J Korean Med Assoc.  2018 Oct;61(10):586-589. 10.5124/jkma.2018.61.10.586.

Health care perspectives on community care

• Lee K

• KMID: 2426481
• DOI: http://doi.org/10.5124/jkma.2018.61.10.586

Abstract

The Ministry of Health and Welfare announced a plan for community care in March 2018. Community care is a concept of social services that includes residential, welfare, and health care services, as well as direct care. It is a policy to actively prepare for an aged society. Various services must be developed for comprehensive community care. It is especially necessary to ensure that adequate resources are provided for home care and visiting care. To achieve this goal, the benefit policies of health insurance and long-term care insurance must be changed. Community service providers and infrastructure must be expanded, and a diverse professional workforce should be trained. Doctors need training and experience as team leaders, as they will be able to work with nurses, nutritionists, and social workers. It will be particularly important to operate clinics as group practices rather than as solo practices. Change is also needed in community hospitals, which must receive orientations regarding early patient discharge plans and community-centered collaboration. Hospitals should serve as health care safety nets, including short-term stays and same-day care. Regional governance is important for community care. Doctors must work with a variety of institutions, including community health centers, welfare centers, and elderly facilities. Medical professionals should prepare for and lead future social changes.

Keyword

Community health services; Health services for the aged; Social support; Home care services

MeSH Terms

Aged
Community Health Centers
Community Health Services
Cooperative Behavior
Delivery of Health Care*
Group Practice
Health Services for the Aged
Home Care Services
Hospitals, Community
Humans
Insurance, Health
Insurance, Long-Term Care
Nutritionists
Patient Discharge
Private Practice
Social Change
Social Welfare
Social Work
Social Workers

Reference

1. Ministry of Health and Welfare. Implementation of social services (community care) based on the community [Internet]. Sejong: Ministry of Health and Welfare;2018. cited 2018 Sep 7. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344177&page=1.

2. Ministry of Health and Welfare. Develop Korean community care with the expertises and participation of field works [Internet]. Sejong: Ministry of Health and Welfare;2018. cited 2018 Sep 7. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344841&page=1.

3. Pushpangadan M, Burns E. Caring for older people. Commu-nity services: health. BMJ. 1996; 313:805–808.

4. Di Pollina L, Guessous I, Petoud V, Combescure C, Buchs B, Schaller P, Kossovsky M, Gaspoz JM. Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial. BMC Geriatr. 2017; 17:53.

5. Mason A, Goddard M, Weatherly H, Chalkley M. Integrating funds for health and social care: an evidence review. J Health Serv Res Policy. 2015; 20:177–188.

6. Medical Study Center. [The comprehensive guide book on medical welfare]. Tokyo: NPO Japan Medical Social Work Association;2018.

7. Won CW, Kim S, Swagerty D. Why geriatric medicine is important for Korea: lessons learned in the United States. J Korean Med Sci. 2018; 33:e175.

8. Nomura Y. [The transition of the system surrounding home-visit nursing: past, present, and future]. Run Up. 2011; 7:2–5.

9. Niki R. [Community comprehensive care and community health care cooperation]. Tokyo: Nisshu Shobo;2015.

10. Eiseikai. [Approaches of Minamitama Hospital: hospital ambulances] [Internet]. Tokyo: Minamitama Hospital;cited 2018 Sep 7. Available from: https://www.minamitama.jp/quality-safety/ambulance.html.

11. Klinga C, Hansson J, Hasson H, Sachs MA. Co-leadership: a management solution for integrated health and social care. Int J Integr Care. 2016; 16:7.