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难。由于日本很多医院都是由医生自己开的医院发展起来的，所以像CEO这样的医院管理专业职位还没有建立起来。对某医院3名负责人（院长、总经理、护士长）的学历、医院管理现状、管理教育内容等进行了基本调查。所有300张以上医院（约1500家）和10%的300张以下医院（约850家）为调查对象，约1050家医院（占调查对象的45%）回复了问卷。分析并报告了详细的结果。在研究生院包括继续教育中培养医院管理的专业人才。到目前为止，日本的大学还没有开设卫生保健管理的院系或研究生课程。但最近，由于医院管理困难频发，包括医学院在内的一些大学试图安排这些领域的新课程。本调查可望为日本卫生服务管理教育的基础建立作出贡献。

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.