The sociological case study of the formation of community health and care systems

日本的老年医疗和护理制度正在经历历史上最深刻的重构，因为在现代日本老龄化社会已经改变了传统的老年护理制度。因此，我们研究了一些先进的社区老年卫生保健系统的案例。在我们的实地工作中，这些社区护理的一些必要性变得清晰起来。首先，老年药物和老年综合药物需要医疗设施和福利工作紧密结合。但在那些晚期病例中，这些需求没有得到满足。其次，构建这样的社区养老体系，最重要的一个问题是配备居家养老的支持系统。第三，解决这些问题必须实现老年医院与养老院之间的中间设施。第四，这种社区卫生保健体系的形成是由一些医生的努力实现的，因为我们还没有建立起社区卫生保健体系。

The Japanese system of the medical treatment and care of old people is undergoing the most profound restructuring in history, because in modern Japan aged society has changed the traditional care system of old people. So we researches some cases of the advanced community health and care system of olds. Some imperatives of those community care became clear in our field works.Firstly such geriatric medicines and comprehensive medicines of olds need close connection of medical facilities and welfare works. But these needs are not satisfied in those advanced cases.Secondly, formatting such community care system, one most important problem is equipping with the support system of home care for bedridden olds.Thirdly the resolution of those problems turned out to be necessity of realizing intermediate facilities between geriatrics hospitals and olds' homes.Fourthly this formation of such community care system is realized by great efforts of some doctors, because we have not yet established the communities health and care system.