2021 Volume 38 Issue 3 Pages 297-300
Kanagawa Prefecture is the second most populous prefecture after Tokyo. There are four universities that have medical schools : Yokohama City University, St. Marianna Medical University, Kitasato University, and Tokai University.
April 2008, the regional cooperation medical care plan management fee and discharge guidance fee were posted. By April 2008, there were already nine stroke regional networks active, and some had their own critical path.
In March 2008, at the request of Dr. Kuroiwa (Professor of Neurology, Yokohama City University at that time, affiliation and position at that time), the “Pan Yokohama Stroke Rehabilitation Strategy Conference” was held with Dr. Takagi (Professor of Neurology, Tokai University), Dr. Hasegawa (Professor of Neurology, St. Marianna University School of Medicine) and Dr. Hayashi (Director of Shintotsuka Hospital). On the other hand, the “Yokohama City Convalescent Rehabilitation Conference” was held by gathering convalescent hospitals with Dr. Yamamoto (Director of Yokohama Stroke and Brain Medical Center) as the founder. Both conferences shared the recognition that a meeting to unite each network is necessary to realize seamless medical care. Therefore, the “Yokohama-Kawasaki (later Kanagawa) Wide-area Seamless Stroke Care Association (YKWSSCA)” manager meeting was held and aimed to make a unified path (later common path).
In November 2008, the unified path creation executive committee including Dr. Kuroiwa, Dr. Hayashi, and the five directors of the regional core hospitals, including myself, created an overview path for patients. The path for medical professionals was created in collaboration with the Nanasawa Rehabilitation Hospital Cerebral Vascular Center and Tokai University in December 2007.
In February 2009, the “1st YKWSSCA” was held, and a unified path for both medical professionals and patients was announced. The name was changed to “Kanagawa Prefecture Stroke Regional Cooperation Path” by the medical section chief in September.