本文历史地回顾了日本制定“医院机能评价手册”的全过程,从组织特点、机能、构成成员和经营诸方面介绍了日本实施、推进医疗机能评价的具体情况,提出了在行政、团体、研究单位协作下,各医院按本身特点进一步开展医疗机能评价的展望。 This paper historically reviews the entire process of the development of a “Hospital Function Evaluation Manual” in Japan, and introduces the specific conditions of Japan’s implementation and advancement of medical performance evaluation in terms of organizational characteristics, functions, constituent members, and operations, and proposes in administration, group, and research. Under the cooperation of the units, the hospitals will further develop the outlook of medical performance evaluation according to their own characteristics.