Abstract
According to the official estimation, there will be 1.7 million of deaths per year in 2038. It will not possible to prepare the hospital volume enough to accept this volume of deaths, it is indispensible to organize the quality home care system from now. This system must respect the dignity of dying persons and make efforts to assure the precious end-of-life moment with their family. In order to overcome difficulties for continuing end-of-life care at home, clinical support is essential. The Onomichi Medical Association has developed the family doctor system based end-of-life care, so called the OMA method on end of life care management programs. In this article the authors would like to present an overview of this system.