地域医療の崩壊から再生へ

―人材育成と医療連携―

抄録

The health care system of our country is now standing in the crossroads of the fate. The shortage of medical doctors in hospitals has been occurring by the national level after the introduction of the new postgraduate training system for medical doctors from 2004. Emergency health care system cannot be maintained especially due to the shortage of medical doctors in regional center hospitals. Moreover, it is a very severe situation that the discontinuation of medical service in regional hospitals is not avoided in the department of internal medicine, obstetrics and gynecology, and pediatrics, etc. This situation is called as ‘the collapse of regional medical service’. The majority of the hospitals which face to such difficult situation are municipality hospitals that have been bearing the community health care until now. Among them, several municipality hospitals were driven in to the close due to the shortage of medical doctors. As it is exactly critical situation, the establishment and the execution of the community health care by the local government should be performed.

In this report, several issues are summarized from the latest trend for the reproduction of the community health care system, one of the most basic, public infrastructures. Those are as follows; the reasons why an unprecedented situation of such collapse of regional medical service occurs, what exists in the background, and what will be preformed for the reproduction of community health care system in the future.