What Are the Ideal Forms of a Health Economy and an Operating Room Management System for Japanese Hospitals in the Future?

Abstract

We have a social security system for health care in Japan. That system has to be changed. It was created in the 1960’s without taking into account an aging society with a low fertility rate. The system is not appropriate for a modern and future society. The medical service insurance system which is part of the social security system is changing from a hospital-contained to an area-contained type based on the importance of the value of the medical service, meaning the quality of medical service divided by cost.

It is important for anesthesiologists to work as members of acute medical service today and in the future. Therefore, we have some strategies for providing patients the safe and effective one at ward, emergency outpatient, intensive care unit and operating room. For example, medical staffs consisted of multiple specialists in the operating room and intensive care unit, preoperative outpatient consultant, ERAS（enhanced recovery after surgery）.