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2025年10月25日 星期六

公立醫院KPI比較:日本 vs 英國

 公立醫院KPI比較:日本 vs 英國


基本事實:兩種醫療系統
日本與英國的公立醫院系統同樣面臨龐大需求。但從關鍵績效指標(KPI)看出兩者明顯差異。

KPI英國(公立醫院)日本(公立醫院)
等候名單/開始治療等待人數英國截至2025年8月,等待名單約740萬人。 House of Commons Library+1日本「一般病床」2023年平均住院日數為15.7天。 Ministry of Health, Labour and Welfare
平均住院日數(一般病床)英國近期國家平均未在本摘要中明確找到日本為15.7日。 Ministry of Health, Labour and Welfare
床位數/床位使用情況英國急診部門4小時以上等候患者約佔25%。 Nuffield Trust日本每千人擁有12.6張病床,高於OECD平均。 OECD
臨床指標/績效測量制度英國有NHS Digital等資料儀表板。 UHS+1日本2024年調查顯示58.5%公立醫院有臨床指標導入,大型醫院88.1%。 ResearchGate+1

英國落後原因:政策策略、文化與系統限制

  • 英國等待名單極大,92%患者18週內開始治療的標準長期未達成。 The King's Fund+1

  • 基礎設施與容量壓力大:床位使用率高,急診等待時間長。

  • 日本在床位供應、住院日數、指標制度與運營紀律上優勢明顯。

  • 組織文化差異:日本醫療系統強調效率、結構及流程;英國則受制於財政、人力、設備,改善速度受限。

教訓給英國

  • 提升病床、醫護人員、設施等基礎設施,縮短等待時間。

  • 降低平均住院日數並改善病人流動,提高資源使用效率。

  • 在所有醫院強化臨床與運營KPI,公開透明並追蹤改善。

  • 培養持續改善的文化、運營規律與資源最優化體系。

タイトル:公立病院のKPI比較:日本 vs 英国

 タイトル:公立病院のKPI比較:日本 vs 英国


基本事実:二つの医療システム
日本と英国の公立病院システムは、いずれも高い需要のもと運営されています。しかし、主要なKPIを見ると両国に大きな違いがあります。

KPI英国(公立病院)日本(公立病院)
待機リスト/治療開始待ち人数英国では2025年8月時点、待機リストが約740万人。 House of Commons Library+1日本では「一般病床」の平均在院日数が2023年に15.7日。 Ministry of Health, Labour and Welfare+1
平均在院日数(一般病床)英国の全国平均としての最近の数値は、この要約内では明確に見つかりません日本:15.7日。 Ministry of Health, Labour and Welfare
ベッド数・ベッド稼働英国ではA&Eで4時間以上待つ患者が約25%(2025年9月)など、混雑の指標あり。 Nuffield Trust+1日本の病床数は人口1,000人あたり12.6床と、OECD平均を上回る。 OECD
臨床指標/業績測定の導入英国ではNHSデジタル等によるダッシュボードが整備。 UHS+1日本の公立病院では2024年時点で58.5%が臨床指標を導入、大規模病院では88.1%。 ResearchGate+1

英国が遅れている理由:戦略・文化・制度的課題

  • 英国は待機リストが非常に長く、18週間以内に治療を開始するという基準を長年満たしていません。 The King's Fund+1

  • インフラやキャパシティの問題:ベッド使用率が高く、A&Eでの長時間滞留が頻発しています。

  • 日本では病床数が多く、平均在院日数が短く、臨床指標の活用が進んでおり、運用の規律も強い。

  • 文化・組織的な差:日本の医療制度では効率・構造・プロセスが重視され、英国では財政・人材・設備の制約が強く、急速な改善が難しい状況です。

英国への教訓

  • 病床・スタッフ・施設を含むインフラを強化し、待機時間と遅延を減らす。

  • 平均在院日数を短縮し、入院患者の流れを改善して資源を効率化。

  • 全ての病院で臨床・運用指標を拡充・活用し、パフォーマンスを可視化・改善。

  • 継続的改善、運用の規律、資源最適化を制度文化として養う。

Public Hospital KPIs Compared: Japan vs UK

 Public Hospital KPIs Compared: Japan vs UK


Basic Facts: A Tale of Two Systems
Both Japan and the UK operate large public hospital systems under heavy demand. But their key performance indicators show significant divergence in recent years.

KPIUK (public hospitals)Japan (public hospitals)
Waiting list / treatment backlogAround 7.4 million patients on waiting list in England as of Aug 2025. House of Commons Library+2Nuffield Trust+2Not directly comparable waiting-list figure found, but Japan reports average length of stay for general beds of 15.7 days (2023) Ministry of Health, Labour and Welfare+2Ministry of Health, Labour and Welfare+2
Average length of stay (general beds)Data not clearly found for recent national average in UK public hospitals in this summary15.7 days for “General beds” in hospitals in Japan in 2023 Ministry of Health, Labour and Welfare
Bed occupancy / bed availabilityUK hospitals under pressure: A&E waits—about 25% of patients waiting more than 4 hours in A&E (Sep 2025) Nuffield Trust+1Japan has bed-beds per 1,000 population at 12.6 (higher than OECD average) OECD
Implementation of clinical indicators / performance measurementUK has broad performance dashboards via NHS Digital & others. UHS+1In 2024 survey ~58.5% of public hospitals in Japan reported using clinical indicators; large hospitals ~88.1%. ResearchGate+1

Why the UK is Losing Ground: Strategy, Culture & Systemic Constraints

  • The UK faces very long waiting lists, rising backlog. The standard that 92% of patients should start elective treatment within 18 weeks has not been met for years. The King's Fund+2House of Commons Library+2

  • Infrastructure and capacity pressures: high bed occupancy, large number of patients waiting for admission or waiting over 4 hours in A&E.

  • Japan benefits from a higher hospital-bed density, shorter average stays, more systematic measurement of clinical indicators and strong operational discipline.

  • Cultural and organisational factors: Japan’s health system emphasises structure, efficiency, and institutional processes, while in the UK the system is under significant financial and workforce stress, plus constraints on scaling capacity quickly.

Lessons for the UK

  • Improve capacity and infrastructure (beds, staff, facilities) so that waiting lists and delays reduce.

  • Shorten average length of stay and improve patient flow so resources are freed up more quickly.

  • Expand and rigorously use clinical & operational KPIs across all hospitals, not just large ones, to monitor performance and drive improvement.

  • Cultivate a systemic culture of continuous improvement, operational discipline, and resource optimisation.


Comparing Airport KPIs: UK vs Japan

Comparing Airport KPIs: UK vs Japan

Introduction
Here’s a direct look at some measurable Key Performance Indicators (KPIs) for major airports in the UK and Japan — so you can see concrete numbers rather than just general impressions.

Key KPI Comparison

  • The Haneda Airport (Tokyo, Japan) recorded an on-time departure rate of 90.33% in 2022, covering 373,264 flights across 97 routes. 羽田空港旅客ターミナル+1

  • In the UK, data from the Civil Aviation Authority (CAA) shows that for April-June 2025, UK airports had about 75% of flights departing on schedule. AeroTime+1

  • UK average delay time: at least one study found average departure delays around 20 minutes (or more) at many UK airports, e.g., average delay at major UK airports was about 18 min 24 s in 2024. The Guardian+1

  • Japan’s leading airport performance suggests lower delays, higher reliability, though exact average delay minutes are harder to access in the public summary. But the high on-time percentage indicates a strong performance.

Analysis
Japan’s airports (at least Haneda) are hitting on-time departure rates above 90 % — a benchmark many international airports aim for. In contrast, UK airports in 2025 are at ~75% on-time departures — meaning a quarter of flights are departing later than “on time”.
This performance gap suggests differences in how operations are managed: scheduling, turn-around efficiency, ground handling, runway/terminal utilisation, and staff/service culture all play roles.

Why This Matters
For passengers: higher on-time departure means less waiting, fewer missed connections, better reliability.
For airport operators & regulators: The KPI becomes a visible measure of operational excellence and competitive advantage.
If UK airports want to close the gap, focusing on infrastructure, staffing, process optimisation, and culture will be essential.



Here’s a comparison of UK vs Japan airport operational performance using key KPIs — laid out in the style you requested.


Basic Facts: Two Airport Systems

These two national airport systems face similar pressures: increasing passenger volume, tight margins on service, growing demands for reliability. But their performance and outcomes show different trends.

FeatureUK AirportsJapan Airports
Performance TrendImproving, but still moderate: UK airports reported ~75% of flights on-time between April–June 2025. AeroTime+1Very strong performance historically: e.g., Tokyo Haneda Airport had ~90.3 % on-time departure in 2022. Wikipedia+1
On-Time Departure Rate~75% flights on-time in UK (Apr-Jun 2025). AeroTime+1Japan’s leading airports often exceed 90% on-time in earlier years. Cirium+1
Average DelayIn UK, major airports show average departure delays ~20-25 minutes (e.g., London Gatwick ~25 min, Heathrow ~18 min) in 2024. Aviation Business News+1Specific average delay times for Japan airports less accessible in public free data for same period; but ranking-data shows top-class punctuality. Cirium+1
KPI Scope & Financial MetricsUK reports focus on punctuality, growth in passenger numbers, some improvement. AeroTime+1Japan airports publish broader KPIs including environmental/terminal/process metrics (e.g., for Japan Airport Terminal Co., Ltd.). Tokyo Airport Building
Key StrategyUK airports & regulators emphasise improving on-time performance, handling growth post-COVID. Airport Industry-News+1Japanese airports emphasise precision, process, environment, terminal investment. Tokyo Airport Building

Why Japan’s Airport System Appears Stronger

Here are some reasons that echo what we saw in postal comparison earlier — applied to airports.

1. Culture of Precision and Reliability
In Japan, punctuality is deeply embedded in transport culture. For example, Tokyo Haneda achieved ~90.3 % on-time departure rate across ~373,000 flights in a year. Wikipedia+1 This kind of focus shows up in airports as organisational ethos.

2. Strong Metrics and Process Discipline
Japan’s airports report advanced KPI frameworks — for example, JAT terminal group has KPIs on GHG reduction, energy conservation, process improvements. Tokyo Airport Building UK airports have good reporting, but the level of process discipline (in publicly noted stats) seems less advanced.

3. Infrastructure & Investment
High punctuality often correlates with infrastructure and operational investment (e.g., efficient gate turnaround, advanced terminal operations). The Japanese airports’ high ranking suggests strong investment in those areas; UK airports face larger volumes, complexity, and still show average delays of ~20+ minutes in many cases. Aviation Business News+1


Lessons for UK Airports

Based on the comparison, here are possible lessons that UK airport operators and regulators might draw:

  • Continue to invest in operational processes (turnaround, ground handling, gate management) to bring average delays down from 20-25 minutes to the <15 minute “on-time window”.

  • Adopt more stringent KPI frameworks beyond just “percentage on-time” — e.g., delays by flight type, by terminal, by time of day.

  • Foster a culture of service reliability, embedding punctuality as a performance marker at every level.

  • Ensure capacity, staffing, and infrastructure support growth — UK passenger volumes are rising, and meeting demand reliably is key.