臨床神経学

第48回日本神経学会総会

<特別講演2>
変貌する日本の医療:これからどうなる・これからどうする

二木 立

日本福祉大学〔〒470-3295 愛知県知多郡美浜町奥田〕

This paper consists of two parts. In part one, I show seven "objective" predictions of health care reform in Japan that will be enforced by Ministry of Health, Labor and Welfare, within a few years following the umbrella law of health care system reform that was enacted in 2006, with special reference to the reform of health care delivery system. Contrary to the conventional wisdom, I predict that neo-liberal reform nor drastic decrease in long-term care hospitals will and cannnot be implemented. In part two, I propose my personal health care reform plan that will enhance health care quality preserving national health insurance system by increasing public health care expenditures. Finally, I emphasize three kinds of subtle evidences that may promote the reform in line with my proposal.

(臨床神経, 47:712−716, 2007)
key words:医療改革, 医療費抑制, 新自由主義的改革, 医療者の自己改革

(受付日:2007年5月16日)