Suzuki Junko, Imazu Yoshihiro, Yoneta Yoshitaka, Yamaura Katsunori, Uchida Emiko
Kitasato University School of Pharmacy.
Shibadaimon Imazu Clinic.
Yakugaku Zasshi. 2018;138(5):621-628. doi: 10.1248/yakushi.17-00118-5.
In a superaging society, the medical paradigm should include both less coverage of medical-care work flow by human resources and high-quality care for patients. Strategies such as establishing medical-care teams and community medicine systems mainly for home medical care should be implemented. However, a well-organized system for home-based medical treatment of elderly patients is not yet in place, as evidenced by the lack of care, problems with long-term polypharmacy resulting from visits to multiple healthcare providers, and declines in their physical strength. It is assumed that care might not be provided in association with treatment because planning based on the paradigm of "home medical care" has not been fully established. Therefore, in this study, we aimed to determine the "paradigm shift in home medical care" based on the treatment of onychomycosis. We also hoped to identify the types of medical support required to improve the general well-being of individuals and what needs to be done to ensure a high quality of life for patients. All those (including patients themselves) involved in patient care should together formulate a protocol for medical treatment and cooperate based on the role each can play. Although it may be difficult to maintain cooperation among healthcare workers, improvements in the medical quality of an entire region can be achieved by planning a life design including medical treatment for each patient.
在超老龄化社会中，医疗模式应既包括人力资源对医疗工作流程的覆盖减少，又包括为患者提供高质量护理。应实施诸如建立主要用于家庭医疗护理的医疗团队和社区医疗系统等策略。然而，针对老年患者的完善的居家医疗体系尚未建立，这体现在护理缺失、因拜访多个医疗服务提供者导致的长期多重用药问题以及他们体力下降等方面。据推测，可能由于基于“家庭医疗护理”模式的规划尚未完全确立，护理可能未与治疗相关联。因此，在本研究中，我们旨在基于甲癣治疗确定“家庭医疗护理的模式转变”。我们还希望确定改善个体总体健康所需的医疗支持类型以及为确保患者高质量生活需要做些什么。所有参与患者护理的人员（包括患者自身）应共同制定医疗治疗方案，并根据各自所能发挥的作用进行协作。尽管医护人员之间保持合作可能困难，但通过为每位患者规划包括医疗治疗在内的生活设计，可以实现整个地区医疗质量的提升。
