[Recent trend toward development of community medicine]

The author evaluated the present status of community medical activities in Hokkaido from standpoint of various actual data obtained by recent investigation. As many districts are in the face of shortage of doctors, it is concluded to promote the following subjects, 1) strengthening of district center hospitals, 2) education and maintenance of community medical doctors, 3) synthetic system of health, medicare and welfare, and 4) introduction of multimedia system. Our foundation has started several new works, such as doctor center model system, training system of primary care doctor, and network activities of community doctors. It is mandatory to form wide consensus among the person concerned, such as client, doctor, medical association, university, and municipality.