@article{oai:niigata-u.repo.nii.ac.jp:00018392,
 author = {杉山, 一教},
 issue = {11-12},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Dec},
 note = {In presiding the abovementioned symposium, I would like to give you a brief address. Medical services have been driven into harsh conditions of management which they have never experienced in the past and at the same time confronting a period of radical changes. Under these circumstances, this plan of symposium is indeed timely. As symposiasts of it, experts from individual organizations have been selected, all of whom can give special remarks and advices from a broader point of view. In the medical care system of this country, the first Medical Treatment Act was enacted in 1948. Since then, the act continued its effect for about 40 years and the second revised Medical Treatment Act was enforced in 1993 as the start of functional systematization of medical services. During this period, with the progress of social conditions, especially economic development, as well as with the efforts of medical institutions, levels of medical treatment and health in this country have been enhanced, the disease structure has shifted from acute diseases including various infectious illnesses to chronic ones including geriatric diseases and accommodations of hospitals have been increased rapidly until about the middle of 1970. At that time, corresponding to these conditions, as much remunerations for medical care were provided as the management of medical institutions could continue comparatively smoothly. After that, demand for medical services have grown radically due to rapid ageing of population and a tendency of an limitless increase of medical expenses has been observed. These conditions have affected medical policies, which have deviated from the road to cope with increasing medical expenses from the viewpoint of ideal medical policies and proceeded in the direction in which policies were induced from measures for expenses. Negligence in increasing accommodations mainly for care as a measure for aged people during this period would be a great factor of defects in medical policies. We, who are engaged in medical services, have a duty to adopt measures to protect health of the people without reducing the quality of medical services. Thus, we have to clarify the problems in the present situation and think out measures for the future. I hope each symposiast would give us valuable opinions to make this symposium a meaningful one.},
 pages = {441--444},
 title = {1)病院経営の現状と問題点(シンポジウム 病院経営の現状と問題点, 第503回新潟医学会)},
 volume = {109},
 year = {1995}
}