臨牀透析 Vol.30 No.14(2)


特集名 在宅透析2014 ― HHDとPD
題名 なぜ在宅医療が必要なのか
発刊年月 2014年 12月
著者 前田 憲志 大幸砂田橋クリニック/日本在宅医学会代表理事
【 要旨 】 わが国では高齢化の進展,要介護者の増加対策として,在宅医療・訪問介護・生活の場の確保を一体的に捉えた「地域包括ケア」システムが強力に推進されている.「在宅透析療法」の普及についても,「地域包括ケア」の推進に合わせて,課題の解決や普及推進をはかっていく必要がある.とくに,「在宅血液透析」は受益者の負担が大きく,協力者の確保など普及を妨げる要因が多いので,生活の場で慢性治療を継続して行う「地域包括ケア」制度に合わせて,改善・普及の推進をはかることが望まれる.
Theme Home dialysis 2014 -- HHD and PD
Title Necessity of home care medicine
Author Kenji Maeda Daikosunadabashi Clinic / The Japanese Academy of Home Care Physicians
[ Summary ] The elderly population in Japan is now increasing and is predicted to continue to rise in the foreseeable future. Even after these patients receive acute treatment in hospitals, given their physical decline, dementia and other conditions, we must provide life support together with extended care and treatment. For this reason, measures are being taken to move ahead with in home medical treatment and care. A number of clinics and nursing facilities are working together with the "Integrated Community Care System" as a basis for providing strong support of local hospitals and medical institutions. However, many issues must be addressed to provide support for home hemodialysis (HHD) systems. As a result, their distribution has been delayed. The fact that HHD dialysis treatment times and the number of sessions per week can be set rather freely, means that HHD distribution is a critical issue. We must clarify the conditions in which we may better provide appropriate dialysis care. Home care support for HHD for the elderly is an important issue.
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