Cross-Regional Perinatal Healthcare Systems: Efforts in Greater Kansai Area, Japan
Conferences and Lectures Cross-Regional Perinatal Healthcare Systems: Efforts in Greater Kansai Area, Japan JMAJ 53(2): 86–90, 2010 1 Noriyuki SUEHARA* Fukui Kyoto Shiga Introduction Hyogo Aiming to create a society in which any woman can give birth without any sense of anxiety, Japan’s Ministry of Health, Labour and Welfare Osaka Mie (MHLW) has been promoting the establishment Nara and systemization of general perinatal medical Tokushima centers nationwide since 1996. Wakayama In Osaka Prefecture, Neonatal Mutual Coop- erative System (NMCS) was established in 1977, and then Obstetric & Gynecologic Cooperative System (OGCS) in 1978. This illustrates that sys- 100km temization of perinatal healthcare is in progress in Osaka. Under OGCS, six hospitals (namely Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka City General Hospital, Takatsuki General Hospital, Aizenbashi Hospital, Kansai Medical University Hirakata Hospital, and Yodogawa Christian Hospital) are designated as Base Hospitals, plus, nine other facilities are designated as Sub-base Hospitals. These hospitals play a large role in the Osaka’s regional perinatal healthcare system. In 1999, Osaka Council on Perinatal Health- Tokyo care Strategies was established, and in December of that year Osaka Medical Center and Research 500 km Institute for Maternal and Child Health was des- ignated as the general perinatal medical center for Osaka Prefecture. Subsequently, four addi- fectural Government formulated Guideline for tional hospitals (Takatsuki General Hospital, Improving the Perinatal Emergency Medical Aizenbashi Hospital, Kansai Medical University System, and 13 regional perinatal medical centers Hirakata Hospital, and Osaka University Hospi- were approved. Furthermore, Osaka Prefecture tal) were designated as general perinatal medical Guidelines for Prioritizing Perinatal Healthcare centers, serving as core facilities for perinatal Functions were drawn up in December 2008 based healthcare system in Osaka.
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