神経系難病における地域支援体制に関する評価
2006 年 72 巻 2 号 p. 47-58
詳細
2006 年 72 巻 2 号 p. 47-58
Purpose: The present study evaluated "community support systems (structure)" with "possibility of home-care correspondence for patients with intractable neurological disease (process)" as an indicator using elements in the Donabedian health care quality evaluation, to examine whether community support systems for patients efficiently improve the home-care situation.Method: Support systems and home-care correspondence for model cases of intractable neurological diseases within the competence of each health center in 1997 and 2000 were investigated. A multiple linear regression analysis was performed with correspondence level as a response variable and support system as an explanatory variableResult: The multiple linear regression analysis showed that correspondence levels were higher when the number of visiting nursing stations, frequency of evaluations for home care support, and frequency of intermunicipal information exchanges were higher (P=0.028, P=0.026, and P=0.013, respectively).Conclusion: Each health center is required to review local health care systems for patients with intractable neurological diseases in terms of number of visiting nursing stations, frequency of evaluations for home care support, and intermunicipal information exchanges to provide more substantial local support systems.
