University-Community Collaboration with Education as the Key and Contribution to Community-based Integrated Care Systems

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  • Yokoya Shoji
    Department of Family Medicine, General Practice & Community Health, Faculty of Medicine, University of Tsukuba Kitaibaraki Center for Family Medicine

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  • 教育を軸にした大学－地域連携と地域包括ケアへの貢献
  • キョウイク オ ジク ニ シタ ダイガク-チイキ レンケイ ト チイキ ホウカツ ケア エ ノ コウケン

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<p>Along with education and research, one of a university's main missions is community contribution, such as engagement in community medicine. The establishment of a community-based integrated care system is a very important issue in future community medicine. Accordingly, faculties of medicine, which may appear distant from people's daily lives, are preparing to make greater contributions to community-based integrated care. In particular, departments of family medicine/general practice（FM/GP）are the best fit for community-based integrated care.</p><p>Faculties of medicine and university hospitals need not only hospitals but also local communities for pre-graduate education and resident training. In addition, FM/GP departments need an educational center in the local community in order to train general practitioners. At the same time, community medical institutions often lack doctors and do not have sufficient personnel or time for education. Mechanisms for collaboration between universities and the local community, based on investment by the local community, are designed to link these organizations.</p><p>The General Medicine and Primary Care Department of Tsukuba University Hospital is the first to build a community medical education station, which is designed to send general practitioners to community medical institutions as teachers to perform educational functions. General practitioners dispatched to clinics or hospitals can contribute to various elements of community-based integrated care systems. Because most of their efforts will enrich education and research, this creates a positive cycle that allows the system to evolve sustainably.</p><p>Barriers to investment include the fact that such programs may not directly improve public services offered by local governments or bring medical service fees to community medical institutions. The key to success is to obtain alignment from universities, local governments, citizens, and medical institutions regarding investment in education with the vision of training doctors who will contribute to the community.</p>

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  • Iryo To Shakai

    Iryo To Shakai 29 (1), 71-84, 2019-05-24

    The Health Care Science Institute

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