Top > ご連絡など > ケアマネジャーの介護保険NEWS > 【介護支援専門員 NEWS】「地域医療支援センター」に意見が集中―社保審医療部会
【介護支援専門員 NEWS】「地域医療支援センター」に意見が集中―社保審医療部会
同省によると、「地域医療支援センター」の整備は、医師の地域偏在解消に取り組むことが目的。都道府県内の医師不足の状況や、活用できる医師に関する情報の詳細な把握・分析のほか、医師の配置、大学(医局)への働き掛けといった調整なども行う。
この日の会合ではまず、同省の担当者が、▽医師等医療人材の確保▽広告・情報提供▽医療安全▽医療法人―のテーマごとに、これまでの取り組みやデータなどを説明。その後の意見交換では、既存の地域医療対策協議会と同センターの関係性や、センターの具体的なあり方などについて説明を求める意見が相次いだ。
これに対し事務局は、同センターと協議会はそれぞれ補完的に取り組むと説明。同センターには医師確保に向けた専従スタッフを置くとして、その有用性を強調した。全国一律か否かについては、「地域の実情に応じて活動状況などが変わってくる」とし、設置場所についても「県の状況によって違ってくる可能性はある」と述べ、大学病院や県立病院などを例に挙げた。
西澤寛俊委員(全日本病院協会会長)は同センターについて、「あまりきっちりした形にすると、都道府県ごとに事情が違うので、逆にやりづらいということもあると思う」と指摘。「幾つかの仕組みをうまく合わせてやれば、もっといいことができるのではないか」と提案した。相澤孝夫委員(日本病院会副会長)は、「とりあえず今、困っているから何とかしようとするのか、長期的に医師の地域格差をなくすセンターにしていくのか、それによって全く考え方が違う」と問題提起した。
これらの意見に対し大谷泰夫医政局長は、「短期か長期かについては、欲張っているが両方と言わざるを得ない」と回答。各地域で既に医師確保に向けた取り組みが進んでいることから、「弾力性を持ってやっていく」とする一方、「(専任の)『実働部隊』を置いて、医師がメンバーになるような形をつくりたい」との考えを示した。また、「センターが地域のニーズをウオッチすれば、県の間で情報交換ができ、国がそれを合わせれば、本当の地域ニーズの合算としての国全体の姿がもっと見えるようになる」と強調。「相当欲張り過ぎて、どこまでいけるかと言われると確信がない面もあるが、まず一歩踏み出す以外にないとの気持ちもある」と述べた。
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