returned to the community. Once discharged, patients are out of reach of hospital
nurses and begin recuperation with home care/nursing. For community-based medicine in particular, the smooth handover of information from hospital nurses to
visiting nurses and other related professionals who take over the responsibility for
care is extremely important for the inclusion of “caregiving/welfare” professionals,
whose primary duties involve lifestyle support.
In the plan for a community-based integrated care system (Fig. 2), presented by
the Ministry of Health, Labour and Welfare (2017), two professions collaborate to
provide client-focused care. The present shift from hospital-focused to communityfocused medicine indicated that a client-centered approach, which is built upon
information sharing between medical/nursing and caregiving/welfare professions,
is essential. In community-based recuperation in particular, care does not merely end
with the isolated world of the hospital and requires highly personalized observation
and nursing support. Given this situation, the application of telecommunication
technology is of particular importance in striving to realize a community-based
integrated care system. As nurses have become responsible for medical information
in hospitals, they are expected to play the role of information coordinators in the
community-based integrated care system.
6 The Information Environment Required to Develop
a Telenursing System
As shown in Fig. 3, the development of a telenursing system requires four basic
functions: “a plan for organizing and managing healthcare information,” “sharing
and communication of records allowing Interprofessional collaboration,” “application of information technology such as AI or robotic process automation to utilize
data,” and “information literacy in both the professionals managing information and
users (clients).” Concerning IoT, the extent to which observation information
pertaining to health care can be shared and collected is an important issue for health
literacy and the protection of personal information. In the future, all devices used in a
client’s daily life are expected to be maintained and managed over the Internet;
therefore, it will be necessary to use information processing, which accounts for this.
The application of information focused on AI and robotic process automation
technology, as shown in the top right section of Fig. 3, is advancing particularly
rapidly in the modern day. This field is a vital resource for both the development of
health application tools and the realization of personalized medicine. Decisions
based on big data, which are essential in predicting health status at an individual
level accurately, are also necessary for the realization of personalized medicine.
Considering these issues as prerequisites, rapid research advances, including
(1) the development of methods for decision support using AI, including rules
engines and machine learning; (2) availability of information (for professionals
and clients) through the use of big data; and (3) the development of multilingual,
Innovation of Community-Based Integrated Care: The History and Current Status. . .
31
nurses and begin recuperation with home care/nursing. For community-based medicine in particular, the smooth handover of information from hospital nurses to
visiting nurses and other related professionals who take over the responsibility for
care is extremely important for the inclusion of “caregiving/welfare” professionals,
whose primary duties involve lifestyle support.
In the plan for a community-based integrated care system (Fig. 2), presented by
the Ministry of Health, Labour and Welfare (2017), two professions collaborate to
provide client-focused care. The present shift from hospital-focused to communityfocused medicine indicated that a client-centered approach, which is built upon
information sharing between medical/nursing and caregiving/welfare professions,
is essential. In community-based recuperation in particular, care does not merely end
with the isolated world of the hospital and requires highly personalized observation
and nursing support. Given this situation, the application of telecommunication
technology is of particular importance in striving to realize a community-based
integrated care system. As nurses have become responsible for medical information
in hospitals, they are expected to play the role of information coordinators in the
community-based integrated care system.
6 The Information Environment Required to Develop
a Telenursing System
As shown in Fig. 3, the development of a telenursing system requires four basic
functions: “a plan for organizing and managing healthcare information,” “sharing
and communication of records allowing Interprofessional collaboration,” “application of information technology such as AI or robotic process automation to utilize
data,” and “information literacy in both the professionals managing information and
users (clients).” Concerning IoT, the extent to which observation information
pertaining to health care can be shared and collected is an important issue for health
literacy and the protection of personal information. In the future, all devices used in a
client’s daily life are expected to be maintained and managed over the Internet;
therefore, it will be necessary to use information processing, which accounts for this.
The application of information focused on AI and robotic process automation
technology, as shown in the top right section of Fig. 3, is advancing particularly
rapidly in the modern day. This field is a vital resource for both the development of
health application tools and the realization of personalized medicine. Decisions
based on big data, which are essential in predicting health status at an individual
level accurately, are also necessary for the realization of personalized medicine.
Considering these issues as prerequisites, rapid research advances, including
(1) the development of methods for decision support using AI, including rules
engines and machine learning; (2) availability of information (for professionals
and clients) through the use of big data; and (3) the development of multilingual,
Innovation of Community-Based Integrated Care: The History and Current Status. . .
31