A Study on Primary Care Activities and Practice in Japanese Medical Practitioners

2000年2月对日本医生的初级保健活动和执业情况进行了调查。4300家诊所（约占日本医疗诊所总数的5%）通过邮寄问卷的方式接受了调查。收集并分析了来自1682家诊所的数据，占研究对象的40%。人们认识到，日本的医疗从业人员在每个领域都有初级保健医生和专家两个方面。根据年龄、临床领域、实践类型等，分析了他们作为初级保健医生或专家的目标和活动分布。此外，还调查了家庭护理活动、转诊活动、医院和诊所之间的网络活动，这些都是初级保健医生所期望的，与作为医疗从业人员的目标有关。因此，很明显，大约70%的日本医生的目标是为初级保健做出贡献，并且实际上是初级保健医生，特别是在年轻一代中。而且已经明确的是75%的日本诊所是由一个医生经营的，5%的诊所是由包括合伙经营在内的团体经营的。在不久的将来，日本有望建立新的初级保健体系，这些数据被称为基础数据。

Primary care activities and the situation of practice in Japanese medical practitioners were investigated in February 2000. 4,300 clinics, which share about 5% of total Japanese medical clinics, were surveyed by mailing questionnaires. Data from 1682 clinics, 40% of the objects, were collected and analyzed. It has been realized that Japanese medical practitioners have two aspects of primary care physicians and specialists in each area. Distributions of their aims and activities as primary care physicians or specialists were analyzed according to age, clinical areas, types of practice, etc. And home care activities, referral activities, networking activities between hospitals and clinics, which are expected in primary care physicians, were also investigated related to aims as medical practitioners. As a result, it has become clear that about 70% of Japanese medical practitioners have aims of contributing to primary care, and actually act as primary care physicians especially in younger generations. And also it has been made clear that 75% of Japanese clinics are operated by only one practitioner, and 5% clinics are operated by group practice including partnership practice. In the near future, new primary care system is expected in Japan, and these data is to be referred as basic data.