Hospital in Japanの最近のブログ記事

The inside where the medical treatment becomes advanced and complex, and the actualized nursing master deficiency willingly by the advanced age.
It is a big cause that there are a lot of separatees, and not catching up is a fact because of the severity of the marriage, birth, and work come one after another the female nursing master who leaves the office.  the adoption
There is an indication that there is a structure that the width of the wage increase required a large amount of retirement by the marriage such as smalls even if the career is piled up in the backdrop as well as the age when the women's participation in society was not advanced, too.

- A child is brought up and it coexists nine times or more a night shift month difficult.
"Bringing up a child of handling the shift including the night shift is really very. "
Nursing master and Mr./Ms. Shirai (49) of Gunma prefectural infant medical center with three children appeal.
"It might hit the child mentally and physically tightly, and be going to pull the pin every day when it was three people and was small. "

Both five people in the same center of about 190 nursing masters in fiscal year 2008 of 07 separatee in 15 people and fiscal year 2009.
It is Iu when there is a person who resigns after it returns from a maternity leave and the child-care leave, too though often resigned by the woman in latter half in his/her twenties - first half in his/her thirties taking the opportunity of the marriage and birth, etc.

The semi-night shift (4:30PM - 1:15AM) and night shifts (0:30AM-9:15) are 9-12 ..moon.. times in total.  the nursing master in newborn intensive care unit (NICU) where it works Mr./Ms. Shirai
It is time when are a lot of patterns of night shift following the day service (8:30AM - 5:15PM) and it exists five times a month.
In this case, it hardly comes home at little time during work and work, and the catnap can be taken when sending one's child to bed meal and housework.

Mr./Ms. Shirai smiles a wry smile , saying that "It has been said by the charge at the elementary school, 'The child in the house is restless' because it often made it cough to eat meal early, and to do homework to the child".

"It is thought that the trouble hangs to the colleague because people are insufficient, and there are few people who request it. " (Mr./Ms. Shirai) though there is a system of work for the night shift immunity and a short time etc. , too.
Being able to do nothing but being to retire is a fact and, in the worst case, Iu if it is not possible to work the night shift.

- 50,000 person qualification separatee every year is 100,000 people.
About 100,000 people resign according to Japanese Nursing Association and Ministry of Health, Labour and Welfare though about 50,000 people newly acquire nursing personnel' such as the nursing masters and the birth attendant qualifications in the whole country every year. Because there were a lot of people reinstated after the child care ended, too effectives increased every year, increased by about 36,000 people in 09, and became about 1.43 million people.
However, it doesn't catch up with the upgrade of the medical treatment and an increase in demand such as the advanced ages.
There is an estimate that about 650,000 people who were equivalent to 1/3 of the people who have nursing personnel' qualifications had not started work in 04, too.

As for the reason for the resignation, not only the marriage and birth but also the nursing masters who enumerate many of length and overtime duties at working hours stand out.
It goes up at the overtime hour (08 years) so that the person of 50 hours or more a month that is the basis of the judicial definition to which the civil service disaster of shift work person's death from overwork is recognized is 8% near, and nine times or more a month occupy half the number to the night shift frequency.
The voice with "It was not thought that the work that was not able to sleep so much" is asked by young man's nursing master.
- Dissatisfaction 50 percent super-career to the salary doesn't do the treatment improvement even if it piles up.
Nursing master's salary is a mechanism that doesn't go up so much repeatedly in the age.
It is gradually pulled out since it is in one's thirties though it is about 300,000 yen higher than other medical treatment employments such as pharmacists and clinical technologist of one's twenties because nursing master's average salary has the night-work allowance according to the investigation of the National Personnel Authority (09 years).
The nursing master doesn't reach 400,000 yen even at the age or more of 56.

Female nursing master (31) in the Tokyo internal university hospital
It resents it , saying that "It is not convincing that the treatment is not good though it works while holding the anxiety that might be appealed by the risk and the malpractice that hangs to the infectious disease though the nursing master is a challenging career".
In the investigation of Japanese Nursing Association (09 years), about 60 percent goes up to 50 percent or more by nursing personnel who feel the low degree of the salary dissatisfied, and is Iu sooner or later when having thought about the resignation because of it.
Standing governor Shinobu of the brook of this association specifies, "The structure like an age not advanced by the advance into society of the woman of not rewarding on the treatment side even if the career is piled up is a cause of a large amount of resignation".

On the other hand, new figure's mass hiring increases the burden of the mainstay nursing master who bears the young man's education.
It gives birth to the vicious cycle that the number of separatees increases rather by that, and the education becomes careless.

In addition, the falling birthrate and it is in the decreasing tendency nursing master's becoming it person.
In the estimate of the study committee of Ministry of Health, Labour and Welfare, it is expected that the number of increases becomes about 24,000 little people from 09 also to about as many as 12,000 people during the year of nursing personnel' effectives in 25.
Mr./Ms. Shirai「The countermeasure that increases the number of training has come to the threshold. It is first priority to put the brake on the resignation. 」It stresses it. 

The roller is also large to achieve an increase and the higher pay of the nursing master according to the hospital particular business situation and administrator's sensorium.
The brook standing governor「The hospital that increased the number of nursing masters should advance the resignation prevention countermeasure as the hospital administration person cooperates with the country as the medical treatment fee is revised to become increase of revenue, and the increase of the night-work allowance is executed in interlocking Shite. It connects with the defense of patient's safety only by the creating environment that can work the staff's on the medical treatment site such as the nursing masters being relieved. 」It appeals.

Japan is good country!
PLEASE come here!
Osakashi assisted to "Poor business" that exploited public assistance expense from the recipient on the 29th, and decided the policy of the on-the-spot inspection of the Osaka Prefecture internal medical institution where the possibility of demanding "Medical Assistance" of the safeguard expense and the medical treatment fee in excess existed on the basis of Daily Life Security Law. 

The examination and administering are received free of charge, and the municipality is bearing the public assistance recipient as a Medical Assistance. The city holds the meeting of the task force that discusses the increase countermeasure of the safeguard expense on the same day. The entry object is consulted, and the realities clarification is advanced. 

The city is analysis as for November last year of the recept (certificates of medical remuneration) that about 13,000 in prefecture medical institutions fil to Social Insurance Medical Fee Payment Fund - January this year. It has been understood that there are 34 medical institutions whose hospitalization or all outpatients are the public assistance recipients. 

Also in the medical institution where patients other than the recipient existed, the medical treatment fee for the recipient projected and there was a high case. 

The Medical Assistance expense of Osakashi in fiscal year 2008 is about 112.9 billion yen, and half of the entire public assistance expense the vicinity is occupied. 

On the other hand, the city clarified that accusation and the damage reports of illegal recipience of public assistance expense of eight only every about three months of ten fiscal years were fil to Osaka prefectural Police. Aggressive posture of the city for the illegal recipience exclusion is eighthly a year remarkable in fiscal year 2009. 

Japan is good country!
PLEASE come here!
The support company in government and the people to "Medical treatment tourism" enlargement. 

Ministry of Economy, Trade and Industry decided the policy of establishing the new company where the patient acceptance for the enlargement of "Medical treatment tourism" in which a domestic medical institution provided an advanced medical service for the foreigner patient was supported by the government and the people capital contribution in 2011. 

The full-scale business is started at as many as 12 fiscal years. Foreigner patient's acceptance enlargement is a measure included in the Shinsei head strategy that the government announced on the 18th to activate domestic medical industry. 

The new company does the Pulmonary regurgitation in cooperation with medical institutions such as China, Russia, and the Middle East, and bears the bridge person with a domestic hospital. The direction where capital contributions such as medical institutions and travel agencies are raised from the private organization besides the capital contribution by the government agency is discussed. 

The multipara ministry sums up the budget of about 100 million yen as preparation expense for the incorporation at current year. A special interpreter etc. are recruited in July, and the investigation of a domestic hospital that requests foreigner patient's acceptance is started. 

Ardent Singapore and Thailand to the medical treatment tourism accept several hundred thousand -one million patients a year from the Middle East etc. , and are contributing to the earnings enlargement of the travel and the hotel industry segments. The multipara ministry set up "Medical industry society" by specialists last autumn, and has been discussing the concrete measure for the enlargement of the medical treatment tourism in Japan. 

Japan is good country!
PLEASE come here!



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