Paradigm Shift in the Quality of Regional Medical Care: Cooperative Treatment of Onychomycosis

Junko Suzuki, Yoshihiro Imazu, Yoshitaka Yoneta, Katsunori Yamaura, Emiko Uchida

Research output: Contribution to journalReview article


 In a superaging society, the medical paradigm should include both less coverage of medical-care work flow by human resources and high-quality care for patients. Strategies such as establishing medical-care teams and community medicine systems mainly for home medical care should be implemented. However, a well-organized system for home-based medical treatment of elderly patients is not yet in place, as evidenced by the lack of care, problems with long-term polypharmacy resulting from visits to multiple healthcare providers, and declines in their physical strength. It is assumed that care might not be provided in association with treatment because planning based on the paradigm of "home medical care" has not been fully established. Therefore, in this study, we aimed to determine the "paradigm shift in home medical care" based on the treatment of onychomycosis. We also hoped to identify the types of medical support required to improve the general well-being of individuals and what needs to be done to ensure a high quality of life for patients. All those (including patients themselves) involved in patient care should together formulate a protocol for medical treatment and cooperate based on the role each can play. Although it may be difficult to maintain cooperation among healthcare workers, improvements in the medical quality of an entire region can be achieved by planning a life design including medical treatment for each patient.

Original languageEnglish
Pages (from-to)621-628
Number of pages8
JournalYakugaku zasshi : Journal of the Pharmaceutical Society of Japan
Issue number5
Publication statusPublished - 2018 Jan 1


  • community medicine system
  • home medical care
  • team medical care

ASJC Scopus subject areas

  • Pharmacology
  • Pharmaceutical Science

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