日本における医師の地理的分布

Y Kobayashi¹, H Takaki

¹Department of Public Health, Teikyo University School of Medicine, Tokyo, Japan.

Lancet (London, England)

|December 5, 1992

まとめ

日本日本日本日本日本.

科学分野:

保健政策保健政策保健政策
医療従事者の労働力について
公共衛生は公衆衛生である.

背景:

日本は,1970年代に医者の不足と配給不良に直面した.
医学生と学校の数を増やす政策が制定されました.
この政策は,医師の供給問題に対処することを目的とした.

研究の目的:

日本の医師人材政策の成功を評価する.
1980年から1990年の間の医師の分布の変化を分析する.
医者の誤った配給に対する政策の影響を評価する.

主な方法:

日本のすべての自治体における医師の数と人口を比較した分析 (n=3268).
配分の不平等を評価するためにローレンツ曲線とギニ係数を利用しました.
人口が3万人を超える地域における医師の分布を1万人を満たない地域と比較した.

主要な成果:

国内で実務医の数は37%増加した.
10万人あたりの医師の割合は127人から165人に上昇した.
医者の分配の不平等は持続し,より大きなコミュニティはより多くの医者を獲得しました.

結論:

医者の数が増加したにもかかわらず,この政策は配給不良を解決しなかった.
小規模なコミュニティには,不釣り合いなほど少ない医師がいました.
日本における医師の不配分を効果的に解決するには,新しい政策が必要である.

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