| Project/Area Number |
12672309
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
基礎・地域看護学
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| Research Institution | Tokyo Metropolitan Institute for Medical Research |
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Principal Investigator |
OGUTA Akiko Tokyo Metropolitan Institute of Medical Research, Tokyo Metropolitan Institute for Neuroscience, Researcher, 東京都神経科学総合研究所, 研究員 (60321882)
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| Co-Investigator(Kenkyū-buntansha) |
KAWAMURA Sawako Tokyo Metropolitan Institute of Medical Research, Tokyo Metropolitan Institute for Neuroscience, Researcher, 保健科学部看護学科, 教授 (30186142)
KONISHI Kaoru Tokyo Metropolitan Institute of Medical Research, Tokyo Metropolitan Institute for Neuroscience, Researcher, 東京都神経科学総合研究所, 研究員 (60332376)
MATSUSHITA Sachiko Tokyo Metropolitan Institute of Medical Research, Tokyo Metropolitan Institute for Neuroscience, Researcher, 東京都神経科学総合研究所, 研究員 (30291941)
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| Project Period (FY) |
2000 – 2001
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| Project Status |
Completed (Fiscal Year 2001)
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| Budget Amount *help |
¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2001: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2000: ¥500,000 (Direct Cost: ¥500,000)
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| Keywords | Serious Cases / Insurances for Caregiving / Care Needs / Home Care / Assessment Standard / Intractable Disease / Services |
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| Research Abstract |
1. Investigation (2000) Two hundreds sixty-two patients with intractable disease at home care were interviewed to clarify the structure of services in medical, health, and welfare.
2. Data analysis (2000-2001) 1) The roles of public health nurses in the public health center. The patients with intractable disease demand high quality of medical care and caregiving. Medical insurance and the insurances for caregiving (1C) could not provide enough services to meet their demands so governmental care from the public health center cover rest of services. 2) Assessment of home care needs for intractable disease by care stages (1) The patients with amyotrophic lateral sclerosis (ALS) needed high quality of medical treatments at home care even in the stage III. Progression of respiratory function and decision-making for home mechanical ventilation (HMV) influenced assessment standards on ALS. (2) The stage V were not satisfied their demands by the IC, because the IC covered only a small mount of
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medical treatments. The IC leaves a great deal to be desired. 3) Home care needs for intractable disease under the insurances for caregiving. The IC worked well for the low stage, high ADL, higher function of swallowing and speech, and no urinary catheter. This study indicated the lack of services for high quality of medical treatments, and the poor services for emergency. 4) Cost effectiveness of Insurances for caregiving on home care on intractable disease. The shifts of home care cervices from the government to the IC were carried out in the stage I 〜IV. The stage V expended a large mount of national budget
3. Literature review (2000-2001) Although serious cases demand high quality of medical treatments, the IC could not cover the services so government covered their demands. The literatures indicated the lack of manpower on the home visiting nurses and unusable systems.
4. Investigation We plan an investigation to clarify the costs, hour, times, and qualities of care from each professional at home care for ALS requiring HMV, which demands the highest quality of medical treatments. Less
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