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[各自治市市政官员对老年人生活救济的认知相关因素:社区医疗白皮书调查]

[Factors associated with municipality officers' recognition of relief for elderly life in each municipalities: the community health care white paper survey].

作者信息

Takayashiki Ayumi, Okayama Masanobu, Nakamura Yosikazu, Kajii Eiji

出版信息

Nihon Ronen Igakkai Zasshi. 2003 Nov;40(6):627-32. doi: 10.3143/geriatrics.40.627.

Abstract

To elucidate the present condition about health, medicine and welfare, and to evaluate factors associated with relief for elderly life in each community, a questionnaire survey was conducted among officers of all the municipalities in Japan. We asked officers about their recognition whether older people can live feeling relieved or not, and other factors about health, medicine and welfare condition in each municipality. Demographic data of each municipality were also used as dependent variables. Odds ratios and their 95% confidence intervals for the officers' evaluation of relief for life of the elderly were calculated using unconditional logistic models. Of the 3.252 municipalities, 3,059 (94%) responded to the survey. Of the respondents, 2,957 municipalities (91%) answered questions about relief for elderly life. "Receiving satisfactory medical home care service", "cooperative function between medicine, health, and welfare sections", and "receiving complete welfare service" were associated with their recognition about relief for elderly life in both of cities and rural towns. In addition, "the rate of elderly households" and "the easiness to maintain nursing staff" were associated in the cities. This study indicated that more arrangements are needed not only about health and welfare aspects, but also about medical service, especially medical home care service systems to support older peoples' life in the community.

摘要

为阐明健康、医疗和福利的现状,并评估各社区与老年生活慰藉相关的因素,我们对日本所有市町村的官员进行了问卷调查。我们询问官员们对老年人是否能安心生活的认知,以及各 municipality 中关于健康、医疗和福利状况的其他因素。各 municipality 的人口统计数据也用作因变量。使用无条件逻辑模型计算官员对老年人生活慰藉评估的比值比及其 95% 置信区间。在 3252 个市町村中,3059 个(94%)回复了调查。在受访者中,2957 个市町村(91%)回答了有关老年人生活慰藉的问题。“获得满意的居家医疗服务”、“医疗、健康和福利部门之间的合作功能”以及“获得全面的福利服务”与城市和农村城镇对老年人生活慰藉的认知都相关。此外,“老年家庭比例”和“维持护理人员的难易程度”在城市中相关。这项研究表明,不仅在健康和福利方面,而且在医疗服务方面,特别是在支持老年人社区生活的居家医疗服务系统方面,都需要更多的安排。

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