Abstract
The significance of promoting the accumulation and utilization of data on the prognoses of head injuries, etc. in Japan in the future is organized here with consideration of policy. Epidemiologically, new demands for preventive medical intervention related to trauma have been raised, such as the prevention of fractures and falls and the effective provision of consecutive medical and welfare care for acquired disabilities, as the population aged and health care standards improved in Japan in recent years. Regarding Japanese epidemiological information related to trauma, little cross-sectional data, such as needs for care by stage, was accumulated, while much information was available on acute-phase medicine. In constructing a community-based integrated care system, “the establishment of methodologies to operate structures for cross-sectional and multi-professional cooperation by community and structures for understanding the current status and issues in the community and evaluating the system based on them” was an issue in the area of welfare and nursing care. The Act for Comprehensive Welfare for Persons with Disabilities requires policy evaluation, cooperation between medicine and welfare, and putting into practice evidence-based health and welfare policies for people with disabilities is needed for supporting independent decision-making by people with disabilities. Promoting the accumulation and utilization of information on the prognoses of trauma is significant as a cross-sectional information tool for local governments to create a seamless health ⁄ medical ⁄ welfare ⁄ nursing care system with no disparity for promoting health and welfare policies for people with disabilities, and to realize the information accumulation and utilization, starting it as a model in the field of neurosurgery, seems appropriate and reasonable in Japan.
