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The Saku Central Hospital started a joint undertaking for home health care with four village offices of Minamisaku-gun, Nagano Prefecture, from 1988. From 1995, the joint project was taken over by its satellite institution, Koumimachi Clinic. During the year, care services were provided in patients' homes by a full-time visiting nurse 665 times. She helped physical therapist with rehabilitation 228 times, attended many meetings related to health care with local people and public health nurses, and held case conferences about patients. The joint undertaking for home health care with local goverments may be important for better home health care. Koumimachi clinic attached to Naganoken-kouseiren Saku central hospital