『保健医療科学』 2023 第72巻 第1号 p.43-51（2023年2月）
Topics：Recent topics in public health in Japan 2023 ＜Reviews＞
Community Health Care Vision : Toward realizing the desired medical service system
TANEDA Kenichiro 1), KAKINUMA Tomohiro 2), NAKANISHI Yasuhiro 2), KOBAYASHI Kenichi 2), AKAHANE Manabu 2)
1) Department of International Health and Collaboration, National Institute of Public Health
2) Department of Health and Welfare Services, National Institute of Public Health
Given the changes in Japan’s demographic structure, specifically the declining birthrate and aging population, as well as the declining working-age population that includes medical personnel, the construction of an efficient medical service system has become an urgent issue, necessitating the promotion of functional differentiation and cooperation of medical institutions. In order to promote such differentiation and cooperation the “Community Health Care Vision” is formulated based on estimates of the medical demand and number of beds required in FY2025 by medical care function (advanced acute phase, acute phase, convalescence phase, and chronic phase) in each region/community. Efforts in this direction began in all prefectures by 2017, until the COVID-19 outbreak in 2020 shifted the focus of medical institutions toward the infected. In December 2020, the Health Policy Bureau of the Ministry of Health, Labour and Welfare compiled the “Concept for building a future medical service system based on the novel coronavirus disease,” which includes ideas and means to advance the Vision. In March 2021, the Health Policy Bureau Notification, “How to advance the Community Health Care Vision” was issued, which stated that “The significance of functional differentiation of hospital beds and collaboration was recognized again, having faced the Covid-19 pandemic,” and as one of the three reforms in anticipation of the medical service system in 2040 (realization of optimal placement and cooperation of medical facilities; work style reform of doctors and medical staff; and effective measures against uneven distribution of doctors), continuous efforts are being made.
keywords: Community Health Care Vision, demographic structure, Community Health Care Vision Committee, Bed Function Report, training