and is advantageous for both patients and hospitals with personal information
protection at a reasonable price.
10 Conclusion
The increased financial burden resulting from medical demands and the change in
disease structure associated with the declining birthrate and aging population have
demanded reforms for Japan’s healthcare system including collaboration among
medical functions under the concept of “the Community-based Integrated Care
System.” For elaborating on information sharing advancing collaboration among
medical functions, the EMR system and the regional medical network have been
introduced. However, present systems tend to be vague and costly. Furthermore,
compliance with laws can be crucial in some cases. To overcome these challenges, it
is necessary to construct a system that can be simple and affordable. Therefore, the
transfer and discharge process was focused on. Standardization of health information
content is also necessary for coordinated care, which helps information flow
smoothly. Thus, a discharge summary is essential; however, discharge support
nurse managers expressed difficulties in preparing a discharge summary due to
“the difference in the sense of value between hospital nurses and home-care nurses,”
“lack of communication,” “lack of standardized terminology in creating discharge
summaries,” and “the Electronic Hospital Information System reduces hospital
nurses’ assessment ability.” The medical information exchange system from the
DASCH project focuses on these challenges by not giving a set-up system, rather by
giving flexibility through opportunities to emphasize communication in the
community.
References
Ariga, H. (2017). Chiki Iryo Renkei no Jissen [implementation of regional medical cooperation]. In
M. Saito & K. Horiuchi (Eds.), Iryo business to ICT system [healthcare business and IT system]
(pp. 185–201). Tokyo: Chuo University Press.
Health Quality Ontario. (2013). Adopting a common approach to transitional care planning: helping
health links improve transitions and coordination of care. Retrieved from http://www.hqontario.
ca/Portals/0/documents/qi/health-links/bp-improve-package-traditional-care-planning-en.pdf
Japan Hospital Association. (2017). Heisei 28 Nendo Iryou Kiki・Iryo Joho System Hosyu
Keiyaku, Hiyo ni Kansuru Jittai Chosa [Medical Device and Medical Information System
Fact-finding Survey on Maintenance Contracts and Costs – Report (Overview)]. Retrieved
from https://www.hospital.or.jp/pdf/06_20170424_01.pdf
Japan Ministry of Health, Labour and Welfare (2016). Long-term care insurance system of Japan.
Retrieved from https://www.mhlw.go.jp/english/policy/care-welfare/care-welfare-elderly/dl/
ltcisj_e.pdf
172
K. Katsuyama et al.
protection at a reasonable price.
10 Conclusion
The increased financial burden resulting from medical demands and the change in
disease structure associated with the declining birthrate and aging population have
demanded reforms for Japan’s healthcare system including collaboration among
medical functions under the concept of “the Community-based Integrated Care
System.” For elaborating on information sharing advancing collaboration among
medical functions, the EMR system and the regional medical network have been
introduced. However, present systems tend to be vague and costly. Furthermore,
compliance with laws can be crucial in some cases. To overcome these challenges, it
is necessary to construct a system that can be simple and affordable. Therefore, the
transfer and discharge process was focused on. Standardization of health information
content is also necessary for coordinated care, which helps information flow
smoothly. Thus, a discharge summary is essential; however, discharge support
nurse managers expressed difficulties in preparing a discharge summary due to
“the difference in the sense of value between hospital nurses and home-care nurses,”
“lack of communication,” “lack of standardized terminology in creating discharge
summaries,” and “the Electronic Hospital Information System reduces hospital
nurses’ assessment ability.” The medical information exchange system from the
DASCH project focuses on these challenges by not giving a set-up system, rather by
giving flexibility through opportunities to emphasize communication in the
community.
References
Ariga, H. (2017). Chiki Iryo Renkei no Jissen [implementation of regional medical cooperation]. In
M. Saito & K. Horiuchi (Eds.), Iryo business to ICT system [healthcare business and IT system]
(pp. 185–201). Tokyo: Chuo University Press.
Health Quality Ontario. (2013). Adopting a common approach to transitional care planning: helping
health links improve transitions and coordination of care. Retrieved from http://www.hqontario.
ca/Portals/0/documents/qi/health-links/bp-improve-package-traditional-care-planning-en.pdf
Japan Hospital Association. (2017). Heisei 28 Nendo Iryou Kiki・Iryo Joho System Hosyu
Keiyaku, Hiyo ni Kansuru Jittai Chosa [Medical Device and Medical Information System
Fact-finding Survey on Maintenance Contracts and Costs – Report (Overview)]. Retrieved
from https://www.hospital.or.jp/pdf/06_20170424_01.pdf
Japan Ministry of Health, Labour and Welfare (2016). Long-term care insurance system of Japan.
Retrieved from https://www.mhlw.go.jp/english/policy/care-welfare/care-welfare-elderly/dl/
ltcisj_e.pdf
172
K. Katsuyama et al.