| Theme |
How Should We Make Full Use Public Funds and Medical Insurance Systems in Dialysis Therapy |
| Title |
Status and problems in home medical care for dialysis patients : From the viewpoint of doctor -- home medical care by the use of home Dr network |
| Author |
Masanobu Miyazaki |
Miyazaki Naika Clinic / Nagasaki Home Care Dr. Network |
| Author |
Masakazu Yasunaka |
Yasunaka Neurosurgery Clinic / Nagasaki Home Care Dr. Network |
| Author |
Tomoya Nishino |
Second Department of Internal Medicine, Nagasaki University School of Medicine |
| Author |
Masaharu Nishikido |
Division of Blood Purification, Nagasaki University School of Medicine |
| Author |
Akira Furusu |
Second Department of Internal Medicine, Nagasaki University School of Medicine |
| Author |
Shigeru Kohno |
Second Department of Internal Medicine, Nagasaki University School of Medicine |
| [ Summary ] |
The age of the dialysis population has increased rapidly, making in home care necessary, especially for elderly dialysis patients. Compared with hemodialysis, peritoneal dialysis (PD) is more applicable for elderly patients because of reduced effects on the cardiovascular system and less need for restricted water and food consumption. There are many constraints built into the Japanese medical insurance system. By knowing this complex system well, we can help provide care for patients receiving in home care for assistant PD. To promote in home PD, collaboration between medical and nursing proffessionals is essential. In Nagasaki city, the "Nagasaki Home care Dr. Network" supports in home care through many types of medical links. By applying this system, we are trying to establish a system to support elderly PD patients. Since the condition of individual patients and their families is quite different, by gathering information on successful cases, we can share the our acquired wisdom concerning in home PD care. |