2019 Volume 29 Issue 1 Pages 33-44
The author of the Japan Primary Care Association certified physician/supervisor becomes the facility manager of a mid-sized hospital in urban areas and introduces the contents that have been addressed afterwards.
As a cooperative hospital in the area, opening a comprehensive outpatient department and treating irrespective of the symptoms, pursuing the ease of liability has resulted in an increase in the number of consulting patients. In addition, “Hospitals that are strong in clinical practice for the elderly”are listed in the policy of the hospital, and the elderly committee was held to address the spread of “Humanitude”, prevention intervention for delirium, intervention on polypharmacy, dissemination of advanced care and planning. As a result, we were able to achieve a decrease in the incidence of delirium in elderly inpatients（14％ → 9％）.
In addition, joining HPH（Health Promoting Hospital & Health Service）network advocated by WHO（World Health Organization）, implementation of square step, holding of smoking prevention lecture at elementary school for the purpose of health promotion of local residents.
By becoming a staff and administrator of the general physician, we can conduct not only provision of medical treatment but also awareness of care as well as a broader range of outpatient and hospitalization, and in the area comprehensive care age including regional health promotion activities. It is possible to promote the role of small and medium hospitals required.
