In order for elderly people who need both medical care and nursing care to continue living in their own way until the end of their lives in a familiar community, medical and nursing care staff in the community should work together to provide comprehensive services. and providing continuous home care and care.

In Osaka City, in order to build a system that can provide home medical care and long-term care in an integrated manner through multi-professional collaboration, we are promoting cooperation among medical institutions, long-term care facilities, etc., in cooperation with medical associations. is working on

In Japan, the population is aging at a speed unprecedented in the world. Especially in Osaka Prefecture, the number of elderly people is expected to increase significantly due to the effects of population influx during the high economic growth period.

After 2025, when the baby boomer generation (approximately 8 million people) will be 75 years old or older, the demand for medical care and nursing care is expected to increase further, and it is important to maintain the dignity of the elderly. With the aim of supporting independent living, medical care, nursing care, prevention, housing, and life support are provided in an integrated manner so that people can continue to live in their own way until the end of their lives in a familiar area as much as possible. We are building a "community comprehensive care system" in stages by 2025, and are promoting initiatives with a view to 2040.

In 2015, the home medical care and long-term care collaboration promotion project was positioned as a regional support project under the Long-Term Care Insurance Act. All of the items were to be implemented.

(a) Grasping local medical and nursing care resources

(b) Extraction of issues in home medical care and long-term care collaboration and examination of countermeasures

(c) Promoting the construction of a seamless system for providing home medical care and nursing care

(d) Support for information sharing among medical and nursing care professionals

(e) Counseling support for home medical care and long-term care cooperation

(f) Training for medical and nursing care workers

(g) Dissemination and enlightenment for local residents

(h) Coordination among relevant municipalities regarding home medical care and long-term care coordination

Each ward office plays a central role in holding meetings, etc. in which "medical and nursing care personnel" participate, and grasps social resources in the region, extracts issues, and considers countermeasures. In addition, in order to build `` face-to-face relationships '' among local medical and nursing care professionals, we hold workshops, etc., and conduct awareness-raising activities to inform local residents about home medical care.

The Health Bureau holds the Osaka City Home Medical Care and Nursing Care Collaboration Promotion Council to identify issues in the city, consider countermeasures, and provide support for the smooth implementation of projects in each ward.

Regarding (c), (d), and (e), each ward will gradually set up a “consultation support room for cooperation between home medical care and nursing care for the elderly” to provide consultation support for cooperation between medical and nursing care personnel. going. (As of October 1, 2017, 24 wards have been established)