Hoshi T, Nakahara T, Miyagishima K, Iwanaga T, Osaki Y, Fukumoto K, Naruki H, Takabayashi K, Hisatsune S, Gunji A
Institute of Public Health Dep. Public Health, Hosei University.
Nihon Koshu Eisei Zasshi. 1993 Aug;40(8):636-43.
Health plans of 47 prefectural governments based on the Medical Law of 1985, were evaluated regarding four health planning factors: final goal, implementation plan, development of resources, and evaluation planning. Results of the evaluation showed that 8.5% of the 47 prefectures had defined future level of health based on numerical goals. On the other hand, all of the prefectures had developed numerical goals specifying the number of hospital beds in each medical district. A major component of health planning is improvement in the accomplishment of the implementation plan. There were 14 prefectures which had numerical goals for the upgrading of facilities and for manpower development to meet future health care activities. The following factors are required in the health planning to meet the needs for improving the health status of the population. 1) Including in the future health goals, in addition to the number of medical bed in regional areas, objective levels of health that should be attained. 2) Development of practical plans for evaluation of effectiveness of health planning.
基于1985年《医疗法》,对47个县政府的卫生计划在四个卫生规划因素方面进行了评估:最终目标、实施方案、资源开发和评估规划。评估结果显示,47个县中有8.5%根据数值目标确定了未来的健康水平。另一方面,所有县都制定了数值目标,具体规定了每个医疗区的病床数量。卫生规划的一个主要组成部分是提高实施方案的完成情况。有14个县制定了设施升级和人力发展的数值目标,以满足未来的医疗保健活动。为满足改善民众健康状况的需求,卫生规划需要以下因素。1)除了地区医疗床位数量外,未来健康目标中还应包括应达到的客观健康水平。2)制定评估卫生规划有效性的实际计划。