Development of collaborative support systems between medical services and care to respond to increased dependence on care of welfare facility residents

在特殊的养老院，临终关怀（姑息治疗）是在限制下进行的。我对兵库县所有特殊养老院进行了调查，以了解目前临终关怀的提供情况和护理附加费用计算方案的现状。临终关怀对这些设施的管理、人员培训以及设施居民及其家属的满意度可能产生的影响也进行了调查。临终关怀有助于员工培训和住院医师及其家属的满意度。然而，从商业的角度来看，这被认为是一个问题，无论是否为这种护理增加费用。虽然额外的费用表可能不足以在财政上支持这些设施，但它有可能在设施管理人员和工作人员之间建立对当前和未来生命末期护理状态的共同意识，改善工作环境，并标准化和简化工作流程。包括“生命终结”（死前）和“离开”（死后）在内的连贯护理将是未来几年关注的焦点。丧葬承办人的工作超越了专业（生与死）的界限，可以从较早的阶段进入老年设施行业，并成为一致服务中被接受的一部分。

In speci al nursing homes for the elderly, end-of-life (palliative) care has been performed under constraints.I conducted a survey involving all special nursing homes for the elderly in Hyogo Prefecture to identify the current provision of end-of-life care and state of the additional fee calculation scheme for the care. Possible effects of end-of-life care on the management of these facilities, staff training, and feelings of satisfaction among facility residents and their family members were also examined. End-of-life care contributed to staff training and feelings of satisfaction among residents and their family members. However, it was considered a problem from a business standpoint, regardless of the presence or absence of added fees for such care. Although an additional fee schedule may not be sufficient to financially support these facilities, it has the potential to establish a shared awareness of the current and prospective state of end-of-life care among facility managers and staff, improve the working environment, and standardize and streamline work processes.Coherent care encompassing "end-of-life" (before death) and "departure" (after death) will be a focus of attention in future years. Working beyond the boundaries of specialization (life and death), funeral directors may enter the industry of elderly facilities from an earlier stage, and become an accepted part of consistent service.