Permalink : http://hdl.handle.net/2115/43259

KEYWORDS : Municipality Hospital;Local Public Finances;North Hokkaido

In the municipality hospital, the deficit that reaches 200 billion yen a year is summed up. Therefore, the reform of management is requested, and the reform is advanced based on "Reform guideline of the public hospital". The population density of north Hokkaido is especially low. Therefore, the municipality hospital bears a basic medical treatment while suffering a deficit. And most hospitals according to "Guideline" are urged by the necessity the number of beds reduction, and the conversion to the clinic. In this research, the medical demand of north Hokkaido is examined, and it searches for the direction of management reforms in the municipality hospital.