第51回日本神経学会総会
＜シンポジウム23―3＞医師不足時代の神経内科医療の在り方―都市と田舎での医療デバイド
東京近郊の神経内科医療事情―都市部と郡部での違い―
大橋 高志
東京女子医科大学八千代医療センター神経内科〔〒276―8524 千葉県八千代市大和田新田477―96〕
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.
Full Text of this Article in Japanese PDF (209K)
(臨床神経, 50：1066−1068, 2010)
key words：神経内科医，医師不足，都市近郊，千葉県，クリニカルパス
（受付日：2010年5月22日）
