Neurotherapy learned from community medicine and utilized in community medicine ～From the standpoint of a neurologist who leads the Medical Association～

Abstract

The Medical Association is a professional association that all doctors can join. In Nagoya City, 95.3% of medical institutions listed neurology are enrolled in the Nagoya Medical Association (NMA), but the enrollment rate of board–certified neurologist is as low as 29.2%. The NMA has a hospital and clinic cooperation system, and a network that can share medical records and examination data. Treatment of neurological diseases requires not only the acute phase but also home medical care / long–term care cooperation. For clinics working on home medical care, we enhance the backup system and share patient information using the ICT system called “Hachimaru Network”. About dementia, we conduct forgetfulness screening, and training to improve the ability to respond to dementia. In formulating the regional medical plan, a forum for discussion is provided in each concept area. In the Nagoya–Owarichubu concept area, the president of NMA has been the chairman to discuss and promote the differentiation and cooperation of bed functions. In response to the spread of the new coronavirus infection, “medical care at the time of the spread of emerging infectious diseases” will be added to the medical plan, and discussions will be promoted in each prefecture toward the formulation of the 8th medical plan. The goal of community–based medical training is to understand the characteristics of community–based medical care and the concept and framework of community–based comprehensive care. The role of medical associations in community medicine is great, and it is expected that neurologists will play an important role.