Construction of the collaborative relationship for the complicated patients with the Critical care centers and the Emergency departments in regional hospitals in Japan

All the people have the right to die with dignity, but increase of elderly people and progress of the depauperation and isolation in Japan make it more difficult in this decade. As one of some solutions, we propose structuring the collaborative relationship between the critical care centers and the regional hospitals for the complicated patients. Patients inferred seriously ill should be transported first to the critical care center with substantial medical equipment and enough staff, diagnosed and stabilized in it. After those procedures, patients are transfered to and followed in the regional hospital for a certain period. These allotments of functions between hospitals are useful in the present condition.