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[东京郊区的神经科医疗服务状况:城乡差异]

[State of neurological medical services in the suburbs of Tokyo: the difference between urban and rural districts].

作者信息

Ohashi Takashi

机构信息

Neurology Division, Tokyo Women's University Yachiyo Medical Center.

出版信息

Rinsho Shinkeigaku. 2010 Nov;50(11):1066-8. doi: 10.5692/clinicalneurol.50.1066.

DOI:10.5692/clinicalneurol.50.1066
PMID:21921566
Abstract

In Chiba, the number of doctors and hospital beds remain quite insufficient for the current population. The number of neurologists is also insufficient. However, the situation differs between urban regions and rural districts. In rural districts, few neurologists provide medical care for patients living in a large area. On the other hand, in urban regions, the number of neurologists is insufficient because they have to take care of too many patients, most of whom can be dealt with by family doctors. Therefore, we need to take measures to reduce burden on neurologists. It is important to clarify the role of each hospital employee, thereby allowing neurologists to devote themselves to their main duties. The establishment of clinical pathways is one helpful way to promote a team approach in medical care, while trying to improve the efficiency of duties and thus improve the overall medical quality. It is also important to improve the understanding of local residents through education and information programs. By promoting regional medical liaison, we can increase effective medical care that is performed by family doctors.

摘要

在千叶县,医生数量和医院病床数量对于当前人口而言仍然相当不足。神经科医生的数量也不足。然而,城市地区和农村地区的情况有所不同。在农村地区,很少有神经科医生为大面积居住的患者提供医疗服务。另一方面,在城市地区,神经科医生数量不足是因为他们要照顾太多患者,其中大多数患者可以由家庭医生处理。因此,我们需要采取措施减轻神经科医生的负担。明确每位医院员工的职责很重要,从而使神经科医生能够专注于他们的主要职责。建立临床路径是促进医疗团队协作的一种有效方式,同时努力提高工作效率,进而提高整体医疗质量。通过教育和信息项目提高当地居民的理解也很重要。通过促进区域医疗联络,我们可以增加家庭医生提供的有效医疗服务。

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