title: [Making the system which confirms a discharge adjustment--a practical use and the effect of the tool by multi-occupational cooperation].
abstract: In order for a patient and a family to be able to return to the region comfortably and to lead the life of their own, ascertaining and multi-occupational participation of the support to the patient and family needs to be inquired (joint conference) at the early stage of hospitalization. Before discharged from the hospital, it is essential for the patient and family to know a key person and have useful social resources, so that we can pull out their self care abilities at home and eventually link to a comfortable homecare support. By our intervention in the early stage of hospitalization, a family's uneasiness of taking care of the patient at home has changed to a confidence and led to shortening of hospital stay. Sharing the information with the staffs of many occupational disciplines and to have a homecare support that meets the patient and his family's needs will lead to an elevation of the services and staff motivation.
authors.affiliation: Matsudo Municipal Welfare Medical Center, Higashi Matsudo Hospital.
authors.forename: Chie
authors.initials: C
authors.lastname: Kawasaki
authors.forename: Yuka
authors.initials: Y
authors.lastname: Utsugi
authors.forename: Megumi
authors.initials: M
authors.lastname: Ogura
authors.forename: Akemi
authors.initials: A
authors.lastname: Sekiguchi
mesh_terms: D003153:Community Health Services / Q000600:supply & distribution*; D010348:Patient Care Team; D010351:Patient Discharge