行政とともに認知症の地域包括ケアを進めるために

抄録

In Japan, the Long–Term Care Insurance Law was revised in 2011, the Five–Year Plan for the Promotion of Dementia Policies (Orange Plan) was formulated in 2012, and the Comprehensive Strategy for the Promotion of Dementia Policies – Toward the Development of Regions Friendly to Elderly People with Dementia, etc. (New Orange Plan) was formulated in 2015. Based on the basic policy of “respecting the wishes of people with dementia,” efforts have been made to realize a society in which people with dementia can continue to live as they like in a good environment in their own neighborhoods as long as possible.

In December 2018, the Council of Ministers for the Promotion of Dementia Policies was established for the purpose of promoting comprehensive measures for various issues related to dementia through close collaboration among relevant government agencies, and on June 18, 2019, the Outline for the Promotion of Dementia Policies was compiled. The basic idea of the National Guideline for the Promotion of Measures to Cope with Dementia is to delay the onset of dementia and to create a society in which people can live their daily lives with hope even if they have dementia. Furthermore, while focusing on the viewpoints of people with dementia and their families, the government will promote measures based on the two wheels of “symbiosis” and “prevention”.

Currently, all municipalities are taking the initiative in promoting dementia measures based on this general framework for the promotion of dementia measures. Municipalities are required to formulate a plan for dementia measures every three years, and this year's plan has been formulated as the 8th Long–Term Care Insurance Business Plan. Based on the plan, municipalities must analyze the area in question, build a network to provide the necessary services at all stages of dementia, from the early stages of the disease, and systematically improve the system so that people with dementia can use the services as needed.

In this symposium, I explained how the involvement of professionals in the “business plans” promoted by local governments can advance community development, using the example of the project to promote intensive initial support for dementia as an example from my experience as both a physician and an administrative physician.