Development of a check sheet for assessing the social and living condition of older people in the Emergency Room- Toward Efforts to Link Emergency Medicine and Community-Based Integrated Care –
Patients who use an ambulance to visit an emergency room and return home without being hospitalized are rarely provided with support to meet their individual social needs. The research group led by Associate Professor Naoki Kondo (at the time of the research, currently Professor at the Graduate School of Medicine and School of Public Health, Kyoto University) and Keiko Ueno, a PhD student at the Graduate School of Medicine, The University of Tokyo (at the time of the research, currently Assistant Professor at the Graduate School of Medicine and School of Public Health, Kyoto University), created a check sheet to easily identify the social and living condition of older patients who are most in need of support and o share the information with multidisciplinary professionals. In this study, a modified Delphi method consisting of three questionnaires was conducted to a total of 28 participants, including paramedics, nurses, and medical social workers. As a result, a check sheet was developed to share 28 items such as living environment, household composition, and financial condition.
The check sheet created in this study is expected to provide clues to promote information sharing and collaboration among the multidisciplinary professionals involved in emergency medical care, and is expected to be put into practical use in the future. For its practical use, it is necessary to verify the reliability and prediction validity of the items, and to establish an operational protocol.
The results of this research were published online in the Journal of Japanese Society for Emergency Medicine on August 31, 2023.
Figure: Check sheet of social and living condition of older patients transported to an emergency room (written in Japanese)
Summary of the article (English)
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I gave a presentation at the 27th Annual Meeting of the Japanese Association for Acute Medicine.
From July 18 to 20, 2024, I gave a presentation in the "Community Emergency Medical System and Medical Control" section of the 27th Annual Meeting of the Japanese Association for Acute Medicine, held in Kagoshima Prefecture. My presentation, titled "Results of the Nationwide Survey on the Collaboration System Between Fire Departments and Nursing, Welfare, and Health Institutions," reported on the summary results of a nationwide survey conducted last year by the Emergency Advancement Foundation's research project, "Survey on the Current Situations and Issues of the Collaboration System Between Fire Departments and Nusring, Welfare, and Health Institutions" (https://fasd.jp/files/libs/6358/202403190929332199.pdf).
The conference was held in a hybrid format, and I participated online as I could not attend in person. It was an interesting experience as I received comments on my presentation through the conference's online platform, and I also had the opportunity to view and comment on other presentations, allowing for discussions in a new and unique way. [Here are the presentation materials (in Japanese)]
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I gave a presentation at the 83rd Annual Meeting of Japanese Society of Public Health.
I presented at the 83rd Annual Meeting of Japanese Society of Public Health held in Sapporo from October 29 to 31, 2024, during the general oral presentation session (Division 16: Public Health Centers, Health Administration, and Community Health). The presentation was titled "The State and Challenges of Collaboration between Fire Departments and Care, Welfare, and Health Institutions: Results of a Nationwide Survey." This report highlighted the findings of a national survey conducted last year as part of a research project by the General Incorporated Foundation for Emergency Aid Advancement, focusing on collaboration between fire departments and care, welfare, and health institutions（https://fasd.jp/files/libs/6358/202403190929332199.pdf）. This presentation particularly emphasized the challenges faced in the collaborations between fire departments and care, welfare, and health institutions.
Additionally, I talked with a physician from administrative organizations actively involved in collaboration with fire departments, and I felt that this topic holds promising potential for further development in the public health field.
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Presented at the 30th International HPH Conference
I presented at the 30th International Conference on Health Promoting Hospitals and Health Services (HPH Conference), held in Hiroshima from November 6 to 8, 2024, during the general oral session O3.6, titled “Promoting health of the elderly.” My presentation, titled “Development of a Check Sheet for Assessing the Social and Living Conditions of Older People with Minor Diseases in the Emergency Room,” reported on the findings of my study published in 2023: “Development of a check sheet for understanding and sharing the socialand living condition of older people with minor illnesses who are transported to the emergency room by multidisciplinary team”（https://www.jstage.jst.go.jp/article/jsem/26/4/26_455/_article/-char/ja/）. The conference was a valuable experience; the audience asked insightful questions about my findings, and I had the opportunity to learn about emergency medical systems in other countries from fellow presenters.
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My research proposal was adapted for the "Kobe City Healthcare Data Linkage System" Research Project.
My research proposal was adapted for the public research project utilizing the "Kobe City Healthcare Data Integration System," which Kobe City has been developing since 2020. This project aims to use the system to support the planning and development of Kobe City's health and medical policies. My research theme is "Research Contributing to the Growing Demand for Emergency Services." I am committed to producing findings that can be applied to Kobe City's emergency medical policies.
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Conference Presentation
Presentation at the 51st Annual Meeting of the Japanese Association for Acute Medicine.
