1. Establishing the community-based integrated care system.
Enriching long-term care, healthcare, support, and preventive services so that
elderly people may continue living in areas they are accustomed to.
2. Making contributions equitable.
Expanding the reduction of premiums for people with low income and reviewing
co-payments of those who have attained certain income levels or who possess
certain assets to suppress an increase in premiums (Fig. 3).
4 “The Community-Based Integrated Care System”
and Information Sharing
CICS ensures safety, security, and health in daily life. Through this system, medical
and nursing care and various life support services, including welfare services, are
provided for the community. Thus, the elderly can live the rest of their lives in
familiar environments even if they require long-term care. We need a transition from
the traditional medical care system to home healthcare and nursing care systems
instead of the expansion of healthcare facilities for the elderly. It is necessary to
emphasize home care. It shifts the maintenance period for medical care from the
hospital to the home. To realize seamless cooperation at home, interprofessional
work is necessary. The following are possible examples: unify the way nursing care
is provided to ensure appropriate care for patients with dementia, facilitate collaboration between physicians who conduct home visits and visiting nurses and care
managers, and ensure collaboration between the regional Community-based Integrated Care Center and daycare centers and the local government’s life support
department. To achieve effective collaboration and communication, information
sharing is very important.
To actually realize information sharing among personnel representing
interprofessional for medical care in the home environment, it is necessary to
conduct regular conferences and develop regional medical information cooperation
networks.
5 Regional Medical Information Cooperation Networks
in Japan
In Japan, the transition to the EMR system began in 1999. While the EMR system
had previously existed, in 1999, it was recognized for use in maintaining public
medical records. As of 2018, large-scale hospitals (800 hospitals with over 400 beds)
represented almost 78% of those using EMRs, whereas small-scale hospitals (5498
hospitals with under 200 beds) represented less than 30%. Overall, it has a penetration rate of 38.3%. For clinics, the total rate for use of the EMR system is low (about
Current Status and Issues with Japan’s Community-Based Integrated Care System:. . .
159
Enriching long-term care, healthcare, support, and preventive services so that
elderly people may continue living in areas they are accustomed to.
2. Making contributions equitable.
Expanding the reduction of premiums for people with low income and reviewing
co-payments of those who have attained certain income levels or who possess
certain assets to suppress an increase in premiums (Fig. 3).
4 “The Community-Based Integrated Care System”
and Information Sharing
CICS ensures safety, security, and health in daily life. Through this system, medical
and nursing care and various life support services, including welfare services, are
provided for the community. Thus, the elderly can live the rest of their lives in
familiar environments even if they require long-term care. We need a transition from
the traditional medical care system to home healthcare and nursing care systems
instead of the expansion of healthcare facilities for the elderly. It is necessary to
emphasize home care. It shifts the maintenance period for medical care from the
hospital to the home. To realize seamless cooperation at home, interprofessional
work is necessary. The following are possible examples: unify the way nursing care
is provided to ensure appropriate care for patients with dementia, facilitate collaboration between physicians who conduct home visits and visiting nurses and care
managers, and ensure collaboration between the regional Community-based Integrated Care Center and daycare centers and the local government’s life support
department. To achieve effective collaboration and communication, information
sharing is very important.
To actually realize information sharing among personnel representing
interprofessional for medical care in the home environment, it is necessary to
conduct regular conferences and develop regional medical information cooperation
networks.
5 Regional Medical Information Cooperation Networks
in Japan
In Japan, the transition to the EMR system began in 1999. While the EMR system
had previously existed, in 1999, it was recognized for use in maintaining public
medical records. As of 2018, large-scale hospitals (800 hospitals with over 400 beds)
represented almost 78% of those using EMRs, whereas small-scale hospitals (5498
hospitals with under 200 beds) represented less than 30%. Overall, it has a penetration rate of 38.3%. For clinics, the total rate for use of the EMR system is low (about
Current Status and Issues with Japan’s Community-Based Integrated Care System:. . .
159