2013 Volume 61 Issue 4 Pages 217-223
The Intractable Disease Care Center, Shinshu University Hospital, has performed house-call medical care for patients with intractable disease since June 2009. The aim of this project is to provide appropriate suggestions for both patients and families to reduce their anxiety in home-care, to increase their motivation in nursing care, and to support primary care doctors and home-care supporters such as home-care nurses or care managers. In this study, we conducted a questionnaire investigation on 87 patients, 126 home-care supporters and 63 primary care doctors to examine the effect of the house-call medical care for two years. The results showed that careful and prolonged care has given higher satisfaction for the patients and families, and confidence and increased motivation for home-care supporters. Providing medical information has been helpful for primary care doctors. At the same time, requests for the promotion of collaboration with primary care doctors or supporters, the necessity of regular visits, and activation of public relations have been raised. We also found some improvements for our project through this investigation.