安藤 崇之 (アンドウ タカユキ)

Ando, Takayuki

写真a

所属(所属キャンパス)

医学部 総合診療教育センター (信濃町)

職名

助教(有期)

学歴 【 表示 / 非表示

  • 2007年04月
    -
    2013年03月

    慶應義塾大学, 医学部

    大学, 卒業, その他

  • 2020年04月
    -
    2021年03月

    慶應義塾大学, 健康マネジメント研究科公衆衛生専攻

    大学院, 卒業, 修士

 

研究分野 【 表示 / 非表示

  • ライフサイエンス / 内科学一般

  • ライフサイエンス / 医療管理学、医療系社会学

  • ライフサイエンス / 衛生学、公衆衛生学分野:実験系を含む

  • ライフサイエンス / 衛生学、公衆衛生学分野:実験系を含まない

研究キーワード 【 表示 / 非表示

  • 多疾患併存

 

論文 【 表示 / 非表示

  • How do medical students learn in an online community diagnostics program?

    Haruta J, Ando T, Fujishima S

    BMC medical education 23 ( 1 ) 15 - 15 2023年01月

     概要を見る

    BACKGROUND: The need to engage medical students in understanding the social and environmental determinants of health in disparate communities is increasing. However, previous reviews have noted the limited community diagnosis programs and program evaluation. Given the feasibility of the programs, it is expected to be widely available online. Therefore, this study used a realist approach to identify learning patterns through an online community diagnosis program, namely context (C), mechanism (M), and outcomes (O) patterns. METHODS: A 2-week general medicine clinical practice program was conducted for 4th- and 5th-year medical students at a medical university in Japan. The program included a one-hour zoom-based lecture, feedback for students on their presentations on community diagnosis, and a structural report on community diagnosis. We developed the program based on variation theory, which views discernment and variation in situations having time, space, and social dimensions as core learning. The students' reflections on their learning through the program were thematically analyzed through CMO perspectives. The realist approach used in the online diagnosis program evaluation allows us to explore, test, and refine what mechanisms work under what conditions (context) and with what interventions (including opportunities and resources), from which we can describe iteratively explainable results. RESULTS: First, the medical students, who spent most of their time in the limited residential areas they lived in, discovered the characteristics of their own community by discovery learning and comparison among peers. Second, they increased their intrinsic interest in the community by discerning specific issues in their familiar community through community diagnosis. Third, they valued community diagnosis by identifying relationships between local data on health issues under their learning responsibility. Fourth, they become more flexible in their thinking and created new knowledge that would fit the local community, and their reflection on themselves was encouraged. CONCLUSION: In this online community diagnosis program, medical students learned about the community through four types of learning patterns. Medical students may develop an understanding of community with interest using variation theory as a program development perspective and cognitive flexibility theory surrounding the essential ambiguity and abstraction of community.

  • Disparities in co-payments for influenza vaccine among the elderly, during the COVID-19 pandemic in Japan.

    Ando T, Maruyama T, Tamai A, Murakami T, Kido Y, Ishida T, Taya H, Haruta J, Sugiyama D, Fujishima S

    Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy (Elsevier BV)  28 ( 7 ) 896 - 901 2022年07月

    査読有り,  ISSN  1341-321X

  • 鉄蕉会亀田メディカルセンター 地域ジェネラリストプログラム10年のあゆみ

    岡田 唯男, 濱井 彩乃, 西野 洋, 片多 史明, 松田 愉, 安藤 崇之, 鈴木 真央, 栖原 とし子

    医学教育 ((一社)日本医学教育学会)  53 ( Suppl. ) 177 - 177 2022年07月

    ISSN  0386-9644

  • Association between multimorbidity, self-rated health and life satisfaction among independent, community-dwelling very old persons in Japan: longitudinal cohort analysis from the Kawasaki Ageing and Well-being Project.

    Ando T, Nishimoto Y, Hirata T, Abe Y, Takayama M, Maeno T, Fujishima S, Takebayashi T, Arai Y

    BMJ open 12 ( 2 ) e049262 2022年02月

    査読有り,  ISSN  2044-6055

     概要を見る

    OBJECTIVE: This study aimed to identify associations between multimorbidity and subjective health outcomes among the very old persons, after adjusting for coexisting conditions such as frailty and depression. STUDY SETTING AND PARTICIPANTS: This was an observational cross-sectional study involving 1012 independent, community-dwelling very old persons (507 men, 505 women; aged 85-89 years) in Kawasaki city, Japan. OUTCOME MEASURES: The primary outcome was the cross-sectional associations between multimorbidity and poor self-rated health (SRH) and life satisfaction using binary logistic regression. The secondary outcome was the association of subjective health with each chronic condition. RESULTS: The prevalence of multimorbidity (≥2 conditions) was 94.7%, and the average number of chronic conditions was 4.47±1.9. Multimorbidity was significantly associated with poor SRH in the adjusted model only when six or more chronic conditions were present (OR 4.80; 95% CI 1.34 to 17.11; p=0.016). Cerebrovascular disease, heart disease, respiratory disease, connective tissue disease and arthritis showed significant associations with poor SRH after multivariate adjustment. Sex-specific analysis replicated associations between multimorbidity with six or more conditions and SRH in both men and women, while the diseases with the greatest impact on SRH differed between men and women. Most conditions were not associated with low satisfaction with life scale, with the exception of arthritis (OR 1.92, 95% CI 1.32 to 2.78, p=0.001). CONCLUSIONS: Multimorbidity is prevalent in the independent, community-dwelling very old persons and is associated with poor SRH when six or more conditions are present; conditions causing mobility limitations, such as cerebrovascular disease, connective tissue disease and arthritis, have a negative impact on SRH. TRIAL REGISTRATION NUMBER: UMIN000026053.

  • 多職種連携の秘訣(後編)現場の薬剤師,リハビリセラピストからのメッセージ

    安藤 崇之

    Gノート (羊土社)  8 ( 3 ) 562 - 567 2021年04月

    ISSN  2188-3033

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総説・解説等 【 表示 / 非表示

  • 成人食物アレルギー診療支援アプリの開発と有用性の検証

    正木 克宜, 冨保 紗希, 上條 慎太郎, 安藤 崇之, 加畑 宏樹, 佐藤 泰憲, 原田 紀宏, 鈴木 慎太郎, 藤澤 隆夫, 福永 興壱

    日本内科学会雑誌 ((一社)日本内科学会)  112 ( 臨増 ) 190 - 190 2023年02月

    ISSN  0021-5384

  • The Kawasaki Aging and Wellbeing Projectのデータを用いた生活習慣病に関する診療報酬請求データによる疾患定義の妥当性の検討

    猪澤 一樹, 原 梓, 佐々木 貴史, 安藤 崇之, 阿部 由紀子, 色本 涼, 新井 康通, 漆原 尚巳

    薬剤疫学 ((一社)日本薬剤疫学会)  27 ( Suppl. ) S81 - S82 2022年11月

    ISSN  1342-0445

  • BERTを用いた糖尿病治療薬における有害事象間の潜在的関連性の探索

    八重樫 昇吾, 石川 智貴, 安藤 崇之, 原 梓, 大石 尚央, 漆原 尚巳

    薬剤疫学 ((一社)日本薬剤疫学会)  27 ( Suppl. ) S99 - S100 2022年11月

    ISSN  1342-0445

  • 【アーバンプライマリケアの礎を築くための卒前教育の展望】慶應義塾大学医学部におけるコロナ禍の卒前教育の取り組み

    安藤 崇之

    日本プライマリ・ケア連合学会学術大会 ((一社)日本プライマリ・ケア連合学会)  13回   np59 - np59 2022年06月

  • 臨床実習でのオンライン地域診断において、医学生は何をどのように学んだのか? リアリストアプローチを用いたプログラム評価研究

    春田 淳志, 安藤 崇之, 藤島 清太郎

    日本プライマリ・ケア連合学会学術大会 ((一社)日本プライマリ・ケア連合学会)  13回   O - 93 2022年06月

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競争的研究費の研究課題 【 表示 / 非表示

  • ポリドクターが多併存疾患を抱える高齢者に与える影響の解明

    2021年04月
    -
    2024年03月

    慶應義塾大学, 科学研究費助成事業 基盤研究(C), 安藤 崇之、新井 康通, 基盤研究(C), 未設定

     研究概要を見る

    本研究課題では、川崎市と慶應義塾大学が合同で行っている85-89歳の介護を要しない1000名の高齢者のコホート研究(川崎ウェルビーイング研究)に参加して、多併存疾患が高齢者の生活機能に影響していく過程を前向きに明らかにする。参加者の診察、測定データと医療レセプト情報を組み合わせた多角的な解析を行い、日常生活機能低下および新規要介護申請を主要アウトカムとして、多併存疾患、ポリファーマシー、ポリドクターがどのような影響を与えているかを患者QOLおよび医療経済学的視点から明らかにする。

 

担当授業科目 【 表示 / 非表示

  • 総合診療医学

    2023年度

  • EEPⅡ

    2023年度

  • 総合診療医学

    2022年度

  • EEPⅡ

    2022年度

  • 医学概論

    2021年度, 講義

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