Exam 37 · 第37回 · 認知症の理解 (Understanding Dementia)
Question 47 問47
次の記述のうち，認知症疾患医療センターの説明として，適切なものを1つ選びなさい。
- 事業の実施主体は，市町村である。
- 都道府県ごとに，1か所の設置が義務づけられている。
- 認知症（dementia）の鑑別診断を行う。
- 主に認知症（dementia）が進行した人の入院治療を行う。
- 介護保険法に定められている。
Translation
Which of the following describes a Medical Center for Dementia (認知症疾患医療センター)? Choose the appropriate one.
- The body that runs this service is the municipality (city, town, or village).
- Each prefecture must set up exactly one center.
- It carries out differential diagnosis (鑑別診断) of dementia (認知症).
- It mainly gives hospital treatment to people whose dementia (認知症) has progressed.
- It is set out in the Long-Term Care Insurance Act.
Show answer and explanation
Answer: 3
Why 3 is correct
A Medical Center for Dementia (認知症疾患医療センター) has specialist doctors who examine a person and carry out differential diagnosis (鑑別診断) — deciding whether the person has dementia (認知症), and if so, which type. It also gives specialist medical consultation and responds when symptoms suddenly get worse.
Why 1 is wrong
The body that runs this service is the prefecture and the designated city, not the municipality.
Why 2 is wrong
There is no rule that each prefecture must have exactly one center. Centers are set up at a rate of about one per secondary medical area, and there are about 500 centers across the country.
Why 4 is wrong
The main role is not hospital treatment, but differential diagnosis (鑑別診断) and specialist medical consultation. Hospital treatment is given when there is also a physical illness, or when symptoms are severe.
Why 5 is wrong
It is not set out in the Long-Term Care Insurance Act. It is a service called the 'Medical Center for Dementia Operation Project' (認知症疾患医療センター運営事業), which started in fiscal year 2008 (Heisei 20), run by prefectures and designated cities.
Key point
Specialist doctors at a Medical Center for Dementia (認知症疾患医療センター) carry out differential diagnosis (鑑別診断).
Key terms
- 認知症疾患医療センター
- Medical Center for Dementia: a medical institution that gives specialist diagnosis and consultation for dementia (認知症).
- 鑑別診断
- Doing tests to work out which illness it is, or which type of dementia (認知症) it is.
- 実施主体
- The body responsible for running the service.
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Exams 36–38, all 13 subjects, with furigana and an English explanation of every choice. The subject 「認知症の理解」 is free.