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.

Based on progress in home visits for rehabilitation and health guidance since 1979, the trend after the Nursing Care Insurance Law was enforced in 2000 was investigated. In home visits for rehabilitation, cooperation with many related organizations is required, and reorganization of the network built before the enforcement of the said Law is needed. The role of each home visiter for rehabilitation is being formed and cooperation with care managers is being strengthened. The tendency that the participation of the local government may decrease can't be denied. Connection with the hospital and the local government should be maintained, and a new community-based network needs to be built.
Rehabilitation aspects ; Community ; Management ; network ; Encounter due to convalescence