{"id":45300,"date":"2024-11-15T04:56:54","date_gmt":"2024-11-14T19:56:54","guid":{"rendered":"http:\/\/kochihen.replan.ne.jp\/?p=45300"},"modified":"2024-11-15T04:56:54","modified_gmt":"2024-11-14T19:56:54","slug":"%e3%80%90%e5%9c%b0%e5%9f%9f%e4%b8%ad%e5%bf%83%e7%97%85%e9%99%a2%ef%bc%86%e3%81%8b%e3%81%8b%e3%82%8a%e4%bb%98%e3%81%91%e5%8c%bb-%e3%82%b9%e3%82%ad%e3%83%9e%e3%81%a7%e6%82%a3%e8%80%85%e3%81%8c%e8%8b%a6","status":"publish","type":"post","link":"http:\/\/kochihen.replan.ne.jp\/?p=45300","title":{"rendered":"\u3010\u5730\u57df\u4e2d\u5fc3\u75c5\u9662\uff06\u304b\u304b\u308a\u4ed8\u3051\u533b \u30b9\u30ad\u30de\u3067\u60a3\u8005\u304c\u82e6\u52b4\uff1f\u3011"},"content":{"rendered":"

\"\"<\/a>
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\n\u3000\u307e\u3041\u4e8b\u5b9f\u3068\u3057\u3066\u306f\u6ede\u308a\u306a\u304f\u9032\u5c55\u3057\u3066\u3001\u672c\u65e5\u3001\u7121\u4e8b\u306b\u56fd\u7acb\u75c5\u9662\u3067\u306e\u4e88\u7d04\u304c\u53d6\u308c\u305f\u306e\u3067\u3059\u304c\u3001\u304b\u304b\u308a\u4ed8\u3051\u533b\u5236\u5ea6\u306e\u904b\u7528\u9762\u3067\u3001\u307e\u3060\u8a73\u7d30\u90e8\u5206\u3067\u306f\u7df4\u308a\u8fbc\u307e\u308c\u3066\u3044\u306a\u3044\u306a\u3041\u3068\u611f\u3058\u305f\u6b21\u7b2c\u3002<\/p>\n

English version\u2b07<\/p>\n

Community Centered Hospitals & Family Physicians: Patients Struggle with Schema?
\nAs a patient, I aim to build a good-circulation relationship with the doctors and medical systems that are involved in my body. I don’t want to be thrown into an \u201cin-between-the-board\u201d situation that goes against my will. …<\/p>\n

\u3000I have a chronic illness that is always taken care of by my family doctor. On the other hand, there is also a local intensive care center hospital nearby, whose name often changes, and I sometimes go there for hospitalization and surgery. It is a national hospital, but only its name changed as a result of \u201corganizational reform,\u201d so even now I am not sure of the name of the hospital (laughs). However, as a resident of the city of Sapporo, I feel that I live in a very convenient and happy environment with regard to medical care.
\n\u3000I believe that the recent \u201cfamily doctor\u201d system has a high degree of validity. I think it is a wonderful idea to build an efficient medical system that avoids the harmful effects of concentrating patients in large hospitals that provide core medical services in the community.
\n\u3000Recently, I myself had a medical emergency, but fortunately, I had a lull in the situation and was able to contact my family doctor first, who referred me to a national hospital, where I was able to receive a reasonable medical examination and treatment. I was able to get a reasonable medical examination and treatment. You responded in a way that was in line with the purpose of the system. That kind of \u201ccollaboration\u201d between medical institutions will increase convenience for you as a patient through the coordination of medication information, etc.
\n\u3000However, it turned out that in this kind of relationship, it is possible to encounter situations in which the patient is forced to be somewhat concerned about various things.
\n\u3000I wanted to see a doctor to check the progress of a lesion that had been taken care of at the national hospital, but of course I had to stand between my family doctor and the national hospital, and the patient had to sort out the details, so to speak, of the administrative communication. Of course, I had no idea how to do this, and since the \u201ccommunication letter\u201d from the national hospital to the private hospital was sealed, I did not see the details of its contents. I do not know the details of what was written or what kind of \u201ccooperation\u201d was involved.
\n\u3000On the other hand, I heard that it is essential for them to have this kind of information as an administrative contact, so the big hospital asked me, \u201cIs it OK if I ask your family doctor directly? The hospital asked me for my consent in a tone that might have raised a few eyebrows.
\n\u3000As a patient, I am a patient of both hospitals, and I don’t want to offend either of them. I was left thinking, \u201cHmmm. I am sorry to make a private hospital bear the responsibility of excessive paperwork, which is a \u201csensitive\u201d patient mindset.
\n\u3000Well, as a matter of fact, things progressed without a hitch, and today I was able to get an appointment at a national hospital, but I felt that the details of the operation of the family doctor system had not yet been worked out.
\n\u3000<\/p>\n","protected":false},"excerpt":{"rendered":"

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