Medical Facilities and Community Medical Rehabilitation by the Rehabilitation Staff Engaged in Local Business

Abstract

The policy has been changing from the medical care based on institutions to the place of living. The medical rehabilitation staff engaged in local business performs rehabilitation in medical facilities in a given area. We conducted the opinion poll in the members of Toyohashi home rehabilitation liaison committee whether they can observe a difference between the community rehabilitation and rehabilitation in medical facilities. They did not find a big difference concerning the goal of rehabilitation but they did feel a difference about the purpose of it. There was a "watching until the lifeend" approach regionally. And the concept of "watching" "continuation of a life watches" was drawn. The medical rehabilitation staff has received the education as medical science technicians. It is necessary to carry out the improvement in general "QOL" and assisted living, which include "mental QOL" by using own educated experience in a given area, especially home visit rehabilitation. It is necessary to develop a concrete policy, which would decrease the rehabilitation effort in medical facilities and tie it up more to local rehabilitation at home including "what is the functional maintenance for life maintenance?" and "what is the "Watching" for actually doing?"