2023 Fiscal Year Final Research Report
Demand and supply system for home rehabilitation in japan
| Project/Area Number |
19K24177
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Multi-year Fund |
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| Review Section |
0908:Society medicine, nursing, and related fields
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| Research Institution | Tokyo University of Technology |
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Principal Investigator |
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| Project Period (FY) |
2019-08-30 – 2024-03-31
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| Keywords | 訪問リハビリテーション / 供給体制 / 地域格差 |
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| Outline of Final Research Achievements |
A survey was conducted using government statistics on the system for providing and demanding home-visit rehabilitation services.
As a result, by prefecture, the prefecture with the highest amount of home-visit rehabilitation provided per elderly population was 1,032.8 visits/1,000 people, while the prefecture with the lowest was 141.1 visits/1,000 people, a difference of approximately seven times.There were several prefectures in the Tohoku region that provided few home-visit rehabilitation services.
There were municipalities that provided home-visit rehabilitation services more than eight times per 100 elderly people. On the other hand, there were several municipalities that were unable to provide home-visit rehabilitation services due to lack of facilities.Over time, the number of home-visit rehabilitation facilities and providers nationwide has increased.Regional disparities in the number of home-visit rehabilitation facilities by municipality have been shrinking.
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| Free Research Field |
社会医学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究により、都道府県単位、市区町村単位ともに訪問リハビリテーション提供体制に地域格差が生じていること、経年変化により全国の訪問リハビリテーション提供施設数および訪問リハビリテーション提供者数は増加しており、市区町村単位での地域格差は縮小していること。一方で、全国の1/3の市区町村には訪問リハビリテーション提供施設が無く、地域格差が生じていることが明らかとなった。
これらの結果より、現状の訪問リハビリテーション提供体制および供給が少ない地域を明らかにすることができた。よって、本研究成果は、高齢者が安心して暮らせる生活環境の整備に役立つものと考える。
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