Abstract
Medical fields are not exempted from the effects of waves of deregulation and structural changes. The minus revision of medical fees has been implemented from this April, and all hospitals, public and private, are facing the need to search for significant management strategies to survive. But quite a few hospitals depend on administrative organizations for their management practice, and to meet the needs of the age, a change to independent hospital management is expected. It is necessary to recognize highly precise management analyses and diagnoses of hospital management as the means of providing better, appropriate medical services to the patients, and that securing a stable medical business profit is not the prime purpose. When hospital management analysis is carried out, lowering personnel expenses, which is the core of total cost, is an important point. It is necessary to reconsider wages based on seniority, and to adopt a system based on ability and further to introduce meritocracy in the future. In this paper the author speculates upon various problems arising from recent medical fee revision, focusing particularly on the personnel wage system from the hospital management viewpoint.
