Problem

Hello,everyone.

Today, I am going to about problem of the doctor helicopter.

Although there are three problems, I speak about burden of expense this time.

It is a national pressing matter that to reduce preventable death of many emergency seriously patients including surface wound. However, if this solution has no performing proper and sufficient arrangement of a doctor helicopter system, it is difficult. Construction of the same system as overseas is desired also in our country. For that purpose, reservation of the source of revenue in connection with helicopter emergency and training of the urgent visit clinic which takes charge of emergency care are the most important issues.

【Maintenance expense and an effect 】
 

Although the Ministry of Health, Labour and Welfare hung up maintenance of 30 doctor helicopters in five years, only operation of 1/3 is realized in five years in fact. As the reason, it is pointed out that each prefecture must work out the burden charge of a little less than 100 million yen per year. However, when the cost effectiveness in a doctor helicopter enterprise is seen, the doctor helicopter of the expense per mobilization is larger than an ambulance. However, the serious illness level for mobilization object is also large Compared with the ambulance, it is shown clearly that the mobilization efficiency of a doctor helicopter is high. Furthermore, the required annual expense (about 10 billion yen) at the time of arranging a doctor helicopter at 50 places across the country is only 1.8% of the expense (about 560 billion yen) concerning ambulance conveyance currently employed in the present whole country. Although the prejudice that a doctor helicopter has a very large economic burden is going out of control, the operation expense of a doctor helicopter is by no means large compared with the expense which ambulance conveyance takes.

 

【Operation expense and public-benefit】

The greatest factor that obstructs promotion of maintenance of a doctor helicopter is a burden problem of the operation expense. Now, the doctor helicopter operates at the total amount public expenditure burden by halving of a country and all prefectures. However, this all-prefectures burden is difficult in the small prefecture of scale of central and local public finance because of financial difficulties. Therefore, one doctor helicopter is not yet arranged in each district in Hokuriku, San-in, and Shikoku, either. That is, maintenance of a doctor helicopter does not progress only by using only public expenditure. Though it progresses, maintenance of the small prefecture of fiscal scale will be postponed. Furthermore, there is a possibility that regional differences may be expanded to the life which should be saved. When the solution of this problem is considered, it is making the total of operation expense into State liability like France. If it is considered as total amount public money burden, regional differences will not come out. However, this system which "it is in region that it can do region" moves against the current of the times. It is required to also ask for a burden the insurer and the insured of the various social insurance which is beneficiary of doctor helicopter employment.

 The problem of the burden of expense was taken up this time. I am going to talk about Cooperation with an operational hour and a fire-fighting disaster-prevention helicopter and the configuration of an information system.

See you.