A Study on Japan's Prefectural System for Emergency Otorhinolaryngology

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  • Kawashima Kayoko
    Department of Otorhinolaryngology, Osaka Habikino Medical Center, Osaka Prefectural Hospital Organization Community Health Care Committee, The Oto-Rhino-Laryngological Society of Japan
  • Nishino Hiroshi
    Community Health Care Committee, The Oto-Rhino-Laryngological Society of Japan
  • Nogami Kenichiro
    Japan Otorhinolaryngologists Association
  • Igarashi Mitsuru
    Community Health Care Committee, The Oto-Rhino-Laryngological Society of Japan
  • Inamura Naoki
    Community Health Care Committee, The Oto-Rhino-Laryngological Society of Japan
  • Kawai Shin
    Community Health Care Committee, The Oto-Rhino-Laryngological Society of Japan
  • Fukuyo Kazumasa
    Community Health Care Committee, The Oto-Rhino-Laryngological Society of Japan Japan Otorhinolaryngologists Association

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  • 各都道府県における耳鼻咽喉科救急医療体制の検討
  • カク トドウフケン ニ オケル ジビ インコウカ キュウキュウ イリョウ タイセイ ノ ケントウ

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Abstract

<p>　Although an emergency medical system for otorhinolaryngology has already been established in each prefecture or each medical care zone in Japan, the actual status of functioning of the system differs depending on the prefecture. In the present study, the regional medical committee of the Oto-Rhino-Laryngological Society of Japan conducted a questionnaire survey of members of the prefectural district subcommittees to determine the status of this emergency otorhinolaryngology system. Respondents from 40 prefectures indicated that their prefectures did have an emergency regional otorhinolaryngology system, whereas respondents from seven prefectures indicated that they did not have such a system. Some of the issues with the emergency otorhinolaryngology system that were highlighted in the survey responses were the considerable burden of work on the otorhinolaryngologists and the uneven distribution of otorhinolaryngologists. Among the most frequently suggested solutions for these issues are an increase in the number of otorhinolaryngologists, as well as improved benefits and greater financial compensation for otorhinolaryngolists. In order to establish and maintain an emergency otorhinolaryngology system within Japan's prefectures, there is a need not only for greater coordination between regional physicians' groups and local governments, but also for consolidation of the existing emergency otorhinolaryngology frameworks, while promoting reforms in the working style of otorhinolaryngologists.</p>

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