With an aim at reducing the incidence of cerebral apoplexy to half in three years, the Institute of Community Medicine, the University of Tsukuba, worked out a community health program for the inhabitants of Oho-machi, a predominantly rural community in Ibaraki Prefecture.
A cerebrovascular disease prevention council was set up in the town to map out plans to execute health care services. An expert committee was set up to formulate health examination standards and health guidance. The governance of the health grogram is to be transferred from the Institute to the town council.
Initially, considerable effort was exerted to encourage inhabitants to participate in the mass health screening. With importance placed on livelihood and health guidance, effort was made to increase the efficiency as well as the quality of the self-governing health care delivery.
As a result, the health examination attendance has been increased and health conditions improved remarkably. Particularly, the cardiovascular disease death rate has gone down ward among the inhabitants at the prime of life.

For the purpose of clarifying the different roles of two tertiary care hospitals, namely the Tsukuba University Hospital and Tsuchiura Kyodo Hospital, we researched for the consulting behaviours of out patients in these two hospitals.
As Results:
1) About the classification of the diseases and the morbidity rate, there was slight degree of differences between the out patients in these two hospitals.
2) The motivations of consulting both of these two hospitals were seen in a large number the items of “confidence to the scientific medical arts” and “excellent medical instruments”.
3) The majority of out patients of both hospitals take about within one hour coming to hospital, in spite of various transport methods.
4) Specific functions and different roles were seen only a little between these two tertiary care hospitals in the same region.
We hope to make more propaganda and education, not only to patients but also to medical staffs, concerning with the regional activities of comprehensive health and medical planning and resources.

This paper discussed the introductory medical training system and medical team care problems at University Hospital of Tsukuba.
The characteristics of this training system are that the duration of training is the fourth year medical students at the University of Tsukuba and to exercise the roles of nursing service at University Hospital.
In this practice, medical students are expected to comprehend about the significance of team work in medical care, to practice in the work of nurses and c-medical workers for learning their roles. We introduce our purpose and practice of this medical team care. Problems of this trial are discussed in this paper. But we have confirmed that this experimental. Trial is useful experience to all medical students and the items of this practical exercise are one of the most effective training method for them.

For the purpose of learning the comprehensive medical team care. we tried for the fourth year medical students at University of Tsukuba to exercise the nursing service and the team care system in the Hospital of University of Tsukuba.
These practice were already undergone during past twelve years.
In this practice, students are expected to comprehend about the significance of team work in medical care, to understand the meaning of medical care, to learn especially the roles of nursing and rehabilitation medicine (in total medical care system), to practice in the work of nurses and co-medical workers for understanding their roles, to study the basic science and contribution in medical team care of rehabilitation medicine, to comprehend about the outline of the health, medical care system, and medical economics.
As the items of this practical exercise, all students must work as follows:
1. collection of venous blood and check of vital signs.
2. practical work of nursing service.
day time service: 8:00 a.m.-11:30 a.m.(fourtimes)
1:00 p.m.-4:30 p.m.(once)
early night service: 5:00 p.m.-0:00 a.m.(once)
midnight service: 0:00 a.m.-8:30 a.m.(once)
Moreover 15 corelative lectures are prepared.
For these twelve years, we researched motivating effects and impression of this exercise about both medical students and nurses by method of using questionnaire. We hope to grow kindly doctors having the mind of humanity.