Yu Hatano1, Masatoshi Matsumoto2, Mitsuaki Okita3, Kazuo Inoue4, Keisuke Takeuchi2, Takako Tsutsui5, Shuhei Nishimura6, Takuo Hayashi7. 1. Shobara City Soryo Clinic, 71 Shimoryoke, Soryo, Shobara, Hiroshima 729-3703, JP. 2. Department of Community-Based Medical System, Faculty of Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551, JP. 3. Department of Internal Medicine, Mitsugi General Hospital, 124 Ichi, Mitsugi, Onomichi, Hiroshima 722-0393, JP. 4. Department of Community Medicine, Chiba Medical Center, Teikyo University School of Medicine, 3426-3 Anesaki, Ichihara, Chiba 299-0111, JP. 5. Graduate school of business,University of Hyogo, 8-2-1 Gakuen-nishimachi, Kobe-shi-Nishi-ku Hyogo 651-2197, JP. 6. Department of Brain Surgery, Mitsugi General Hospital, 124 Ichi, Mitsugi, O,nomichi, Hiroshima 722-0393, JP. 7. Department of Orthopaedics, Mitsugi General Hospital, 124 Ichi, Mitsugi, Onomichi, Hiroshima 722-0393, JP.
Abstract
INTRODUCTION: Japan has the largest percentage of elderly people in the world. In 2012 the government implemented a community-based integrated care system which provides seamless community healthcare resources for elderly people with chronic diseases and disabilities. METHODS: This paper describes the challenges of establishing a community-based integrated care system in 1974 in Mitsugi, a rural town of Japan. This system has influenced the government and become the model for the nationwide system. RESULTS: In the 1970s, Mitsugi's aging population was growing faster than Japan's, but elder care was fragmented among a variety of service sections. A community-based integrated care system evolved because of the small but aging population size and the initiative of some local leaders of medical care and politics. After the system took effect, the proportion of bedridden people and medical care costs for the elderly dropped in Mitsugi while it continued to rise everywhere else in Japan. Mitsugi's community-based integrated care system is now shaping national policy. CONCLUSION: Mitsugi is in the vanguard of Japan's community-based integrated care system. The case showed the community-based integrated care system can diffuse from rural to urban areas.
INTRODUCTION: Japan has the largest percentage of elderly people in the world. In 2012 the government implemented a community-based integrated care system which provides seamless community healthcare resources for elderly people with chronic diseases and disabilities. METHODS: This paper describes the challenges of establishing a community-based integrated care system in 1974 in Mitsugi, a rural town of Japan. This system has influenced the government and become the model for the nationwide system. RESULTS: In the 1970s, Mitsugi's aging population was growing faster than Japan's, but elder care was fragmented among a variety of service sections. A community-based integrated care system evolved because of the small but aging population size and the initiative of some local leaders of medical care and politics. After the system took effect, the proportion of bedridden people and medical care costs for the elderly dropped in Mitsugi while it continued to rise everywhere else in Japan. Mitsugi's community-based integrated care system is now shaping national policy. CONCLUSION: Mitsugi is in the vanguard of Japan's community-based integrated care system. The case showed the community-based integrated care system can diffuse from rural to urban areas.
Entities:
Keywords:
Japan; community-based integrated care; national policy; rural area
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