition, there are many space beds, and there is the background not to be considerable from an economical point of view even if I expand emergency care system because a patient does not come [6].

"Bed no vacancy" is not the meaning that bed itself is using physically and means that I reach the capacity of the hospitalization permitted the hospital administratively. The hospitalization sickbed of the hospital is restricted in various administrative regulation like the seat of the passenger plane. The minimum number of doctor and nurses per unit bed capacity is decided, too and varies in the medical treatment reward according to the number, too. In addition, I am punished if I violate it. If the hospital where I have ever got profit in 95% of sickbed rates of operation by recent medical expenses reduction is not sickbed rate of operation more than 98%, a situation such as profit not being produced produces it and has even an emergency hospital pointed out even if there is the problem that the state that can always cope with urgent hospitalization cannot maintain in the background.

Statistics

About an acute seriously ill patient, as for the example to be forced to spot stay by for a long time including from 30 to 45 or more, there were approximately 17,000 cases in the whole country, and the example that acceptance was refused for plural conveyance ahead matter (more than four cases) soon was approximately 5.1%. The maximum number of examples impossible of acceptance was 49 hospitals.

It is Miyagi, Ibaraki, Tochigi, Saitama, Chiba, Tokyo, Kanagawa, Osaka, Hyogo, Nara, and it is said to the metropolis and districts more than the national average that there is many it together by an inner city at the acceptance request number of times, wait time.

The conveyance case of the perinatal disabled (pregnant women) was approximately 40,000 obstetrics in the whole country, and, of these, the greatest inquiry number of times that was acceptance request number of times four times above-mentioned thing 794 cases (4.6% of the whole), things 47 more than 265 above-mentioned things (1.6%), 11 times six times (0.3%) was 26 times. It is 113 things (0.7%) more than 1,029 things (6.3% of the whole) that ambulances stayed in the spot more than 30 minutes, things 311 (1.9%) more than 45 minutes, 60 minutes without conveyance being decided. [7]

Run-around function

One of the functions that are called the tub function, and are used for the performance evaluation of the computer.

The details refer to "Takeuchi function"

Footnote

Allied item

Outside link

It is acquired by "https://ja.wikipedia.org/w/index.php?title= run-around &oldid=57700709"

This article is taken from the Japanese Wikipedia The run-around

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