Regional disparities on medical care for neurological diseases in Aomori prefecture

• Tomiyama Masahiko

  Stroke Unit and Department of Neurology, Aomori Prefectural Central Hospital

Bibliographic Information

Other Title

• シンポジウム２３‐２　医師不足時代の神経内科医療の在り方‐都市と田舎での医療デバイド　青森県における神経内科医療事情について

Abstract

The population and the area of Aomori prefecture are 1,380 thousands and 9,644km2, respectively. Aomori prefecture geographically and economically forms an independent medical district. However, only 29 neurological specialists attended work in Aomori Prefecture. The numbers of neurological specialists per 100,000 people and per 100km² were 2.1 and 0.3 in Aomori, respectively, whereas those of Tokyo metropolitan area were 5.9 and 34.9, and their nationwide averages were 3.6 and 1.2, respectively. Although Aomori prefecture is divided into six medical service areas, neurologists were eccentrically-located in three cities; Aomori, Hirosaki and Hachinohe. No neurologists give full-time service in three of the six areas. The percentage of people having medical care certificate for six specified neurological disorders (multiple sclerosis, myasthenia gravis, amyotrophic lateral sclerosis, spinocerebellar degeneration, Parkinson disease and related disorders, and multisystem atrophy) in Aomori was comparable to the nationwide average. However, the number of patients with the certificate of multiple sclerosis and myasthenia gravis in areas with neurologist's service were 11.4 and 12.0 per 100,000 people, respectively, whereas those of area without full-time neurologist's service were 9.9 and 9.2, (significant lower). The patients living in the area without neurologist's service received medical care by neurologists less frequently when compared to those living in area with neurologist's service. Forty-five percent of the patients living in the area without neurologist's service went out of their living areas to see neurologists regularly. Thus, neurologists in Aomori prefecture are under strain to provide medical services. People in Aomori prefecture do not receive sufficient neurological services, especially in the area where no neurologists attend work. In addition, patients living in area without neurologist's service bear greater burden to go to hospital.<br>

Journal

• Rinsho Shinkeigaku

  Rinsho Shinkeigaku 50 (11), 1063-1065, 2010

  Societas Neurologica Japonica

Keywords

• Aomori Prefecture
• health disparity
• regional disparity
• intractable disease
• specified neurological disorders

Details

• CRID: 1390282680011305856
• NII Article ID: 130004504618
• DOI: 10.5692/clinicalneurol.50.1063
• ISSN: 18820654
• ISSN: 0009918X
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed