The Impact of Healthcare Restructuring on Care in Inhabited Areas of Isolated Islands: A Case Study of Shin-Kamigoto Town, Nagasaki Prefecture

• NAKAMURA Tsutomu

  Faculty of Education, Kochi University

Bibliographic Information

Other Title

• 離島の医療再編による日常生活圏域のケアへの影響
• 離島の医療再編による日常生活圏域のケアへの影響 : 長崎県新上五島町を事例として
• リトウ ノ イリョウ サイヘン ニ ヨル ニチジョウ セイカツケンイキ ノ ケア エ ノ エイキョウ : ナガサキケン シンカミゴトウマチ オ ジレイ ト シテ
• ── 長崎県新上五島町を事例として ──

Abstract

This study examines the impact of healthcare restructuring on care in inhabited areas of isolated islands from a spatial perspective that is based on a case study of Shin-Kamigoto Town, Nagasaki Prefecture.　The intensification of hospitalization and the availability of dialysis facilities and home-visit nursing care services have increased the dependence on Kamigoto Hospital for care resources.　Contrastingly, the districts of Wakamatsu and Narao, which have exhibited a decrease in accessibility to these services, have become increasingly marginalized.　Efforts of Shin-Kamigoto Council of Social Welfare and the incorporated nonprofit organization Home Hospice Ohana have improved accessibility through the launch of elder-care taxis and home-visit nursing care services as new enterprises. Shin-Kamigoto Town, with its historical background of being heavily populated by Catholics, has been much in demand for home-visit nursing care services.　However, triumph over marginalization is restricted by the shortage of nursing care workers and volunteers in the peripheral areas.　It is particularly difficult to address the needs of the elderly living alone with dementia despite it being necessary to monitor them as they lead their daily lives. A community-based integrated care system requires networking resources in the interior and exterior of isolated islands and their management.　The system must consider regional differences within the municipality and links between events at different levels on the geographical scale.

Journal

• Quarterly Journal of Geography

  Quarterly Journal of Geography 69 (4), 189-206, 2018

  The Tohoku Geographical Association

Keywords

• isolated islands
• healthcare restructuring
• inhabited area
• community-based integrated care
• Shin-Kamigoto Town

Details

• CRID: 1390001204465118976
• NII Article ID: 130006594371
• NII Book ID: AN10379267
• DOI: 10.5190/tga.69.4_189
• ISSN: 18841252
• ISSN: 09167889
• NDL BIB ID: 028868918
• Web Site: http://id.ndl.go.jp/bib/028868918
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I028868918
• Web Site: https://www.jstage.jst.go.jp/article/tga/69/4/69_189/_pdf
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed