2023 Fiscal Year Final Research Report

Summarizing medical care implementation records at nursery schools and creating an information sharing system

Research Project

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Project/Area Number	20K12070
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 62010:Life, health and medical informatics-related
Research Institution	Kagawa University
Principal Investigator	Mikami Fumiaki 香川大学, 医学部附属病院, 講師 (80550392)
Co-Investigator(Kenkyū-buntansha)	秋山祐治川崎医療福祉大学, 医療福祉マネジメント学部, 教授 (10596000) 難波知子川崎医療福祉大学, 医療技術学部, 教授 (30441489) 植田嘉好子川崎医療福祉大学, 医療福祉学部, 准教授 (40612974) 森戸雅子川崎医療福祉大学, 保健看護学部, 教授 (50389029) 横井英人香川大学, 医学部附属病院, 教授 (50403788) 松井剛太香川大学, 教育学部, 准教授 (50432703)
Project Period (FY)	2020-04-01 – 2024-03-31
Keywords	医療的ケア
Outline of Final Research Achievements	An information-sharing system for children receiving medical care was established in two regions. One was an app capable of recording care implementation records according to the care content, medical care plans and instructions, growth records, conference implementation records and communication notebooks and a demonstration experiment was conducted with the parents of a 5-year-old medically dependent child attending a private daycare center, the daycare teacher in charge, and the nurse. The other was an app that enabled staff at each facility to share information about medically dependent children attending consultation and support offices for children receiving medical care, local rehabilitation centers, short-term care facilities, daycare centers, and daycare centers, which had been registered using the record format of each facility. Feedback was received that being able to share the information entered by each professional would lead to peace of mind and safety.
Free Research Field	医療情報学
Academic Significance and Societal Importance of the Research Achievements	これまで他機関で発生した医療的ケア児の情報や保護者からのを受け取るためには電話や対面による口頭での連携が通常であったが、本システムを導入することで事前に各機関の記録様式等の形で正確な情報を把握することが可能となった。これにより、より安全な医療的ケアが提供可能となり、またより適切な支援計画への見直しなどにもつながり、医療的ケア児へのサービスの向上につながることが示唆された。令和6年度の障害福祉サービス等報酬改定では複数の情報連携に関連する加算が新設されたが、これに先駆けてシステムによる情報連携の有効性を示すことができた。