Risk factor for difficult cases at the comprehensive consultation services about medical, welfare and legal problems

Michiki NARUSHIMA; Chiaki ANDO; Makoto MOCHIZUKI; Osamu TERADA; Hiroki SUZUKI; Nozomi KANI; Motoyoshi MATSUNAGA

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Risk factor for difficult cases at the comprehensive consultation services about medical, welfare and legal problems

VernacularTitle:Risk factor for difficult cases at the comprehensive consultation services about medical, welfare and legal problems
Author: Michiki NARUSHIMA ¹ ; Chiaki ANDO ² ; Makoto MOCHIZUKI ³ ; Osamu TERADA ⁴ ; Hiroki SUZUKI ⁵ ; Nozomi KANI ⁶ ; Motoyoshi MATSUNAGA ²
Author Information

1. Department of Surgery, Shimizu Welfare Hospital, Japan
2. Shizuoka City Shimizu Medical Association, Japan
3. Mochizuki Odontology Department, Japan
4. Medical Corporation LYRE Mizoguchi Hospital, Japan
5. City of Hamamatsu Board of Education, Japan
6. The Japan Legal Support Center, Japan
Keywords: community-based integrated care; comprehensive consultation service; interprofessional collaboration; multi-layered support system; social determinants of health
From:Journal of Rural Medicine 2025;20(1):53-57
CountryJapan
Language:en
Abstract: It is very important to cooperate with interprofessional personnel is in order to establish the community-based integrated care system, but this is very difficult. We have held comprehensive consultation services regarding medical, welfare, and legal problems to support the community.Objectives: This study aimed to identify the associations between background factors (such as medical conditions, intractable diseases, welfare problems, disabilities, economic difficulties, legal problems, elderly adults, children, and foreign persons) and difficult cases to provide more thorough consultation services.Patients and Methods: A survey was conducted on people who participated in comprehensive consultation services on medical, welfare, and legal issues related to medical care, welfare, and legal matters held from April 2021 to March 2024. We analyzed risk factors that may be difficult to resolve using multivariate logistic regression.Results: Multivariate analysis showed that the factor of “economic difficulty” was significantly more difficult to solve.Conclusion: When treating patients, doctors must consider the possibility of multiple underlying issues. It is advisable for doctors to be aware of the need to consult with social workers and legal professionals when necessary.