2026-03-07T06:25:04Z https://hirosaki.repo.nii.ac.jp/oai

oai:hirosaki.repo.nii.ac.jp:02000355 2025-10-20T04:39:15Z 557:1754615242943:561:1713851803406

Challenges and Realities of Interdisciplinary Cooperation during Emergency Transport of Medically Complex Older Adults in Aomori Prefecture’s Home Settings Yamazaki, Chizuru Fujita, Akemi open access emergency care for older adults multi-professional cooperation face-to-face relationships “Aim” This study aimed to elucidate the current state and challenges of multi-professional cooperation in the context of emergency transportation for older adults with complex medical needs with the goal of facilitating seamless emergency transport for this demographic. “Method” We targeted administrative staff, care workers, home-visit nurses, paramedics, and medical facility nurses involved in emergency transportation of older adults in a home setting in Aomori Prefecture. We conducted an anonymous self-administered questionnaire survey on cooperation, including the “face-to-face relationship evaluation scale for home medical workers” and “multi-professional cooperation behavior scale.” “Result” Many respondents indicated cooperation between various jobs; however, face-to-face relationships were predominantly cultivated among administrative staff, care workers, and home-visit nurses involved in home medical care. Conversely, paramedics involved in emergency medical care exhibited limited face-to-face relationships with other professionals. “Considerations” The absence of “face-to-face relationships” or “multi-professional cooperation” among paramedics might be attributed to their limited involvement, primarily during ambulance transport. To transport older adults in case of an emergency, it is necessary to establish communication methods using Advance Care Planning（ACP） and develop tools for collecting medical information in emergency situations. It is also essential to constantly circulate information by communicating, updating, and utilizing information tools, resulting in multidisciplinary cooperation. 弘前大学大学院医学研究科 2024-03-28 eng journal article VoR http://hdl.handle.net/10129/0002000355 https://hirosaki.repo.nii.ac.jp/records/2000355 AN00211444 2434-4656 弘前医学 Hirosaki Medical Journal 74 1-4 61 74 https://hirosaki.repo.nii.ac.jp/record/2000355/files/Hirosaki Med J 74-1-4_61.pdf application/pdf 298 KB 2024-04-29