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Visualization of the Decision-Making Process in the Nursing Care Period and Construction of a Model for Decision-Making

Research Project

Project/Area Number 17K18579
Research Category

Grant-in-Aid for Challenging Research (Exploratory)

Allocation TypeMulti-year Fund
Research Field Sociology and related fields
Research InstitutionThe University of Tokyo

Principal Investigator

Tsuji Tetsuo  東京大学, 高齢社会総合研究機構, 教授 (30517206)

Co-Investigator(Kenkyū-buntansha) 木全 真理  東京大学, 高齢社会総合研究機構, 特任助教 (00553570)
Project Period (FY) 2017-06-30 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥6,370,000 (Direct Cost: ¥4,900,000、Indirect Cost: ¥1,470,000)
Fiscal Year 2018: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2017: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords地域包括ケアシステム / 要介護 / 高齢 / 分野横断 / 意思形成 / 要介護期 / 居住場所 / 介護サービス / 高齢者 / 学問領域横断 / 社会学 / 医療・福祉 / コミュニティ / システム
Outline of Final Research Achievements

The purpose of this study was to visualize and model the process of decision-making regarding the place of residence by individuals who require and opt for long-term care services and residential care. Multidisciplinary researchers from many fields including medicine, law, sociology, and engineering, analyzed care records and conducted interviews with elderly individuals and other home health care professionals. They also analyzed responses to a questionnaire survey completed by professionals who work with the elderly to better understand their living conditions and nursing care needs during their senior years.
The findings from this study suggest the following important factors as the key to a successful decision-making model - the ability to self-manage the symptoms of aging and illness, a community that snuggle up to the values and commitments of the elderly, and the ability of the elderly to coordinate efficiently with that community even before nursing care is required.

Academic Significance and Societal Importance of the Research Achievements

現在、わが国では、地域特性に応じた地域包括ケアシステム構築の取組みが進んでいるが、この間、地域包括ケアシステムに重要な要素でもある住まいと介護を包括して、地域住民が居住場所と介護サービスをどのように決定するのかという需給関係に関する報告はほとんどされていない。地域包括ケアシステムの基礎となるべき「高齢者・家族の選択・心構え」は、医学的・社会的・心理的・地域的な要因が複合している。こうした複雑に絡み合った現象に対して、学問分野横断的な体制意思形成を支えるというテーマ型のコミュニティの創出・活性化を目指した調査研究方法を取った本研究は、既存の学術体系を踏み越える挑戦的研究としての意義を有する。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (13 results)

All 2020 2019 2018 2017

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (6 results) (of which Int'l Joint Research: 5 results) Book (5 results)

  • [Journal Article] Which Aspects of Dining Style are Associated with Depressive Mood? A Study at an Assisted Living Facility in Japan2019

    • Author(s)
      Takase Mai、Murayama Hiroshi、Hirukawa Sayaka、Sugimoto Minami、Ono Sachiko、Tanaka Tomoki、Kimata Mari
    • Journal Title

      Journal of Nutrition in Gerontology and Geriatrics

      Volume: 38 Issue: 4 Pages: 377-386

    • DOI

      10.1080/21551197.2019.1662356

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 地域包括ケアシステムは機能するか2019

    • Author(s)
      木全真理, 飯島勝矢
    • Journal Title

      医学のあゆみ

      Volume: 268(2)

    • Related Report
      2019 Annual Research Report
  • [Presentation] 東日本大震災後の静穏期における地域課題の抽出と解決策2020

    • Author(s)
      櫻井理加,松岡洋子,Kazembe Neo,呂偉達,張俊華,稲垣安沙,木全真理,似内遼一,後藤純
    • Organizer
      第8回日本公衆衛生看護学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Factors associated with daily-life support for older people requiring long-term care who live alone2019

    • Author(s)
      Kimata M, Komazawa Y, Masuda T, Akizuki Y, Goto J.
    • Organizer
      The 11th IAGG Asia / Oceania Congress of Gerontology and Geriatrics 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Obstacles to Continue Staying at Home in Japan: Viewpoints of Older Persons, Family Caregivers and Care Specialists2018

    • Author(s)
      Suzawa,S.,Yokouchi, N.,Baba,A.,Yamane,K.,Kim,T.,Kimata,M.,Sugawara,I.,Murayama,H.
    • Organizer
      The Gerontological Society of America's 70th Annual Scientific Meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Decision-making process regarding relocation to a group home for persons with dementia2018

    • Author(s)
      Sumikawa,Y.,Baba,A.,Fukui,C.,Kimata,M.,Murayama,H.,Sugawara,I.
    • Organizer
      The Gerontological Society of America's 70th Annual Scientific Meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Factors influencing a process for building intentions about a life of elderly people using home nursing care.2017

    • Author(s)
      Suzawa S, Yamaguchi G, Fujita A, Kim K, Baba A, Wang T, Haseda M, Mugiyama R, Ando E, Sakka M, Fukui Y, Kimata M, Sugawara I.
    • Organizer
      APRU Ageing in the Asia-Pacific Workshop 2017 for Junior Gerontologists Action Research for Age-Friendly Community, Tokyo, Japan
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Obstacles to Aging in Place in Japan: A Preliminary Study.2017

    • Author(s)
      Fukui C, Yokouchi N, Kim T, Nakano K, Kim K, Yamaguchi G, Fujita A, Suzawa S, Baba A, Sumikawa Y, Park H, Kimata M, Murayama H, Sugawara I.
    • Organizer
      APRU Ageing in the Asia-Pacific Workshop 2017 for Junior Gerontologists Action Research for Age-Friendly Community, Tokyo, Japan
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 人生100年時代の新ステージへ2019

    • Author(s)
      辻哲夫
    • Total Pages
      240
    • Publisher
      一般財団法人健康・生きがい開発財団
    • ISBN
      9784990807719
    • Related Report
      2019 Annual Research Report
  • [Book] 地域包括ケアの原点 小山剛の仕事2019

    • Author(s)
      辻 哲夫, 宮島 俊彦, 田宮 崇, 廣江 研, 対馬 徳昭
    • Total Pages
      192
    • Publisher
      第一法規
    • ISBN
      9784474067400
    • Related Report
      2019 Annual Research Report
  • [Book] 医療・介護・福祉の地域ネットワークづくり事例集2018

    • Author(s)
      辻 哲夫
    • Total Pages
      224
    • Publisher
      素朴社
    • ISBN
      9784903773292
    • Related Report
      2018 Research-status Report
  • [Book] まちづくりとしての地域包括ケアシステム: 持続可能な地域共生社会をめざして2017

    • Author(s)
      辻 哲夫 (監修), 田城 孝雄 (編集), 内田 要 (編集)
    • Total Pages
      274
    • Publisher
      東京大学出版会
    • ISBN
      9784130511421
    • Related Report
      2017 Research-status Report
  • [Book] 健康長寿のまちづくり2017

    • Author(s)
      辻哲夫、久野譜也 (監修)
    • Total Pages
      240
    • Publisher
      時評社
    • ISBN
      9784883392407
    • Related Report
      2017 Research-status Report

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Published: 2017-07-21   Modified: 2021-02-19  

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