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"H12・4月より介護保険が始まり,当病棟で,それに該当し,退院後活用される方は多い。介護保険の制度により,患者のもっている主たる問題の在りようで,受けられるサービスが異なる。また,どの職種が主で,どんな関わり方をしていくかも変わってくる。当院では,慢性期の医療依存度の高い患者は,他病院での療養を経た上で,在宅療養に移行するケースが多い。しかし,今回は,家族の希望で,介護保険を利用し,直接在宅療養になるという少ない例を経験した。ここでは,看護婦が主として,それぞれの職種や,家族への看護行為の方法を統一して,連携をとったタイムリーなものだった。この経験から,介護保険の諸問題が,クローズアップされた。また,今回のケースにより,看護婦の関わり方について振り返る事ができた。", "subitem_description_type": "Abstract"}]}, "item_10_description_30": {"attribute_name": "資源タイプ（コンテンツの種類）", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_10_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "信州大学医学部附属病院看護研究集録 30(1): 56-58 (2001)", "subitem_description_type": "Other"}]}, "item_10_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州大学医学部附属病院看護部"}]}, "item_10_select_64": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_10_source_id_35": {"attribute_name": 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