Abstract
The aim of this study was to establish a home medical care system that aligns with the background lives of patients with children （adults） requiring medical care and children （adults） with severe motor and intellectual disabilities （SMID）, and their families.
The subjects were 58 patients （mean age 9.03±11.02 years） with children （adults） requiring medical care, and SMID who received home dental care provided by the Yokohama City Center for Oral Health of Persons with Disabilities from September 2018 to March 2024.
We investigated basic information, presence and type of requiring medical care, types of health care and nursing care services, medical consultation status, dental consultation details and dental consultation history, and outcome items by extracting information from the patients’ medical records. We then analyzed the characteristics of the patients and trends.
The age range of the patients was mainly infants and children. The most common patient diseases were central nervous system diseases and peripheral nerve diseases. Forty-six （79.3％） were children （adults） requiring medical care and 12 （20.7％） were SMID children （adults）. In terms of daytime activities, 60％ of patients attended school or daycare. Most patients also received medical and nursing care services. Based on our findings, the age distribution of patients suggests that there may be latent need for dental examinations among patients aged above 15, and it was considered necessary to collaborate with physicians and dentists at hospitals in secondary and tertiary medical care to identify these needs and to recommend dental examinations to these patients. As children requiring medical care transition to the community, it is important to collaborate with local dentists to enable smooth consultation in accordance with the lifestyles of patients and their families. In the future, it will be essential to establish an integrated system of cooperation from the general practitioner or family dentist to secondary and tertiary medical care.
