[The present status of home care medicine and regional medical co-operation at a regional cancer base hospital].

Kohka Public Hospital(KPH), approved as a regional cancer base hospital in February 2008, has concentrated on cancer treatment and care. KPH developed a Division of Home Care Medicine last year. A home care doctor visited and treated various patients, including cancer patients by co-operating with the Visiting Nurse Station; this resulted in an increase in home care patients but not of home deaths.

[The present situation of cancer patient's death at home whereas the hospital primarily engages in acute physical disorders].

Kohka Public Hospital(KPH), located in the southeast district of Shiga Prefecture, has been recognized for playing a major role in the care of acute physical disorders. KPH is also expected to have a central role in cancer treatment in the regional medical district. We have practiced home care on terminal cancer patients since before the establishment of palliative care team at KPH in 2008.