A STUDY ON HEALTH SERVICES ADMINISTRATION EDDUCATION IN JAPAN

日本医院在严峻的财政形势下面临经营困境。日本许多医院都是由医生自己经营的医院发展起来的，因此，至今还没有建立起像CEO这样的医院管理专业职位。本文对一所医院的3名负责人，即院长、总经理和护士长的教育历史、医院的管理现状、应进行什么样的管理教育、所有床位数在300张以上的医院（约1500家）和10%床位数在300张以下的医院（约850家）为调查对象，约1050家医院（约占调查对象的45%）回答了问卷。结果表明，医院管理专业人才的培养应包括继续教育和研究生教育。到目前为止，日本的大学还没有为医疗保健管理开设学院或研究生课程。但近年来，由于医院管理上的困难，包括医学院在内的一些大学尝试开设这方面的新课程。本研究为日本卫生事业管理教育奠定基础。

Japanese hospitals meet managerial difficulties under the severe finacial situation. A professional position for hospital management like CEO has not yet established because many Japanese hospitals have developed from those owned by medical doctors themselves.A basic survey has carried out for 3 responsible persons in a hospital, i.e.a director, a chief manager and a general head nurse on the points of an educational history, present manegerial situation of the hospital, what manegement education should be, and so on. All hospitals with more than 300 beds (about 1500 hospitals) and 10% of those with less than 300 beds (about 850 hospitals) are the subjects, and about 1050 hospitals (45% of the subjects) have responded the questionaire. Detailed results were analyzed and reported.A professional staff for the hospital management should be educated in the postgraduate school including continuing education. So far Japanese universities would not introduce faculties or postgraduate courses for health care management. But recently, reflected by frequent manegerial difficulties of hospitals, several universities including medical schools try to arrange new courses on these areas. This survey is expected to contribute the establishment of basis of Japanese health services administration education.