title: [Elderly diabetics and care insurance system--does the home care service contribute to the home medical treatment?].
abstract: To investigate whether home medical care service based on the public care insurance system contributes to the home medical treatment of elderly diabetics, the following aspects were evaluated. 1. Did glycemic control improve? 2. Were the patients pleased with the results obtained? 3. Was a load to the home care of the family reducing? 4. Did dependence on medical treatment decrease? The investigation was carried out targeting 17 patients among elderly diabetic patients of 65 years of age for whom home care service was provided. 1. HbA1c level did not change after the start of the care service. 2. Some degree of patient's satisfaction was obtained. 3. The burden of the family concerning home care decreased. 4. Dependence on medical treatment (repeated visits or hospitalization) decreased. Therefore, it was suggested that the care service contributed to the home medical treatment of elderly diabetic patients. It was raised as a problem what correspondence to the cases those who dislike the home care service, or an authorization application. From now on, it is considered important to introduce a care service in which a dietitian, a nurse, a pharmacist, etc, are involved.
authors.affiliation: Dept. of Internal Medicine, Nishioka Hospital.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Oda
mesh_terms: D000368:Aged; D017028:Caregivers; D003152:Community Health Nursing; D003920:Diabetes Mellitus / Q000451:nursing*; D006299:Health Services for the Aged; D018575:Home Care Services, Hospital-Based; D006801:Humans; D009313:National Health Programs