The Japanese medical mandatory hospital, which was exposed by the rapid expansion of the new Corona, was mainly not able to order the increasing number of beds.

The expansion of the hospital in the new colon virus infection of the Delta transformation continued to expand the hospital, revealing the vulnerability of the Japanese medical system.Why is there a number of cases where emergency transporters cannot be hospitalized, despite the rich number of beds in the world?Some say that there is a defect in medical policies that have neglected to be prepared for an emergency.

According to Koaki Nakata, Chief of Chiba University Hospital (Chiba City), it is often said that he often spends hours in ambulance.In some cases, the hospital was not accepted by the hospital with a deteriorated Corona patient, waiting for the destination while wearing a ventilator and taking 16 hours to find it.

The number of severe people nationwide reaches nearly 2,000 people, and by age, 65 years of age are noticeable.There are many patients in their 30s and 50s in the intensive care room (ICU) at Chiba University Hospital.Mr. Nakata speculates that people who are not vaccinated are more likely to become severe, and ICU patients may not have been inoculated, but the conversation does not remain due to the poor condition and the vaccination has not been fully understood.。

According to the Statistics of the Ministry of Internal Affairs and Communications Fire and Disaster Management Agency, the number of difficult -to -export cases in Tokyo occurred in the week until the 22nd, compared to the same period of last year.According to TBS reports, 11 people died this month during home treatment in Tokyo.

According to a material published by the Japan Medical Association in January, Japan has 13 beds per 1,000 beds and among the seven major countries (G7).However, due to the rampage of Delta stocks, the number of new infected people per nationwide has increased rapidly to 20,000 every day, and has fallen in a situation where the beds that have been secured due to lack of the bed itself or shortage of human resources can be fully utilized.

Compared to the situation of the G7, Japan analyzed that "the number of beds is large and the number of infected people is small," while comparing the situation of the G7.Despite being able to deal with the increase in hospitalization with plenty of time, it was "it is definitely a matter of medical design and there is a problem at the policy level."Point out.

Marketism compensation

According to Morita, there are many public medical facilities in Europe, such as the UK, and during the development of beds, the government can directly instruct the hospital to increase the number of new colona beds.On the other hand, in the case of Japan, in the case of Japan, in most cases, a private hospital, the government is not in a position to give strong instructions, and even if there are many beds per population, there is only a means of inducing subsidies.

According to a survey by the Ministry of Health, Labor and Welfare as of October 2019, 5,300 hospitals nationwide were corporations or individuals."It's coming to the market system to the market system," says Morita.

As a countermeasure against the new colona, the government has prepared an "emergency comprehensive support grant (medical)" with a total of about 3 trillion yen, and has paid up to 19.5 million yen per bed to a bed for severe patients.At Chiba University Hospital, all ICUs were switched to Corona, and the number of beds was expanded from 6 beds to 10 beds at their feet.Correspondence of new colona infections has been applied to more than a dozen nurses, as the number of nurses has been increased.

However, Mr. Morita, however, is expected to have a reputational damage, such as fear of infection and other patients who will not be able to receive a consultation in hospitals that treat Corona patients.

Although Chiba University Hospital is preparing to increase the acceptance in preparation for the further expansion of the infection, it is necessary to support other staff and nurses, and that medical services other than Corona have to be canceled. ing.

There is also a problem that the cleaning work is heavy in the corona -only hospital room.Director Hidetoshi Inokari, who leads the new Corona response in the hospital, recalls that nurse has not been able to concentrate on his original business and has led to a decrease in motivation.Finally, it is said that cleaning has been outsourced to a specialist.

Mr. Inokari pointed out that there is a similar problem in accommodation medical treatment facilities.It is said that the occupancy rate does not increase because the cleaning by the trader is performed on each floor, such as "check -out and the next patient is not in the operation so that the next patient can enter."

Although the medical system is increasing, the number of people died per day for new infected people under the foot is less than half in May last year, which is relatively reduced compared to overseas.In Japan, we have given priority to vaccination for elderly people over the age of 65, which have a high risk of severe illness.

Dr. Masahiro Kami, President of the Medical Governance Research Institute, said, "The number of deaths in Japan is larger than German in G7, but the second largest," and vaccinated, and the fifth wave this time as the end of last year.He believes that many elderly people have died.

However, some experts say that relying on medical care has a limit."No matter how much the medical system has been strengthened, infectious diseases such as new colona will increase, no matter how much the medical system is strengthened," said Haruka Sakamoto, a specially appointed researcher of Haruka Sakamoto of the University of Tokyo.He stated that it is important to prevent the spread of infection.

More Stories Like this Available on Bloomberg.com