Tanabe T
NTT Sapporo Hospital, Hokkaido Community Medicine, Promotion Foundation.
Hokkaido Igaku Zasshi. 1997 Mar;72(2):155-62.
The author evaluated the present status of community medical activities in Hokkaido from standpoint of various actual data obtained by recent investigation. As many districts are in the face of shortage of doctors, it is concluded to promote the following subjects, 1) strengthening of district center hospitals, 2) education and maintenance of community medical doctors, 3) synthetic system of health, medicare and welfare, and 4) introduction of multimedia system. Our foundation has started several new works, such as doctor center model system, training system of primary care doctor, and network activities of community doctors. It is mandatory to form wide consensus among the person concerned, such as client, doctor, medical association, university, and municipality.
作者从近期调查所获的各种实际数据的角度，评估了北海道社区医疗活动的现状。由于许多地区面临医生短缺的问题，得出结论要推进以下事项：1）加强地区中心医院；2）社区医生的教育与维持；3）健康、医疗与福利的综合体系；4）引入多媒体系统。我们的基金会已开展了若干新工作，如医生中心模式系统、初级保健医生培训系统以及社区医生的网络活动。有必要在相关人员之间，如客户、医生、医学协会、大学和市政府之间形成广泛共识。
