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機関誌『日中医学』

特集:日中における医療制度の現状と課題

巻頭言 日中における医療制度の現状と課題

東京女子医科大学 学長
丸 義朗

中国における公立病院の報酬制度改革

人力資源・社会保障部中国人事科学研究院工質福利研究室 主任
中国人材研究会工資福利専門委員会 副会長
何 鳳秋

Compensation Reform of Public Hospitals in China

【Abstract】
This paper starts from describing the background of the compensation reform of public hospitals in China, and then it gives an overview of compensation level, compensation structure and compensation system of hospital directors involved in the reform since 2017, and finally it points out that other measures including clarifying the public function of public hospitals, strengthening fi nancial security, reforming the personnel system and improving performance management are needed in the future.

【Key words】
public hospital, compensation reform, compensation level, compensation structure, performance management

中国におけるコミュニティー衛生サービスの
運営管理の現状と課題及び展望
――上海の典型的事例による分析

公立病院院長職業能力開発専門家委員会 委員
許 速

Current Situation and Prospect of Operation and Management of Community Health Services in China
―― Based on the Typical Case Analysis of Shanghai

【Abstract】
This paper summarizes the characteristics of operation and management of community health services in the world, combs the current situation and existing problems of community health services in China, and focuses on a comprehensive analysis of the standard-based operation and management mechanism of community health services in Shanghai, thus putting forward the key point of establishing a scientific and efficient operation and management system of community health services, that is, to establish a standard based fine management system.

【Key words】
Community health service, Operation; Analysis

日本の医療提供体制

東京女子医科大学附属成人医学センター 所長
上塚芳郎

Japanese Healthcare Delivery System

【Abstract】
Japanese healthcare system is characterized by the two major points. The medical fee schedule sets the value for all procedures, drugs, etc, and it is uniformly applied to all reimbursement policies in all hospitals and clinics. The second point is that most of the healthcare providers are private hospitals and clinics. Medical Care Act defines to ensure the medical care delivery system to the public and in 1985, the Government revised this law that the prefecture must provide a “medical care plan” for ensuring the quantitative medical care within the designated “secondary medical region” and can limit the numbers of hospital beds. It is often said that there are abundant bed numbers and from the point of national economy, it is unbearable in the coming aged society. Hence, the MHEW is reinforcing to build up the community based integrated care system, which will promote a shift from a hospitalization to a home health care.

【Key words】
Medical Care Act, secondary medical region, community-based integrated care system, home health care

日本の診療報酬について

聖路加国際大学公衆衛生大学院 特命教授
慶應義塾大学 名誉教授
池上直己

Japan's fee schedule

【Abstract】
The fee schedule sets nationally uniform service fees, the conditions of billing each item and drug prices. All public health insurance plans pay the same fee for the same service received by their enrollees to all health care providers. By revising the fee schedule every two years, costs have been contained and policy goals have been achieved.

【Key words】
fee schedule, cost containment, physician fees, drug prices, geographical disparity

 

架け橋 
    
    

中国との感染症に関する持続的な情報・研究交流の促進
国際医療福祉大学大学院 教授
(元国立感染症研究所所長)
渡邉治雄

インタビュー
在日中国人研究者を訪ねて
    

ヒト化ブタモデルを用いて、難治性疾患に対する細胞治療の開発を目指す
日本大学医学部機能形態学系細胞再生・移植医学分野 准教授
李 予昕

あとがき 広報委員会委員長  上塚芳郎
機関誌『日中医学』投稿原稿募集の
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