For the purpose of continuing living in the area where elderly people got used to the last, the construction of local comprehensive care system that utilizes the existing social resources and offers home, medical treatment, care, prevention and assisted living in one system is advanced around 2025 based on the actual condition and characteristics of the area. Although the point that the comprehensive support with which medical treatment and care cooperated was incorporated is the feature, there are some subjects such as clarification of work content sharing or assignment of responsibility of medical treatment and care, so the examination of the cooperation method is required. Therefore, it is expected that explaining the actual condition of cooperation of medical treatment and care, and regulating the effect and subject by taking notice of improvement process and management method of welfare facilities by medical corporation bring about the useful knowledges for examining the methodology of local comprehensive care systems configuration and the deployment of future welfare services for the elderly.
This paper aims at explaining the feature of improvement method and management form of elderly people’s welfare facilities by the analysis of utilization and management characteristics applying to the medical corporation that developed the enterprise of day care and preventive measures for health in Hagi city. The clinic provides the services specialized in functional training with the preventive measures for health and day care facility, so the professional nature of orthopedics is harnessed. Moreover, it is the feature to provide the service to not only elderly people but local residents, and to promote the interchanges of each other.
The following effects are expected in the welfare facility management depend on the cooperation of medical treatment and care by medical corporations.
（１）It becomes possible to cooperate with doctor or nurse and to hold the sharing medical information and daily care of nursing home users in addition to emergency correspondence by improving elderly people’s welfare facilities in the neighborhood of medical institution.
（２）It is possible that the nursing care services in facilities by nurse and occupational therapist of medical institution that harnessed the professional nature.
（３）In case that complex welfare facilities management is held by one corporation, the functional assignment among facilities is possible and the efficient management in which each facility cooperated with daily care or multilateral offer of preventive health care services is expected.
（４）In case of the business deployment utilized the existing architecture is possible, the initial and running costs of facilities are controlled, so this is an effective technique in advancing multiple facility improvement. Especially, the facility management using the traditional wooden houses of vacant that exists in the area where many elderly people reside can be corresponded to the demand to regional nursing care for the elderly, and is the useful practical use technique of wooden house that contributes to sustainment and city planning of the local community where the emasculation is proceeding.
