Hazama Takanori, Sawada Jin-ichi, Toda Tatsushi
Department of Neurology, Osaka General Medical Center.
Rinsho Shinkeigaku. 2009 Nov;49(11):756-61. doi: 10.5692/clinicalneurol.49.756.
Advancements in medical genetics have increased access to genetic diagnosis in clinical neurology and accompanying genetic counseling. However, its use has not yet spread and the frequency of general biochemistry inspection in medical treatment and by patients remains low. Many problems remain for doctors, though sociocultural and other various causes exist. Thus, a network of care specialists for inherited and incurable neurological diseases has been established, consisting of multi-occupational categories in medical treatment, health, and welfare such as clinical inheritance specialists, psychiatrists, public health nurses, and medical social workers, to meet the rise in availability of such methods. Businesses in areas such as training, consultation, and field research have arisen. An educational campaign for neurologists who have taken a central role in treatment of inherited and incurable neurological diseases, and related information have been disseminated to those working in fields related to regional welfare of neurological medicine, and patients are now supported totally by team and regional counseling. These new developments in support systems for inherited and incurable neurological diseases, have steadily achieved the respective goals. We aim to promote its evolution to a more advanced network to promote the independence of individual patients in the future.
医学遗传学的进展增加了临床神经学中基因诊断的可及性以及随之而来的遗传咨询服务。然而，其应用尚未普及，医疗过程中及患者进行常规生化检查的频率仍然较低。尽管存在社会文化等多种原因，但医生仍面临诸多问题。因此，已经建立了一个针对遗传性和难治性神经系统疾病的护理专家网络，该网络由医疗、健康和福利等多个职业类别组成，如临床遗传专家、精神科医生、公共卫生护士和医务社会工作者，以应对此类方法可用性的增加。在培训、咨询和实地研究等领域也出现了相关业务。针对在遗传性和难治性神经系统疾病治疗中发挥核心作用的神经科医生开展了教育活动，并向从事神经医学区域福利相关领域工作的人员传播了相关信息，现在患者得到了团队和区域咨询的全面支持。遗传性和难治性神经系统疾病支持系统的这些新发展已稳步实现了各自的目标。我们旨在推动其向更先进的网络发展，以促进未来个体患者的独立性。
