Introduction and Summary
Clinical aspects of an ideal long-term care system have been discussed in a group of thoughtful and stimulating papers. Professor Chino focused on the importance of rehabilitation medicine in long-term care, and Professors Inoue and Nakayama on nursing. Professor Mauritz reviewed the long-term care insurance plan in Germany as a model and its impact on clinical aspects of care. Professor Mitty’s paper discussed the interface of acute medicine and long-term care. My own paper reviewed the multiple roles that physicians can play in a long-term care system, and Professor Orimo discussed the substantial need for physician training in geriatrics and long-term care. Professor Ribbe’s paper highlighted the important collaboration between medical care and social services needed for effective long-term care and the role of long-term care specialists. Finally, Professor Whitehouse focused on the long-term care needs of patients with dementia. A number of common themes appeared in this series of papers. As summarized in Table 1, these themes can be grouped according to the perspective: the point of view of the patient and patient care, the point of view of the health care providers, and the point of view of the health care system.
KeywordsClinical Aspect Acute Medicine Health System Perspective Patient Functional Status Important Collaboration
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