臨床神経学

第51回日本神経学会総会

<シンポジウム23―4>医師不足時代の神経内科医療の在り方―都市と田舎での医療デバイド
北東北における神経難病患者の医療事情―医療デバイドとは―

深浦 彦彰

岩手医科大学内科学講座神経内科・老年科分野〔〒020―8505 盛岡市内丸19―1〕

What is required to provide high quality medical service to anybody, anytime and anywhere? We have investigated health care in neurology as provided by national health insurance in Aomori, Akita and Iwate prefectures compared to health care in Tokyo. We have conducted hearing surveillance to patients and doctors. Most of the patients have to drive to hospital for more than 100 kms as there is no licensed neurologist in their neighborhood and public transportation is poor. There are only a few medical facilities that can satisfy their needs even in prefectural cities. Neurologists who work alone at general hospitals face difficulties as they cannot consult with other neurologist about diagnosis and treatment and have rare opportunity to attend academic conferences. A licensed neurologist at northern Tohoku district has to be in charge of a half of Tokyo 23 districts area and twice as many people as Tokyo. We have concluded that medical divide due to the more or less of quantity of selection exists between northern Tohoku and Tokyo. How do we cure this medical divide? Creating a new framework of patients transporting system, increasing the number of doctors who work at general hospitals and opening satellite clinics at regional towns should be considered.
Full Text of this Article in Japanese PDF (399K)

(臨床神経, 50:1069−1072, 2010)
key words:医療デバイド,医療弱者,北東北地域,都市と田舎,MSサテライト外来

(受付日:2010年5月22日)