抄録
Investigations have been pursued on patients ranging from the time of onset of illness until their re-entry into society. The period of investigation covers 1962-1967. Total number of patients were 2, 000 who has been admitted by internists and surgeons in 21 hospitals in Kyoto, Osaka, Hyogo and Shiga Prefectures.
Investigation procedures were, firstly personal interview covering onset of illness, admission and period under medical treatment, secondly personal communication after 1-3-6-12 months respectively following discharge. In addition, doctor of the hospitals were requested to inform their opinion on the following items:
A. Timing of admissions
B. Patient's condition at discharge
C. Necessity of medical care after discharge
The following conclusions can be drawn from the foregoing facts:
(1) Each patient should be given the choice of Doctor and should follow this doctor's instructions regarding reference to specialists and treatment at proper time.
(2) In order for patients to receive effective medical treatment the function of medical facilities should be differentiated and in addition these facilities should work in close co-operation with one another.
(3) Regarding to post-discharge medical follow-up, it should be pointed out that prevention rather than treatment is the point which should be stressed. As prevention is closely related to their residential lives the medical facilities in the respective areas should be made responsible.
(4) In order that patients enter into society adequately, care as well as socio-economic assistance are necessary after discharge. As for patients under continued medical treatment at home, social services should provide visting nurses as well as home helpers.
