Home Care Medicine

What we do

(Note: No walk-in outpatient consultations available at the hospital for this department.)

Our Department of Home Care & Community Medicine provides continuous, integrated medical and long-term care services for patients during hospitalization and post-discharge. We are dedicated to supporting regional patients so they can continue their healing and recuperation journey at home with complete peace of mind.

To deliver holistic, patient-centered care, we actively practice multidisciplinary team medicine—combining home medical visits, home nursing, home nutritional counseling, home rehabilitation, and home dental care.

Comprehensive Home Healthcare Services

1. Home Medical Care / Physician Visits
Home physician visits are designed for patients who cannot travel to the clinic due to chronic illness/bedridden status, individuals with intractable conditions using medical equipment (e.g., mechanical ventilators), and advanced cancer patients desiring home-based palliative care.

Unlike traditional emergency "house calls", planned home medical visits require a pre-established contract and thorough consultation regarding treatment goals. Once contracted, regular scheduled visits are conducted.

24/7 Emergency Support System:
Contracted home-care patients experiencing sudden changes in their medical condition receive 24/7 coverage via telephone support, emergency nursing visits, or urgent physician house calls.

Multidisciplinary Network: Physicians collaborate seamlessly with visiting nurses, pharmacists, physical therapists, registered dietitians, visiting dentists, and care managers
Service Area: Kamogawa City, Katsuura City, Isumi City (select areas), Minamiboso City (select areas), and Kimitsu City (select areas)
For inquiries, please visit the Medical & Long-Term Care Consultation Desk (K Tower, 1st Floor).

2. Visiting Nursing Services
Visiting nurses visit patient homes to monitor medical status from a specialized nursing perspective, providing evidence-based nursing care, medical management, and 24/7/365 peace of mind. We support patients and families across all stages—from preventive care and daily QOL improvement to end-of-life and compassionate hospice care.

Core Services: Health status monitoring, prescribed medical procedures, physical/hygiene care, pressure ulcer (bedshore) prevention and management, home rehabilitation support, end-of-life / hospice care, and family caregiving consultations
How to Access: Available to individuals with chronic illnesses or disabilities upon receiving a "Visiting Nursing Order" from their primary attending physician. (Inquire via your physician or care manager)

3. Visiting Nutritional Counseling
Registered Dietitians visit patient homes to evaluate dietary intake, recommend meal modifications based on medical conditions, and provide practical advice on cooking techniques to facilitate easier swallowing and digestion. We also manage tube feeding regimens (e.g., PEG/gastrostomy or nasogastric tubes).

Coverage & Frequency: Up to 2 home visits per month covered under Long-Term Care Insurance ("Home Medical Management Guidance") or Medical Insurance ("Home-Patient Visiting Nutritional Guidance")

4. Home Rehabilitation Services
Rehabilitation therapists visit patient homes to assist individuals living with physical limitations or functional impairments. Beyond physical function maintenance and exercises, our therapists adjust living environments (recommending assistive mobility technology, welfare equipment, and home modifications) and train family caregivers.

5. Home Dental Care
Specialized visiting dentists and dental hygienists provide professional oral hygiene, denture adjustments, and specialized oral care at home for patients who cannot visit a dental clinic.

Need Guidance or Assistance?
Please consult the Comprehensive Medical, Long-Term Care & Welfare Consultation Office located on the 1st Floor of K Tower.

List of Doctors

Director, Home Care Medicine Department; Director, Community Healthcare Support Department; Director, General Consultation Office (Concurrent Appointments)

Kaoru OKAWA

Subspeciality
Home care medicine， Family medicine

Department name	Home Care Medicine
Medical School	University of Fukui Faculty of Medical Sciences
Special Qualifications	Board-Certified Family Physician, Japan Primary Care Association Certified Instructor, Japan Primary Care Association Board-Certified Specialist in Home Medical Care, Japan Home Care Alliance Certified Instructor in Home Medical Care Chiba Prefecture Regional Disaster Medical Coordinator (Awa Health and Welfare Center Area) Completed Ministry of Health, Labour and Welfare-designated Online Medical Consultation Training Doctor of Medical Science (M.D., Ph.D.)
Education & Career	1998 Mar. Gradated from University of Fukui Faculty of Medical Sciences 1998 Apr. Resident in Yokohama City University Hospital 2000 Apr. Internal Medicine， Ota Hospital 2003 May. Family Medicine， Kameda Medical Center 2006 May. Home Care Medicine， Kameda Medical Center 2007 Apr. Assistant of Home Care Medicine， Kameda Medical Center 2012 Apr. Vice Chief of Home Care Medicine， Kameda Medical Center 2015 Apr. Chief of Home Care Medicine， Kameda Medical Center 2017 Mar. Director, Home Care Medicine Department and Director, Community Healthcare Support Department (concurrent position) 2017 Mar. – Present – Director, Home Care Medicine Department; Director, Community Healthcare Support Department; and Director, General Consultation Office (concurrent positions)

Chief Physician, Home Care Medicine Department

Masao FUJISHIMA

Subspeciality
Family Medicine
Home Healthcare / Home Medical Care

Department name	Home Care Medicine
Medical School	Toho University School of Medicine
Education & Career	March 1992 – Graduated from Toho University School of Medicine June 1992 – Third Department of Internal Medicine, Toho University Ohashi Hospital June 1995 – Internal Medicine Physician, Jiseikai Hospital (Social Welfare Corporation Jiseikai) April 1999 – Physician, Atagawa Onsen Hospital (Kenyu-kai Medical Corporation) April 2002 – Joined Kameda Medical Center as a Family Medicine Physician May 2005 – Staff Physician, Family Medicine Department May 2006 – Staff Physician, Home Care Medicine Department April 2012 – Present – Chief Physician, Home Care Medicine Department

Director, Pain Management & Palliative Care Department / Staff Physician, Home Care Medicine Department / Director, Regional Healthcare Collaboration Office

Koichi KURAMOTO

Subspeciality
Palliative Care

Department name	Home Care Medicine
Medical School	Kitasato University School of Medicine
Special Qualifications	• Board-Certified General Internal Medicine Specialist, Japan Society of Internal Medicine • Certified Primary Care Physician, Japan Primary Care Association • Certified Instructor, Japan Primary Care Association • Completed Cancer Rehabilitation Training Program • Board-Certified Palliative Care Physician, Japanese Society for Palliative Medicine
Education & Career	March 2003 – Graduated from Kitasato University School of Medicine May 2003 – Junior Resident, Yokosuka Municipal Uwamachi Hospital April 2005 – Senior Resident, Tokyo Kita Social Insurance Hospital May 2006 – Senior Resident, Department of Gastroenterology, Asahi General Hospital April 2009 – Chief Staff Physician, Palliative Care Department, Asahi General Hospital April 2010 – Fellow, Palliative Care Department, Kameda Medical Center April 2012 – Staff Physician (Assistant Director & Coordinator), Pain Management & Palliative Care Department April 2012 – Staff Physician (Program Coordinator & Fellowship Program Coordinator), Home Healthcare Department April 2016 – Chief Physician, Pain Management & Palliative Care Department; Staff Physician, Home Healthcare Department May 2016 – Chief Physician, Pain Management & Palliative Care Department; Staff Physician, Home Healthcare Department; Regional Healthcare Collaboration Office October 2017 – Chief Physician, Pain Management & Palliative Care Department; Staff Physician, Home Healthcare Department; Director, Regional Healthcare Collaboration Office April 2023 – Deputy Director, Pain Management & Palliative Care Department; Staff Physician, Home Care Medicine Department; Director, Regional Healthcare Collaboration Office April 2026 – Director, Pain Management & Palliative Care Department; Staff Physician, Home Care Medicine Department; Director, Regional Healthcare Collaboration Office

Yurie KAI

Subspeciality
General Internal Medicine

Department name	Home Care Medicine
Medical School	Gunma University School of Medicine
Education & Career	March 2016 – Graduated from Gunma University School of Medicine April 2016 – Junior Residency Training, Tokyo Bay Urayasu-Ichikawa Medical Center April 2018 – Internal Medicine Residency Program, Tokyo Bay Urayasu-Ichikawa Medical Center April 2021 – Joined Kameda Medical Center as a Fellow in the Home Care Medicine Department April 2022 – Staff Physician, Home Care Medicine Department

Fellow

Yoshiko OKADA

Department name	Home Care Medicine
Medical School	Toho University School of Medicine
Education & Career	"March 2019 – Graduated from Toho University School of Medicine April 2019 – Junior Resident, Ageo Central General Hospital April 2021 – Physician, Awa Regional Medical Center (Taiyokai Social Welfare Corporation) April 2025 – Joined Kameda Medical Center, Home Care Medicine Department (Fellow)"

Senior Director, General Thoracic Surgery / Home Care Medicine

Hiroshi SUGIMURA

Subspeciality
General thoracic surgery, endoscopic surgery

Department name	Home Care Medicine
Medical School	Hamamatsu University School of Medicine
Special Qualifications	Board Certified Surgeon in General Thoracic Surgery of the Japanese Board of General Thoracic Surgery Board Certified Surgeon of the Japan Surgical Society Board Certified Member of The Japanese Association for Thoracic Surgery Board Certified Oncologist of the Japanese Board of Cancer Therapy Da Vinci console surgeon certificate
Education & Career	Mar 1992: Graduated from Hamamatsu University School of Medicine Apr 1992: Resident, Japanese Red Cross Aichi Medical Center Nagoya First Hospital Apr 1994: Senior Resident (Thoracic Surgery), Fujita Health University Hospital Jun 1996: Surgical Resident, National Hospital Organization Chubu National Hospital Apr 1998: Assistant (Thoracic Surgery), School of Medicine, Fujita Health University May 2002: Kurahashi Clin Apr 2003: Research Fellow, Department of Health Sciences Research, Mayo Clinic Rochester (Minnesota, USA) Jul 2005: Clinical Fellow, Division of Thoracic Surgery, Toronto General Hospital (Ontario, Canada) Sep 2007: Lecturer (General Thoracic Surgery), School of Medicine, Fujita Health University Apr 2013: Joined Kameda Medical Center as Deputy Chief, Department of General Thoracic Surgery Apr 2014: Chief, Department of General Thoracic Surgery Apr 2026: Senior Director, Department of General Thoracic Surgery / Concurrently serving in the Department of Home Care Medicine

Part-time Physician

Yuda MIYAMOTO

Department name	Home Care Medicine
Medical School	Showa University School of Medicine
Special Qualifications	Board-Certified Family Physician, Japan Primary Care Association Certified Family Medicine Instructor, Japan Primary Care Association
Education & Career	March 2014: Graduated from Showa University School of Medicine April 2014: Junior Resident, Postgraduate Clinical Training Center, Kameda Medical Center April 2016: Senior Resident, Department of Family Medicine April 2019: Staff Physician, Department of Family Medicine April 2021 – Present: Part-time Physician, Home Healthcare Department

Part-Time Physician

Nobuaki KUSAKA

Subspeciality
Emergency Medicine (ER), General Medicine, Home Healthcare, Community Development

Department name	Home Care Medicine
Medical School	Saitama Medical University
Special Qualifications	Board-Certified Emergency Physician, Japanese Association for Acute Medicine Board-Certified Home Healthcare Specialist, Japan Home Care Alliance Japan DMAT (Disaster Medical Assistance Team) Member Basic Life Support (BLS) Provider Advanced Cardiovascular Life Support (ACLS) Provider
Education & Career	March 2014 – Graduated from Saitama Medical University April 2014 – Joined Kameda Medical Center as a Junior Resident in the Postgraduate Clinical Training Center April 2016 – Senior Resident, Emergency & Critical Care Medicine Department; Seconded to Awa Regional Medical Center July 2017 – Returned from Awa Regional Medical Center April 2019 – Staff Physician, Emergency & Critical Care Medicine Department April 2021 – Rotational Assignment, Home Care Medicine Department April 2022 – Appointed Vice Director, Shima Municipal Hospital (National Health Insurance System) April 2022 – Part-Time Physician, Emergency & Critical Care Medicine Department and Home Care Medicine Department, Kameda Medical Center April 2024 – Part-Time Physician, Emergency & Critical Care Medicine Department, Home Care Medicine Department, and Internal Medicine Department, Hamaogi Clinic

General Medicine Resident (Specialty Training Program)

Eriko TAKEUCHI

Department name	Home Care Medicine
Medical School	Kitasato University School of Medicine
Education & Career	March 2023 – Graduated from Kitasato University School of Medicine April 2023 – Junior Resident, Postgraduate Clinical Training Center, Kameda Medical Center April 2025 – General Medicine Resident, Family Medicine Department, Kameda Medical Center