title: [Formulation of policies for promoting home medical care by a university hospital--report of planned and convened case review sessions].
abstract: It is no exaggeration to say that the linkage among the persons in various specialties, medical staff including the home doctors and visiting nurses, and those related to social welfare is essential for supporting and promoting the terminal care at home of the patients heavily dependent on medical care, as well as the patients and their families with problems in the nursing ability. Good understanding of other specialties and compensation for each other are considered to enable effective service to the patients. At our hospital, we have planned and convened case review sessions for the past two years. The sessions were proved to have the following merits that helped creation of teamwork for smoothly promoting medical care at home: 1. Persons in each specialty became able to play respective roles properly; 2. Measures to be taken were revealed, thereby inducing changes in the subsequent care; 3. The efforts made in the community could be understood and the problems to be wrestled within the hospital were suggested; 4. Smooth cooperation with visiting nurses and home doctors was achieved; 5. Nursing from a broader point of view became possible; and 6. A place for identifying problems and tasks under the present situation was provided.
authors.affiliation: Dept. of In-home Medical Care, Tokyo Women's Medical University Hospital.
authors.forename: Hamae
authors.initials: H
authors.lastname: Nagai
authors.forename: Etuko
authors.initials: E
authors.lastname: Aruga
authors.forename: Satoko
authors.initials: S
authors.lastname: Shino
authors.forename: Kyoko
authors.initials: K
authors.lastname: Inokuma
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nawashima
authors.forename: Keiko
authors.initials: K
authors.lastname: Kimura
authors.forename: Harumi
authors.initials: H
authors.lastname: Marutani
authors.forename: Noriyasu
authors.initials: N
authors.lastname: Shirotani
authors.forename: Toma
authors.initials: T
authors.lastname: Hiroshi
mesh_terms: D003152:Community Health Nursing; D004506:Education, Nursing; D006285:Health Planning; D018575:Home Care Services, Hospital-Based; D006785:Hospitals, University; D006801:Humans; D010348:Patient Care Team; D011640:Public Policy