抄録
The care of frail elderly requires multidisciplinary approach. It has long been a important problem how to systematize the quality care management for integrated care. The Onomichi Medical Association regards the care conference as a core of quality services and establishes a very sophisticated care management system that is based on the family physician led conference system, so called “the OMA method on long-term care management programs”. Thus the percentage of having CC is more than 95%. In this paper, the authors would like to explain an overview of this excellent system.
