Maniwa Y, Kurita M, Sakamoto M, Nishigaki F, Sibayama S, Habuchi T, Yoneda K, Kawahara K, Fujii S, Matsuda A, Mizuta M, Miyano Y, Iwai N, Sakaguchi S, Tanimura H
Minamidani Clinic Established by Ohya Town.
Gan To Kagaku Ryoho. 1997 Dec;24 Suppl 4:479-83.
Home medical care is becoming a greater matter of concern along with the increasing population of elderly persons. The various difficulties in home care are also found in regional care, and it could be said that in Japan regional care serves as an "advanced model" for home medical care. Ohya Town is located in the mountains of northern Hyogo Prefecture. It has a population of about 5,000 of which 32% is elderly people. There is no railroad, and it takes around 30 minutes to travel to the central hospital from the area. The three town clinics are in contact with each other and with the central hospital concerning medical information. The characteristics of Home Parenteral Nutrition in this underpopulated district are discussed and reported in reference mainly to cases in which the 3 way valved peripherally inserted central venous catheter (Groshong Catheter) is used, in comparison with HPN cases in the city university hospital.
随着老年人人口的增加，家庭医疗护理正成为一个更受关注的问题。家庭护理中的各种困难在区域护理中也存在，可以说在日本，区域护理是家庭医疗护理的“先进模式”。大屋町位于兵库县北部的山区。人口约5000人，其中32%为老年人。这里没有铁路，从该地区到中心医院大约需要30分钟。镇上的三家诊所就医疗信息相互联系并与中心医院保持联系。本文主要参考使用三向瓣膜外周中心静脉导管（Groshong导管）的病例，与城市大学医院的家庭肠外营养病例进行比较，探讨并报告了这个人口稀少地区家庭肠外营养的特点。
