title: [Home medical care service and regional medical plan].
abstract: A home medical service should be promoted as an individual medical plan which proactively copes with health problems in daily living. It is categorized into 3 phases: Health for a patient without long-term disabilities, QOL for a patient with long-term disabilities and Peaceful Death for a terminal patient.
authors.affiliation: Oyabe Office, Tonami Health and Welfare Center, Toyama Prefecture.
authors.forename: Etsuro
authors.initials: E
authors.lastname: Kashiwagi
mesh_terms: D003152:Community Health Nursing; D006284:Health Plan Implementation; D006699:Home Care Services / Q000191:economics; D006801:Humans; D009313:National Health Programs; D011788:Quality of Life; D012046:Rehabilitation; D012944:Social Support; D019452:Terminally Ill