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What needed for home health care of the elderly in their residential environment.

Research Project

Project/Area Number 63300005
Research Category

Grant-in-Aid for Co-operative Research (A)

Allocation TypeSingle-year Grants
Research Field 広領域
Research InstitutionTokyo Medical and Dental University

Principal Investigator

TAKANO Takehito  Tokyo Medical & Dental Univ., Fac. Medicine, Professor, 医学部, 教授 (80126234)

Co-Investigator(Kenkyū-buntansha) NAKAMURA Keiko  Tokyo Medical & Dental Univ., Fac. Medicine, Research Associate, 医学部, 助手 (00211433)
SHIMANOUCHI Setsu  National Institute of Public Health, Dpt. Public Health Nursing, Chief, 衛生看護学部, 室長 (70124401)
TANAKA Masatoshi  Fukushima Medical College, Professor, 教授 (90112721)
OHNUKI Minoru  University of Tsukuba, Institute of Community Medicine, Professor, 社会医学系, 教授 (30013866)
竹内 孝仁  東京医科歯科大学, 医学部, 助教授 (80014249)
吉沢 晋  国立公衆衛生院, 建築衛生学部, 部長 (20077176)
Project Period (FY) 1988 – 1989
Project Status Completed (Fiscal Year 1989)
Budget Amount *help
¥7,100,000 (Direct Cost: ¥7,100,000)
Fiscal Year 1989: ¥3,100,000 (Direct Cost: ¥3,100,000)
Fiscal Year 1988: ¥4,000,000 (Direct Cost: ¥4,000,000)
KeywordsHome health care / Residential environment / Housing / Elderly / Urbanization / Community medicine / Social support / Healthy city / 住環境 / 老人
Research Abstract

The aging of the population in Japan is accelerating markedly. A practical guideline for effective and efficient home health care suitable for Japanese elderly is awaited. The purposes of the present study is to define the desirable housing conditions and environment of residence for Japanese home health care system. We selected research members from medical nursing, architecture, and social welfare fields, because all of these fields are necessary for comprehensive research on this issue. Firstly, we performed a mail interview survey (subjects were 8,000 stratified random sample of urban elderly) to investigate the environmental factors affecting institutionalization. Secondly, we assessed the functions (muscle strength, walking speed, activity of daily living, instrumental activity of daily living, etc.) and environment of residence (housing equipment, arrangement of the rooms, social support networks, family functions, etc.) by visiting interview survey for further evaluation. Third … More ly, we followed up physical function of the disabled elderly after the housing reform. And the lastly, we analyzed social indices and health indices (including age-specific death rate by causes of death by municipalities: source data were approved by Japanese Statistics Bureau) in an overcrowded huge city, Tokyo. Based on each research result , members filly discussed on the problems from the perspective of environment of residence for healthy cities. In conclusion, the following 4 points were clarified as the recommendation. 1. Aid development of suitable equipments for the elderly, not only inside of the house but also in the public space is necessary. 2. For the severely disabled elderly, development of caregivers is essential (housing reform itself less contributed to the improvement of their function). 3. For the moderately disabled elderly, suitable advices for physical exercise and adequate provision for social resources including housing reform are indispensable. 4. Social support network, for efficient home health care works effectively, if the eidsting social resources were utilized flexibly. Less

Report

(3 results)
  • 1989 Annual Research Report   Final Research Report Summary
  • 1988 Annual Research Report
  • Research Products

    (9 results)

All Other

All Publications (9 results)

  • [Publications] 中村桂子/高齢者の居住場所に影響を及ぼす移動能力並びに居住の条件に関する研究。: "日本衛生学雑誌" 45. 1990.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 田中正敏: "地域の老人・福祉センタ-としての老人病院計画。" 新医療. (9). 99-103 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Takano,T: "Baseline data for Healthy City Tokyo" ぎょうせい, 300 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Nakamura, K., Takano, T.: "Place of residence of urban elderly population with relation to mobility functional level and housing environment." Japan J Hygiene. 45(1). (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Tanaka, M.: "Scheme of hospital for the aged as a community welfare center for the aged." Shin Iryo. (9). 99-103 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Takano, T. Nakamura, K.: Baseline data for Healthy City Tokyo.Gyosei, Tokyo, (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 中村桂子: "高齢者の居住場所に影響を及ぼす移動能力並びに住居の条件に関する研究" 日本衛生学雑誌. 45. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 田中正敏: "地域の老人・福祉センタ-としての老人病院計画" 新医療. (9). 99-103 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] Takano,T: "Baseline data for Healthy City Tokyo" ぎょうせい, 300 (1990)

    • Related Report
      1989 Annual Research Report

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Published: 1988-04-01   Modified: 2016-04-21  

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