2019.06.17
In this column series, Yukihiro Matsuyama, Research Director at CIGS introduces the latest information about aging, safety net and fiscal crisis in Japan with data of international comparison.
As shown in Figure 1, the number of births in Japan has been decreasing annually. However, the number of doctors providing delivery care (or a full-time equivalent) has increased by 1,168.3, from 7,390.0 in 2008 to 8,558.3 in 2017 (Figure 2). Despite this growing number of doctors, delivery care problems in areas without medical institutions are often reported as news stories.
The reason for this is that the number of birth specialist doctors is decreasing in rural areas, while in urban zones it is increasing. Of the aforementioned increase of 1,168.3 doctors providing delivery care, 473.9 are located in the southern Kanto regions of Tokyo, Kanagawa, Saitama, and Chiba prefectures. They are also increasing in major metropolitan areas, such as Osaka, Hyogo, Aichi, and Fukuoka. Conversely, the number of doctors is decreasing in Aomori, Fukushima, Toyama, Kochi, Kumamoto, and others, where depopulation is occurring.
Table 1 shows that there is a large gap between the number of hospitals and clinics advocating obstetrics/gynecology and the number that actually provide delivery care. In 2017, 3,327 clinics were advocating for obstetrics/gynecology, of which 2,085 had zero deliveries reported in that year. The rule allowing these hospitals to be able to advocate obstetrics/gynecology without a delivery track record is problematic, in terms of ensuring the quality and safety of delivery care (see Column No. 63).
September 19, 2019
Research Director
Kunihiko MIYAKE
September 17, 2019
Research Director
Kazuhito YAMASHITA
September 17, 2019
Research Director
Kazuhito YAMASHITA
September 17, 2019
Research Director
Kiyoyuki SEGUCHI
September 17, 2019
Research Director
Kiyoyuki SEGUCHI
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