Usually a frail aged has a various health and social problems and these problems correlated each other. Thus the highly aged society requires the systematized coordinating function. It requires a multidisciplinary team. Most of the developed countries introduced a network type of integrated care system recently. In this article, we have compared the French Health Network and the Onomichi Medical Association (OMA) system for integrated services as a prototype of future integrated care system in Japan. In the case of Japan, considering the historical and cultural background, it would be more plausible to develop the integrated care system based on the family doctor network system such as the OMA system. In order to facilitate the development of coordination, it would be useful that such a coordination system is financially evaluated in the official tariff table.

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In order to evaluate the relationship between economic condition and frailty status among the Japanese elderly persons, we conducted an analysis in one city of Fukuoka Prefecture in July 2010. We sent the original questionnaire included the items for health status, economic status, ADL, IADL, social support and questionnaires for frailty evaluation to 3000 aged who were randomly sampled and received response from 2593 aged (86.4%). According to the result of analysis, low self-evaluation of economic status and living in public housing showed relationship with frailty with statistical significance (p<0.05). As health inequalities considered relating many factors including the socio-economics status, it is expected to create a new metrics that to be possible to construct appropriate multi-factor models. We considered that Japanese government should develop comprehensive medical and regional policy based on such a model.

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In order to examine the relationship between socio-economic factors and subjective health condition, we have analyzed the data of rural community inhabitants in Japan. We have distributed questionnaires by post for 2,928 households and received answer sheets from 1,580 households (54.0%). Contents of questionnaire are as follows; demographic data, subjective health status by SF8, lifestyle, social activity, and social capital. The results indicated that persons with better ‘economic status’ and higher ‘frequency of participation to community events’ showed statistically significant better subjective health status evaluated by SF8 questionnaires. As previous literatures have indicated, our results also suggested a significant impact of socio-economic factors to health status.

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Yukuhashi city is the medium sized local government with 71,906 population of which 16,238 were more than 65 years old (22.6%; end of March, 2010). We have made effort to organize a series of health promotion activities in order to realize a healthy aged society. In this article, we would like to introduce one of our community based physical fitness class.

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