平原 憲道 (ヒラハラ ノリミチ)

Hirahara, Norimichi

写真a

所属(所属キャンパス)

医学部 医療政策・管理学教室 (信濃町)

職名

助教(有期)

HP

プロフィール 【 表示 / 非表示

  • カリフォルニア大学バークレー校心理学部(認知心理学)卒業。 東京工業大学大学院社会理工学研究科博士課程修了。 英国シェフィールド大学医学部客員研究員、東京大学大学院医学系研究科を経て、慶應義塾大学医学部医療政策・管理学教室にて研究と教育に従事。

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  • 博士(学術), 東京工業大学, 課程

 

研究分野 【 表示 / 非表示

  • 統計科学

  • 認知科学

  • 生命・健康・医療情報学

研究キーワード 【 表示 / 非表示

  • MDM

  • JDM

  • 医療ビッグデータ

  • 医療意思決定

  • 意思決定科学

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著書 【 表示 / 非表示

  • 「患者中心」で成功する病院大改造: 医療の質を向上させる15章

    平原 憲道, 医学書院, 2016年06月

     概要を見る

    患者中心の医療のモデルとして知られている米国「プレイントゥリーモデル」の考え方と,導入した医療施設の概要をまとめたもの.患者中心の医療に求められる要素とは何か,医療の質を向上させるためのケアはどういったものか,実践も含めて解説.さらに,病院経営の視点からみた「患者中心の医療」,医療者と患者の関係,医療の質と安全性等にも言及.患者のための病院づくりに応用可能な事例も掲載.(Amazon.co.jpより)

  • 患者と減らそう医療ミス 患者は安全パートナー

    平原 憲道, エルゼビア・ジャパン, 2005年07月

  • みんなの「こんな病院あったらいいな」が実現する本

    平原 憲道、和田 ちひろ、武藤 正樹, 日総研出版, 2001年09月

     概要を見る

    本書は、「医療サービスという協働作業プロセス」を意味あるものにするために、「関係づくり」という新しいマーケティングの考え方を医療現場で使うことを提案し、その理論の紹介からプロセスの分析、そして現場での応用までを統合的にまとめたものである。(Amazon.co.jpより)

論文 【 表示 / 非表示

  • Long-Term Results of Bilateral Pulmonary Artery Banding Versus Primary Norwood Procedure

    Hirata Yasutaka, Miyata Hiroaki, Hirahara Norimichi, Murakami Arata, Kado Hideaki, Sakamoto Kisaburo, Sano Shunji, Takamoto Shinichi

    Pediatric Cardiology    1 - 9 2017年09月

    ISSN  0172-0643

     概要を見る

    <p>Bilateral pulmonary artery banding (PAB) has emerged to be an attractive option as an initial procedure for the treatment of hypoplastic left heart syndrome (HLHS), and some centers report excellent survival. However, its usage is variable among institutions and its true efficacy is unknown due to reporting biases. We aimed to describe the results of bilateral PAB use, preoperative risk factors, and long-term outcomes compared with primary Norwood procedure, using a national database. Infants who underwent bilateral PAB or Norwood procedure as an initial palliation for HLHS between January 2008 and December 2012 listed in the Japan Congenital Cardiovascular Surgery Database (JCCVSD) were included. The total number of patients diagnosed with HLHS was 334. Bilateral PABs were performed for 256 patients and primary Norwood procedures for 78 patients, as an initial procedure. Actuarial 5-year survival was 59.0%. The primary Norwood procedure group had better 5-year survival [75.5%; 95% confidence interval (CI) 63.2–84.1] than the bilateral PAB group (75.5 vs. 54.0%, log-rank p &lt; 0.001). However, the bilateral PAB group had more significant risk factors. When the risk-adjusted outcomes were evaluated, there was no significant difference between the primary Norwood group and the bilateral PAB group (76.4 vs. 78.1%, log-rank p = 0.87) in higher volume institutions. The primary Norwood group had better 5-year survival than the bilateral PAB group, but preoperative risk was higher in the bilateral PAB group. Because outcomes are comparable when performed at higher HLHS volume institutions, proper patient selection is important in achieving good long-term result.</p>

  • Current status of cardiovascular surgery in Japan, 2013 and 2014

    Shimizu Hideyuki, Hirahara Norimichi, Motomura Noboru, Miyata Hiroaki, Takamoto Shinichi

    General Thoracic and Cardiovascular Surgery    1 - 8 2017年09月

    ISSN  1863-6705

     概要を見る

    <p>Background: Although open aortic repair (OAR) is still considered to be a standard treatment for thoracic aortic diseases, the indications for thoracic endovascular treatment (TEVAR)/hybrid aortic repair (HAR) have expanded in recent years. The purpose of this study was to review the current status of treatment of thoracic aortic diseases in Japan. Methods: Data for 2013 and 2014 concerning surgery for diseases of the thoracic/thoracoabdominal aorta were extracted from the Japan Cardiovascular Surgery Database (JCVSD). The number of cases and operative mortality were evaluated in terms of pathologic diagnosis (acute dissection, chronic dissection, ruptured aneurysm, unruptured aneurysm), treatment modality (OAR, HAR, TEVAR), JapanSCORE (JS; &lt;5%, 5–10%, 10–15%, ≥15%), and their correlations. Results: There were 30,271 total cases in this study and the overall operative mortality was 5.9%. Among the three types of treatment, 73.2% of patients underwent OAR (root 98.3%; ascending 97.4%; root to arch 95.5%; arch 81.7%; descending 34.2%; thoracoabdominal 64.4%). While the rate of OAR was negatively correlated with JS for the treatment of the thoracoabdominal region (JS &lt; 5, 80.4%; 5% ≤ JS &lt; 10, 67.6%; 10% ≤ JS &lt; 15, 58.8%; JS ≥ 15, 55.7%), a correlation was not observed in other anatomic regions. The operative mortality associated with OAR was well reflected by JS (JS &lt; 5, 2.1%; 5% ≤ JS &lt; 10, 5.5%; 10% ≤ JS &lt; 15, 10.2%; JS ≥ 15, 20.3%); however, the operative mortality associated with TEVAR/HAR was less than that with JS. Conclusions: The distribution of treatment differs depending on the site of disease and is not markedly influenced by JS. It is clear that JS is a reliable tool for estimating operative mortality in OAR. However, the observed operative mortality was lower than the JS in TEVAR/HAR, and a new risk score for TEVAR/HAR should be established.</p>

  • Prediction model for complications after low anterior resection based on data from 33,411 Japanese patients included in the National Clinical Database

    平原 憲道

    SURGERY 161 ( 6 ) 1597 - 1608 2017年06月

    研究論文(学術雑誌),  ISSN  0039-6060

  • Association between the participation of board-certified surgeons in gastroenterological surgery and operative mortality after eight gastroenterological procedures

    平原 憲道

    SURGERY TODAY 47 ( 5 ) 611 - 618 2017年05月

    研究論文(学術雑誌),  ISSN  0941-1291

  • Modeling preoperative risk factors for potentially lethal morbidities using a nationwide Japanese web-based database of patients undergoing distal gastrectomy for gastric cancer

    平原 憲道

    GASTRIC CANCER 20 ( 3 ) 496 - 507 2017年05月

    研究論文(学術雑誌),  ISSN  1436-3291

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受賞 【 表示 / 非表示

  • 日本認知科学会学会賞(特別賞)

    2012年12月, 日本認知科学会

     説明を見る

    「乳がん患者の示す治療リスク認知の楽観性 ~闘病ステージによる変化」にて受賞

 

担当授業科目 【 表示 / 非表示

  • メディカル・プロフェッショナリズムⅤ

    2019年度

  • 医療政策・管理学

    2019年度