[The problems associated with home care in pharmacy].

In the revision of prescribed medicinal compensation act of April 2008, it is possible for health insurance pharmacy to allocate an injection medicine and to add a medical treatment material. In addition to that, the newly established fees like "Joint guidance fee when patient is discharged from hospital", "Joint guidance fee such as an urgent home care of patients", and "Medical management guidance fee for homecare patient emergency visit", and so on, would strengthen in the home medical care. Therefore, we expect that more health insurance pharmacies will have an opportunity to participate in the home medical care business. On the other hand, there are problems associated with specific operational home medical care that are invisible from the system. We herein report the problems associated with "Home Visiting Medicinal Management Guidelines," that was performed in the last 6 months, mainly centered on home delivery expenses.