脳卒中最前線病院における脳神経外科医療と保険点数の問題(<特集>脳卒中に対する医療体制)

概要

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Current medical reforms require functional specialization of hospitals and clinics and designation of hospitals for acute- or chronic-term care. These reforms are expected to produce the merit of patients returning to the primary-care physician who got used to circulate by short hospi- talization period. Many hospitals focus on acute-term medical treatment. But it will likely be difficult for the present number of sickbeds to meet the needs of acute-term care as it is. So, changing into a chronic-term hospital is a decision that requires courage for the manager and administrator of many hospitals. First of all, a decrease in the number of days of hospitalization will bring about a fall in the rate of operation of the hospital if the number of new patients does not increase. To shorten the hospitalization days as whole, it is required not only to decrease the hospitalization days for every disease, but to reduce long term hospitalizations. Second, scramble of acute term patients becomes severe. It is becoming a still more difficult time that acute term hospitals live together in the same demographic division of medical services.
日本脳卒中の外科学会の論文
2003-11-30