A Concept of "Transition of Care" in Japan -Focusing on Care Transition of Patients Who are Discharged from a Hospital and Treated at Another Clinic as an Outpatient-
10.14442/generalist.41.18
- VernacularTitle:A Concept of "Transition of Care" in Japan -Focusing on Care Transition of Patients Who are Discharged from a Hospital and Treated at Another Clinic as an Outpatient-
- Author:
Kanako SHINMORI
;
Takuma KIMURA
;
Shinji MATSUMURA
- Keywords:
transition of care;
outcome in patients;
multi-professionals;
clinical information;
medical care system
- From:An Official Journal of the Japan Primary Care Association
2018;41(1):18-23
- CountryJapan
- Language:Japanese
-
Abstract:
Recently in Japan, "transition of care" cases, in which patients are transferred from a medical institution that had once provided medical care to a new one and the medical care provider is therefore changed, are increasing. However, the concept of "transition of care" and "undesirable outcomes in patients accompanied by care transition" have been studied very little in Japan. The concept of "transition of care" consists of factors such as patient background (age, underlying disease, and family's caregiving ability), transfer of clinical information, and tools to transfer clinical information. In Europe and the USA, undesirable outcomes accompanied by care transition, such as "medicamentous adverse events", "clinical examination data taken during hospitalization are not confirmed", and "medical care planned for a patient is not implemented", are reported to have occurred for 19% to 50% of patients who had been discharged from hospitals and transferred to clinics. It is also necessary to understand the state of care transition in Japan and investigate countermeasures compatible with the Japanese medical care system.
