Studies in Regional Science
Online ISSN : 1880-6465
Print ISSN : 0287-6256
ISSN-L : 0287-6256
Proposal for Building an Integrated Community Care System in a Rural Area under the Current Situation of Medical Care Needs and the Mobility Method
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2019 Volume 49 Issue 1 Pages 59-78


  Senior citizens over 65 exceed 33 million in Japan, resulting in a super-aging society. The total population is decreasing and senior citizens are increasing.

  The first baby boomer generation (born in 1947-1949) accounts for over 18%, approximately 6.3 million, and they will become older senior citizens (over 75) in 2025.

  From 2025, the demand for medical care, nursing care and welfare will be rapidly increase, and the capacity of hospitals and nursing care is expected to be in shortage under the current medical and nursing care system. Therefore, the Ministry of Health, Labour and Welfare are considering an “Integrated community care system”. This system requires the set up of a system that includes home medical treatment by a family doctor.

  Life support systems must be secured for those who receive and provide home medical care. To establish a life support system, it need to be examined about mobility method.

  We aim to set up an “Integrated community care system” based on the home medical care with several industries. Initially, consciousness of the system by residents and understanding issues for securing transportation need to be clarified. In this study, we statistically evaluated the difference in consciousness of home medical care and home doctor with the characteristics of personal understanding and mobility methods.

JEL Classification:R49

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© 2019 by The Japan Section of the Regional Science Association International
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