title: Proposal of benchmark to study hospital management sustainability.
abstract: Well, regarding how I introduced this story today, I thought that I would have to add a new story due to the original request from Vice President Sato. There were other situations. The other day, Mr. Miyabayashi visited my office at the University of Shizuoka, he looked like lack of spirit. I asked him what was wrong. He told me that an incorporated foundation running a mental hospital consulted with him concerning rebuilding their mental hospital that was in practice in the town. It has been in business for a long time. When they opened business, the place was not a commercial center. However, the place is in the town now, so they would like to replace the old building with a new one. They have been running the hospital in the red for the last several years, so they were wondering how to rebuild the hospital under these conditions. Simply put, since the land price went up since the opening of business, they will sell the half of the land and rebuild a new building on the remaining land using the land money and loan from the bank. However, the top executives of the incorporated foundation have been replaced completely, and there are no people related to the owner family. Hired president and hired hospital director wished to rebuild with a gorgeous hospital. Then he sit up all night to write a draft of the down-to-earth hospital rebuilding plan because their future repayment would be deadlocked if they built such a gorgeous hospital. Then he brought the plan to them. However, his client became angry after reading it, and he was banned from the hospital. He felt depressed and visited me in Shizuoka. I have come to like the universal coverage health insurance system while studying hospital management sustainability. The universal coverage health insurance system in Japan is the envy of the world. It functions if there is a medical institution nearby when a citizen owning an insurance certificate becomes ill. Today, it is functioning, so citizens' satisfaction level regarding the health insurance system is high. Despite this, if medical expenditure is repeatedly held down only from the point of view of financial situations and many hospitals close their doors, the system itself will not function. I would like to make hospital keep their operations. That is why I am examining that there should be some conditions to do so. Mr. Miyabayashi is a very good pupil. I would like him to make a significant contribution in this field. I have not told him, but I decided to introduce it today after I saw him being depressed. He works for the Tokyo branch of a construction company. He has reports with him, which he printed at his own expense. It is very thick, so I cannot introduce everything within today. If you are facing a problem of rebuilding your hospital and interested in a solid plan, I hope that you will look at his study. He may not answer that you will be able to build a gorgeous hospital as you wish. I just wanted to introduce a person who tries to deal with hospital rebuilding in a serious manner before ending my speech. Thank you very much for your kind attention.
authors.affiliation: Graduate School of Administration and Informatics, University of Shizuoka.
authors.forename: Zaiken
authors.initials: Z
authors.lastname: Nishida
mesh_terms: D019985:Benchmarking; D006739:Hospital Administration / Q000592:standards*; D007564:Japan