The purpose of this study is to clarify how the role of administrative registered dietitians （ARD） impacts the enhancement of the integrated community care systems （ICCS） and to define if they are hired to engage in ICCS, by undertaking surveys at prefectural offices, public health centers and city offices. The results show that only a few prefectures and cities actually placed registered dietitians at care insurance or elderly welfare departments to engage in ICCS. These results revealed that the engagement of ARD in ICCS at 7 prefectural offices was 15.9％, 8％ at 24 public healthcare centers and 19.9％ at 190 cities. It showed that when engaged, ARD in the public health centers worked on creating cooperation tools between medical institutions and nursing care facilities, understanding social resources, educating dietitians, insuring dietitians’ position and supporting dietetic environment maintenances such as food distribution services. ARD in city offices worked on visiting residents to provide dietary information, holding dietetic workshops, promoting malnutrition and establishing dietary guidance systems linked to medical treatment for the prevention of serious conditions. The survey also indicated that cities expected ARD in public health centers to share information regarding concrete methods, taking leaderships and developing organizational frameworks. These results confirmed that there is a need for ARD in cities, to play an active role in operating preventive long-term care and insurance services to enrich ICCS. We believe that it is necessary for ARD, who work at public health centers, to understand the actual conditions, prepare nutritional care systems, use social resources and develop human resources.

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A questionnaire survey was conducted with the aim of understanding and considering the factors underlying the relationship between the level of job satisfaction and the work–life balance (WLB) of registered dietitians and dietitians working at long-term care facilities for elders: a special nursing home for elderly；a long-term care health facility；and a sanatorium medical facility for the elderly requiring long-term care. We obtained questionnaires from 120 of the 700 facilities included in this study, with 193 respondents. Their relationships with their superiors and colleagues were good, and their self-evaluation of their job skills and expertise were high. Although their assessment of their salaries was low, their assessment of the social welfare system was favorable. The median value of the level of job satisfaction (interquartile range) was 65 out of a possible 100 points (40–80 points). Multiple regression analyses revealed that the most influential item was "my current job is one in which I can make the most of my abilities " (β=0.249，p <0.001). The median value of the level of satisfaction with WLB (interquartile range) was 70 out of a possible 100 points (50–80 points). The most influential item was “my current job is one in which I can make the most of my abilities” (β=0.255，p =0.001).

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