徳島市民病院の取り組み

Since the innovation of the Diagnosis Procedure Combination（DPC）system at the TokushimaMunicipal Hospital in 2008, we have encountered shortening of average hospitalization and developedbetter medical standardization measures.Cancer patients tend to visit several hospitals because they expect special cancer treatment,and it becomes difficult to devote enough time for them in the outpatient clinic.At the hospital, medical care cooperation is provided through a team approach, and the work isshared among medical staff such as the pharmacist, nurse, and medical social worker. However, itis necessary to discuss the patients’ medical care issues with their respective family doctors toresolve these problems.We report the regional critical pathway at the Tokushima Municipal Hospital as a tool for familydoctors to cooperate in the care of cancer patients.