Takayanagi Tetsuya, Tamura Ryuji
Hongo Clinic of Ophthalmology and Neurology.
Rinsho Shinkeigaku. 2010 Nov;50(11):1045-8.
Establishment of an economic foundation for clinical neurologists is essential for the advancement of neurology in Japan. However, this concept sometimes seems to slip easily from the minds of neurologists in academia. This has been true in the history of the Japanese Society of Neurology for half a century. Japan has a system of public health insurance for all people, but there are many problems related to medical pay that need to be discussed, especially for doctors seeing patients. Almost all Japanese doctors have been worried about the low medical pay in the Japanese health insurance system. We have made various approaches to the Ministry of Health, Labor and Welfare to solve these economic problems, but our hard work for the improvement of our economic situation has often been unsuccessful. The Japanese Society of Neurotherapeutics took a step toward dealing with this problem with a symposium to discuss medical payments in 2002, and it has contributed to progress in the economic and financial systems for health insurance from the standpoint of clinical neurology. We Japanese neurologists need to make greater efforts to improve our poor economic situation, following the success of Japanese surgeons in their diligent work with the Ministry of Health, Labor and Welfare to improve critical conditions in the field of surgery.
为临床神经科医生建立经济基础对于日本神经病学的发展至关重要。然而，这一概念有时似乎很容易从学术界神经科医生的脑海中溜走。在日本神经学会半个世纪的历史中一直如此。日本有全民公共医疗保险制度，但与医疗支付相关的问题有很多需要讨论，尤其是对于看诊患者的医生来说。几乎所有日本医生都对日本医疗保险制度中低廉的医疗支付感到担忧。我们已向厚生劳动省采取了各种措施来解决这些经济问题，但我们为改善经济状况所做的努力往往没有成功。日本神经治疗学会在2002年通过举办一次讨论医疗支付的研讨会，朝着解决这个问题迈出了一步，并且从临床神经病学的角度为医疗保险的经济和财务体系的进步做出了贡献。我们日本神经科医生需要更加努力改善我们糟糕的经济状况，效仿日本外科医生与厚生劳动省勤奋合作以改善外科领域危急状况所取得的成功。
