臨床神経学

第51回日本神経学会総会

<シンポジウム22―2>我が国の臨床神経学の発展のための神経内科医の経済的基盤の確立
保険診療における神経内科診察技術の評価の今後の課題と展開

鈴木 則宏

日本神経学会診療向上委員会
内科系学会社会保険連合
慶應義塾大学医学部神経内科〔〒160―8582 東京都新宿区信濃町35〕

Appropriate assessments for medical techniques of clinical diagnostic examination have been one of longstanding issues in social insurance system in Japan. Assessments of those in the surgical fields in which the most of assessments are evaluated by surgical operations including related materials as well as surgeons' techniques, is rather easy to evaluate quantitatively. Comparing with this, medical fields including neurology, quantitative assessments of medical techniques either diagnostic or treatment is not so easy. In order to evaluate the burden in each technique in the medical fields, several research and surveillance have been performed. In terms of 'duration of the medical techniques, there have been several date in favor of long duration techniques are evaluated as to be worth to cost higher. However, these data were criticized for the reasons of ignorance of patients' opinion such as satisfaction to the diagnosis and treatments. However, in neurological fields, "the neurological examination techniques" which has a consensus of taking long duration in each patient, was able to be evaluated as an independent item in medical social insurance system in 2008, albeit it is not as technique but as laboratory examination. Towards establishment of the economical basis for medical care, Japanese Neurological Association should have another identity of artisans' union as well as academic union.
Full Text of this Article in Japanese PDF (332K)

(臨床神経, 50:1049−1051, 2010)
key words:神経学的診察,内科的診療技術,社会保険制度,診療技術評価

(受付日:2010年5月22日)