Ishikawa K, Tamagawa Y, Abe K, Kitamura K, Igarashi M, Sone K, Mizorogi N
Department of Otolaryngology, Jichi Medical School, Tochigi.
Nihon Jibiinkoka Gakkai Kaiho. 1998 Jan;101(1):9-13. doi: 10.3950/jibiinkoka.101.9.
In a previous study, we investigated otorhinolaryngological care by the general practitioners in medical rural areas and demonstrated that a close relationship between general practitioners and otorhinolaryngologists was necessary. In the present study, a survey of prefectural health administration's views on otorhinolaryngological care in medical rural areas was performed. A questionnaire for otorhinolaryngological care in medical rural areas was sent to the divisions of health administration in the 47 prefectures of Japan. Of these prefectures, 46 (97.9%) responded. About 80% of respondents have medical rural areas, and the otorhinolaryngological care is inadequate in most areas. General practitioners of internal medicine or surgery are primarily demanded in about 75% of the prefectures. Otorhinolaryngological care in medical rural areas has never been considered in most prefectures. Because the need for otorhinolaryngological medical care will increase, prefectural health administrations need to pay more attention to otorhinolaryngological care in medical rural areas, and a close relationship between general practitioners, otorhinolaryngologists, and the administration should be established.
在之前的一项研究中，我们调查了农村地区全科医生提供的耳鼻咽喉科护理情况，并证明全科医生与耳鼻咽喉科医生之间建立密切关系是必要的。在本研究中，我们对县级卫生行政部门对农村地区耳鼻咽喉科护理的看法进行了调查。向日本47个县的卫生行政部门发送了一份关于农村地区耳鼻咽喉科护理的调查问卷。其中46个县（97.9%）进行了回复。约80%的受访者所在地区有农村地区，且大多数地区的耳鼻咽喉科护理不足。约75%的县主要需求内科或外科全科医生。大多数县从未考虑过农村地区的耳鼻咽喉科护理。由于对耳鼻咽喉科医疗护理的需求将会增加，县级卫生行政部门需要更加关注农村地区的耳鼻咽喉科护理，并且应在全科医生、耳鼻咽喉科医生和行政部门之间建立密切关系。
