北海道における地域医療計画の策定についての考察

概要

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In this paper, as a first stage is given an outline of the New Comprehensive Health Care Planning in Hokkaido, which became effective on April in 1988. The basic concept of the Plan is discussed in relation to the Old Comprehensive Health Care Planning which expired in 1987, and performance on the individual target-item of the program is analyzed with a systematical approach. As a results, it is implied that several important tasks must be rapidly improved with the evaluations to the performance of the Old Plan. On the construction of the Secondary level medical region, new idea of medical region, "Sub-Medical Region", is proposed in the following stage. This new type regions are applied to the areas, which cannot supply the medical services by themselves, with observing the distributions of the actual medical resources and investigating the patients-flows. This "reconstruction" must be carefully decided with the understanding of the inhabitants who live in the sub-region. In addition, it is necessary that Main Medical Region, which sub-region depends on the medical services, has many channels on the transportation of the in-patients.
札幌大学の論文