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医疗、福利和法律问题综合咨询服务中疑难案例的风险因素。

Risk factor for difficult cases at the comprehensive consultation services about medical, welfare and legal problems.

作者信息

Narushima Michiki, Ando Chiaki, Mochizuki Makoto, Terada Osamu, Suzuki Hiroki, Kani Nozomi, Matsunaga Motoyoshi

机构信息

Department of Surgery, Shimizu Welfare Hospital, Japan.

Shizuoka City Shimizu Medical Association, Japan.

出版信息

J Rural Med. 2025 Jan;20(1):53-57. doi: 10.2185/jrm.2024-036. Epub 2025 Jan 1.

Abstract

UNLABELLED

It is very important to cooperate with interprofessional personnel is in order to establish the community-based integrated care system, but this is very difficult. We have held comprehensive consultation services regarding medical, welfare, and legal problems to support the community.

OBJECTIVES

This study aimed to identify the associations between background factors (such as medical conditions, intractable diseases, welfare problems, disabilities, economic difficulties, legal problems, elderly adults, children, and foreign persons) and difficult cases to provide more thorough consultation services.

PATIENTS AND METHODS

A survey was conducted on people who participated in comprehensive consultation services on medical, welfare, and legal issues related to medical care, welfare, and legal matters held from April 2021 to March 2024. We analyzed risk factors that may be difficult to resolve using multivariate logistic regression.

RESULTS

Multivariate analysis showed that the factor of "economic difficulty" was significantly more difficult to solve.

CONCLUSION

When treating patients, doctors must consider the possibility of multiple underlying issues. It is advisable for doctors to be aware of the need to consult with social workers and legal professionals when necessary.

摘要

未标注

为建立基于社区的综合护理系统,与跨专业人员合作非常重要,但这非常困难。我们提供了关于医疗、福利和法律问题的全面咨询服务,以支持社区。

目的

本研究旨在确定背景因素(如医疗状况、疑难病症、福利问题、残疾、经济困难、法律问题、老年人、儿童和外国人)与疑难案例之间的关联,以便提供更全面的咨询服务。

患者与方法

对2021年4月至2024年3月期间参加医疗、福利和法律问题综合咨询服务的人员进行了调查。我们使用多变量逻辑回归分析了可能难以解决的风险因素。

结果

多变量分析表明,“经济困难”因素显著更难解决。

结论

在治疗患者时,医生必须考虑多种潜在问题的可能性。建议医生在必要时意识到需要咨询社会工作者和法律专业人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb1/11704605/dbd4f29c0b54/jrm-20-053-g001.jpg

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