地方三都市における高齢者の生活圏域実態の横断的比較と一中学校区を目安とする日常生活圏域設定の妥当性の検討

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  • DISCUSSION ON APPROPRIATENESS OF USING A JUNIOR HIGH SCHOOL DISTRICT AS THE BASIS FOR SETTING AN OFFICIAL SENIOR CARE SERVICE AREA, BASED ON COMPARISON OF ACTUAL CONDITIONS OF THE ELDERLY'S LIVING AREAS IN THE LOCAL THREE CITIES
  • チホウ サン トシ ニ オケル コウレイシャ ノ セイカツケンイキ ジッタイ ノ オウダンテキ ヒカク ト イチ チュウガッコウク オ メヤス ト スル ニチジョウ セイカツケンイキ セッテイ ノ ダトウセイ ノ ケントウ

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 1. Purpose of research<br> Based on a comparative analysis of three regional cities in Ishikawa Prefecture—Kanazawa, Kaga, and Suzu—this study extracts common characteristics of the living areas of elderly residents living in the three cities, then considers whether the junior high school district would serve as the basis for defining official senior care service areas.<br> 2. Methods<br> The basic methodology was to cross tabulate interview survey results regarding the daily living areas of elderly subjects, some of whom required support or care while others were no care-requiring, living in the three cities. The data covered a total of 727 subjects, of whom 307 required care or support and 420 were no care-requiring.<br> 3. Results and Discussion<br> Analysis revealed the following common characteristics of living areas for elderly in the three cities:<br> a) There is an area of places within walking range and another area of places that can be reached only by some mode of transportation;<br> b) The elderly requiring care or support rarely walk outside;<br> c) Average moving time spent when using transportation is approximately12 minutes;<br> d) Destinations for older people needing support or care are clinics, hospitals and nursing care facilities;<br> e) Living areas tend to overlap districts where secondary hospitals, shopping facilities, etc. are located.<br> f) Except for the district at the tip of the prefecture, the outgoing straight line distances for each district averaged 1-3 km, but within that range the living area districts in Kaga and Suzu were somewhat larger than in Kanazawa.<br> Next, we considered the validity of using junior high school districts as the basis for setting official senior care service areas. First, we reassessed the correspondence between elementary school districts and community organization as basic regional units. It was found that from the standpoint of living area of seniors in the three cities, the junior high school district matched an abstract area corresponding to 1-3 elementary school districts. But the time distance limit of 30 minutes as the basis was thought to be too long for the elderly. In terms of the best place to locate senior care service centers in a district, we might suggest inside of the elderly' living areas where they can reach in the average moving time, especially the outskirts of district where secondary hospitals and shopping facilities were available, or along a transport network heading into an urban core.

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