Issues of intervention aimed at preventing prospective surplus of physicians in Japan
Issues of intervention aimed at preventing prospective surplus of physicians in Japan
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DOI：
10.1046/j.1365-2923.2001.00937.x
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发表时间：
2001-05-01
影响因子：
6
通讯作者：
Kano, K
中科院分区：
文献类型：
--
作者：
Asano, N;Kobayashi, Y;Kano, K
目的在日本，旨在防止医生过剩的监管干预是一个重要的医疗问题。1986年、1993年和1998年卫生和福利部组织的研究委员会得出结论认为，今后医生人数将超过对其服务的需求。因此，政府计划减少医科学生的数量。然而，卫生和福利部迄今为止的干预行动并不成功，其最初计划将医学院入学学生人数减少10%的目标没有实现。在本文中，我们研究为什么MHW政策failed.Methods我们回顾了过去的MHW研究委员会进行的预测，并检查是否控制医生培训的政府政策是适当的。此外，本发明还我们做了一个专业的初步预测-结果我们发现，各种利益集团之间的冲突和缺乏对医生服务的精确预测阻碍了日本医生人力政策的正确形成和实施。结论有必要审查MHW政策在减少医疗服务方面的适当性。医学院注册的学生总数。作为制订和推行医生人力政策的第一步，我们应该开始整理所需的数据，以便对未来的医生需求作出准确和适当的预测。
Objectives In Japan, regulatory intervention aimed at preventing a prospective surplus of physicians is an important medical issue. The study committees organized by the Ministry of Health and Welfare (MHW) in 1986, 1993 and 1998, concluded that the number of physicians would exceed demand for their services in the future. As a result, the government planned to reduce the number of medical students. However, MHW has not been successful in the intervention so far, as shown by the fact that their initial plan for a 10% reduction in the number of students enrolled in medical school has not been attained. In this paper, we examine why the MHW policy failed.Methods We reviewed those forecasts performed by past MHW study committees and examined whether the government policy of controlling physician training was appropriate. Additionally, we did a preliminary projection of specialty-specific demand for physician services as a reference for future physician manpower policies in Japan.Results We found that both conflicts among various interest groups and a lack of precise projections of physician services hampered the proper formation and implementation of a physician manpower policy in Japan.Conclusions It might be necessary to examine the appropriateness of the MHW policy in reducing the overall number of students enrolled in medical schools. As a first step in formulating and implementing a physician manpower policy, we should begin to consolidate the necessary data to conduct precise and proper projections of future physician demand.