title: [Home care for terminal patients and information technology].
abstract: An electronic medical record sharing system, which supports management of terminally ill patients at home, was developed in Matsudo City as a trial project. The system interconnects several facilities including four general practitioners (GPs), a visiting nurse center and a supporting municipal hospital. It provides the latest patients' information from GPs to the municipal hospital in case of the acute change of the patients' condition and their transfer. Using this system the discussion between GPs and visiting nurses became much more fruitful than we had expected, while some doctors did not use the system because of their computer literacy. Problems in the system security and privacy protection as well as clarification of users' responsibility remain to be solved. A more expanded system is now being developed as a new enterprise of Matsudo Medical Association following this system.
authors.affiliation: Higashimatsudo Municipal Hospital.
authors.forename: Keiko
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Tomoko
authors.initials: T
authors.lastname: Gokita
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Fujimoto
authors.forename: Mariko
authors.initials: M
authors.lastname: Souma
authors.forename: Shunji
authors.initials: S
authors.lastname: Yamazaki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ooshima
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Takabayashi
mesh_terms: D003152:Community Health Nursing; D018575:Home Care Services, Hospital-Based; D006801:Humans; D016347:Medical Records Systems, Computerized; D010348:Patient Care Team; D019114:Remote Consultation; D013727:Terminal Care