（2）社會保險に於ける眼科手術の難易性に就いて

Substantial basis for unit-point in ophthalmological operation

　現行の社会保険の点数は極めて不合理であつて，之を是正せんとする声は可なり以前からあつたのであるが，何れも個々に訴えて居た程度で，団体としての声，特に学会として纒つた意見はなかつた様である。私はこの臨床眼科会に於て始めてこの問題を取り上げて大方の批判を乞い，今後大きな運動となる事を期待し，希うものである。

　今回は眼科手術に問題を限り，点数再検討の基礎データーとして，従来の保険点数には全く関係なく独自の立場で手術の難易と手技の複雑さの2つを基準にして点数を算出して見たのである。従つて之は手術の難易係数と云うべきものであつて，之に他の色々の要素（例え包帯材料，使用藥品，同器具使用助手其他経営の問題等々）を加えて考えなければ真の手術点数とはならないものである。

In order to arrive at,from the viewpoint of Ophthalmologists,a substantial basis for cal-culating the number of units as it is alloted as points by the National Health Insurance in remuneration of medical treatments and surgical operations, an attempt is made to classify operative procedures according to the degree of difficulty and to appraise the confficient of that degree. Depending upon the site where an incision may be called for, the purpose for which it is made and the technical complication that may be accompanied thereon, surgical procedures are divided into 3 classes,A,B,and C. To what numerical number the point allotments to respective classes might be settled is a question to be answered by pending studies but it is believed that, that, of a certainty, in calculation of points for re-muneration the expenditure for personnel mainatinance such as assistants and nurses, for wear and tear of instruments as well as for materials used should be included.