Abstract
The main purpose of pediatric practitioners in the national medical institutes is to cultivate the human resource in the future. We pediatricians are achieving it to keep healthy physical and mental development of children who will contribute to the society of senior people in the future Japan. However, decreased number of children with low delivery rate, diminished number of admission of pediatric patients who are favored by advanced medical service which is resulted in the change of severity of disease, and the present system of health insurance attribute the pediatric medicine to the strict situation, that is slashing or mingling of the pediatric wards and practitioners. Moreover, the substantial facilities of private and public hospitals in the local autonomies are bringing dialogues in the way of pediatric medical service in the national facilities forward. This symposium was held to improve the present situation and to innovate the future prospect in the pediatric field of national hospitals which exert to promote the political medicine and play an important role in the field of clinical research and regional medical service. The present situations or problems in the national hospitals and health insurance system, the regionalization of medical service and the future of pediatric medical service were vigorously discussed.
These problems are not easy to simplify to conclude, however, it is important to argue and to progress the practicable plans which reflect on the pediatric medical service in the national hospital aiming at the 21th century.
