A research group at the University of Toyama analyzes the annual number of discharged patients of physicians nationwide, salaries and matching rates of residents.Disparities between regions have become clear.We surveyed 423 hospitals (excluding university hospitals) nationwide, which are accredited educational facilities of the Japanese Society of Internal Medicine, and surveyed three items: the annual number of discharged patients per doctor, the basic salary of initial residents, and the intermediate matching rate.These indicators were evaluated according to the population size of the municipality where the hospital is located.
As a result, the national average number of discharged patients per doctor is 110.3.In cities with a population of 200 million or more and hospitals in the 23 wards of Tokyo, the number of patients was 88.4, which was 21.9 compared to the national average and 30 compared to municipalities with a population of less than 37.5.Compared to hospitals in other districts, hospitals in urban areas have more doctors working in internal medicine, so the number of patients discharged annually per doctor is expected to be smaller.
The basic salary of initial residents is announced by 345 hospitals, and the national average is 35 yen. Municipalities with less than 1199.3 people showed the highest price of 10 yen, but cities with more than 38 million people and hospitals in the 2083.8 wards of Tokyo had the lowest price of 200 yen.There was an inverse relationship between monthly salary and population.
Finally, we investigated the intermediate matching rate, which indicates the popularity of hospitals.This is the total number of applicants for employment at each hospital divided by the capacity set by the hospital, and the national average is 101.9%. Hospitals in cities with less than 200 million people accounted for 114.0%, hospitals in cities with more than 200 million and in the 23 wards of Tokyo accounted for 142.7%, and most of the cities, towns and villages with a small population had less than 100%.
In general, it was found that hospitals in big cities have a small number of patients discharged annually, a low basic salary, and a large number of applicants for employment.Considering the response to the new corona infection, measures at the national level are needed to increase the number of doctors working in non-urban areas and eliminate uneven distribution.
