The Influence of Newly Introduced Nursing Care Insurance System on Community-Based Rehabilitation

VernacularTitle:介護保険が地域リハビリテーションに与えた影響
Author: Toshiyasu HANAOKA ; Kaoru KURIHARA ; Yasuko HINATA ; Michiko SATO ; Michiko KUBOTA ; Toshihide TORIYAMA ; Akira KANAI
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 2003;52(1):90-94
CountryJapan
Language:Japanese
Abstract: A follow up study was made on patients who were admitted into our hospital because of stroke or fracture of the neck of the thighbone before and after the Nursing Care Insurance Law was enforced. The study found that there was a salient tendency for the number of days the patients stayed in hospital to increase and for the rate of discharge from hospital to the patients home to decrease.
As the nursing care insurance system came to stay, one local government after another was pulling out the functional training work which had been conducted as one from of the rehabilitation projects. In place of municipalities, nursing care service contractors were taking on such health service work as home visits for rehabilitation, and outside visits for nursing and rehabilitation. In the future, it would be necessary to establish a network enouth to promote health and welfare services including the provision of medical and rehabilitation equipment and the repair of houses.