2019 Volume 20 Issue 1 Pages 2-7
For a patient to live out his/her lifetime in his/her hometown, support system comprised of community-based integrated care system by interprofessional collaboration;physician care, nursing and welfare, is essential. Such interprofessional team must operate under a common goal and mutual respect and understanding of their members' expertise. As one of the indicators of a well-functioning support system, strengthened cooperation of the interprofessional team in patient discharge path contributes to the community-based integrated care system.