@article{oai:niigata-u.repo.nii.ac.jp:00020028, author = {新村, 拓}, issue = {7}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Jul}, note = {Today, in spite of hoping death in home, the total ot men who died in the facilities is nearly 80%. According to the increasing of death in hospitalized, Medical cost of whole nations is rising. In 1990, it amounts to twenty trillion yen, and caused a stiffened finance. Home Medical Care is one of the Various reformations to compress it. Looking back the historical change of medical treatment, hospitals started as the charity and aid institutions of both the poor and the sick. But they gradually changed for the rich as developing of the medical skills. Modern nations push the adminiatrations of hygiene and medical treatment to keep good labors and military power and public peace. But to avoid the burden of finance, they entrusted medical treatment to private hospitals, make Various systems for proceeding the construction of private hospitals and give up the public obligation to people's medical treatment. As a result, the investment to excess in private hospitals raised Medical cost of whole nations, so nations made polical changes, control the number of pruvate hospitals and proceeding Home Medical Care. At the same time, they are attempts of the lutegration of Medical Care and Welfare to make death in home possible.}, pages = {565--568}, title = {1)在宅医療の捉え方の歴史的変遷について(シンポジウム 在宅医療は可能か?, 第472回新潟医学会)}, volume = {107}, year = {1993} }