Home care management by hospitals

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  • 病院が行う在宅医療の可能性
  • ビョウイン ガ オコナウ ザイタク イリョウ ノ カノウセイ

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Abstract

Abstract<br>Objective : We investigated the conditions of home medical care managed by one hospital.<br>Method : We examined the status of home care in E hospital. The hospital possesses a home care station, in which interviews were conducted with home care nurses.<br>Results : The average patient age at the start of home care was 80.6 years. The subjects were divided into two groups : one of patients unwilling to travel to the hospital and one, a terminal care group. The former had lower ADLs than the latter. The death rate in the terminal care group was high. The nurses in the hospital were aware that they could ask the specialist doctors questions about medical technique, and could take care of patients in the hospital on the basis of their symptoms, and they worked with an attitude of responsibility to their community.<br>Conclusion : Many aged and terminal patients presented at E hospital, and the nurses there accepted this situation. We considered that it was important for hospitals to be given public assistance, and necessary for comparative studies to be performed regarding the home care carried out by clinics.

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