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[The Present Conditions of a Provincial City].

The goal of community-based comprehensive care is to improve the quality of life(QOL)of patients by accommodating their individual values and by making full use of inter-professional collaboration. Since the number of individuals over the age of 65 years in provincial cities has already reached its peak, any future increase in the number of individuals over the age of 65 years will be due to a decrease in the working-age population. As there is no time to spare, immediate actions must be taken to promote collaboration among nursing and welfare facilities. To ensure an accurate understanding and awareness of home care, we have launched in-home treatment support services in a general hospital with the aim of enriching home care and facilitating smooth transitions to in-home treatment. Each community should discuss appropriate measures that will foster the growth of home care services and help individual patients live independent, comfortable lives.