抄録
Conventional medical treatments of chronic diseases inclined toward symptomatic therapy are being criticized. However, the management system in hospitals and clinics which forms, so to speak, medical basement structure cannot be changed from the conventional management system of income and expenditure in a day. The reformation of medical treatment system appears to being fettered by management. Management data over the past 14 years have been provided from 10 members' clinics where the focus on medical treatment were shifted from restorative and prosthetic therapy into preventive treatment. Then, the potentials and problems of such change have been analyzed. The change of patients number suggests that there are mainly two types of clinics; one is that the insurance number has consistently increased, and another one is that the number was declined or otherwise leveled off. We have studied these two contrastive groups to find the cause of the difference occurred. Consequently, it was apparently indicated that the change of capacity at a clinic could become one of the major conditions in the management of a clinic focussed on preventive treatment.
