Journal Article 生活行為向上マネジメントを活用した通所リハビリテーションの課題

谷川,良博  ,  村井,千賀   ,  小林,隆司

The revision of nursing care compensation in 2012 specified the importance of home visits in the process of assessment when calculating charges to be added for rehabilitation management for ambulatory rehabilitation. We surveyed the benefits of management performed by an occupational therapist for the purpose of improving daily life-related behaviors of ambulatory rehabilitation users under the current nursing-care insurance system (i.e., Management Tool for Daily Life Performance: MTDLP). This survey revealed the need for home visits, especially the initial visit, and that visiting together with staff of different specialties contributed to the collective improvement of professional skills. The roles played by staff of different specialties could be clarified by employing the Management Tool for Daily Life Performance, indicating that this promotes opportunities to work together. Since users are themselves involved in the process of management, they may more easily understand how a series of services provided as ambulatory rehabilitation relate to their daily life.

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