臨床神経学

第50回日本神経学会総会

<シンポジウム6―2>神経難病および医療ネットワーク
神経難病の在宅医療

荻野 美恵子

北里大学医学部神経内科学〔〒228-8520 神奈川県相模原市麻溝台2-1-1〕

It is the case of the great difficulties for patients living with neurological intractable diseases to visit outpatient when the diseases are in the progressive stage. The national nursing care insurance was matured and the revised medical insurance system led to open the local supportive clinic for home care in 2006. It has set easier access to medical care at home.
This is encouraging for patients who wish to continue to live with their families at their long time home. The medical care at home is where the attending physician has to demonstrate the expertise of how to assemble in- and out- interdisciplinary medical team. Moving a hospital room simply into at home does not made a medical care at home. You have to begin recognizing what gaps needed to fill in between a hospital room and at home.
This is the area beyond what a family doctor single-handedly deals with due to the nature of the diseases. The dual attending physician set-up is desirable including a family doctor and a specialist.
Full Text of this Article in Japanese PDF (173K)

(臨床神経, 49:870−871, 2009)
key words:神経難病, 在宅医療, 二人主治医制, チーム医療

(受付日:2009年5月21日)