2014 国際助成プログラム International Grant Program      
(Grant Number)
(Project Title)
高齢者のヘルスケアに関する効果的な地域ネットワークの構築  ―タイ・チョンブリ県サンスク町と長野県佐久市との建設的な施策の検討
Construction of effective network for health care of the elderly in community - through cooperative studies between Saen Suk, Chon Buri, Thailand and Saku city, Nagano, Japan
束田 吉子
Yoshiko Tsukada
Saku University
(Grant Amount)
企画書・概要 (Abstract of Project Proposal)

タイ国の高齢化率(60歳以上)は14%(2012)、20年後の高齢化率の予想は26.1%であり、チョンブリ県の高齢化率は9.7%(2012)である。タイ国では、第二次高齢者国家計画(2002-2021)が実施されており、具体的な活動は自治体に任されている。日本の高齢化率は23.3% (2012)である。長野県佐久市は日本の全国平均に比べ高齢化率が高いが、老人医療費は全国で低い方である。背景には高齢者の健康を地域で支える福祉政策と長年に亘る保健活動の実施がある。日本では、高齢者の課題に対応すべく2025年までに「地域包括ケアシステム」の構築をめざしている。両国の強化すべき課題は、1.健康増進と疾病予防対策、2. 家族及び介護者への教育、3. 支援ネットワークの強化、である。本企画では、サン・スク町と佐久市が経験を共有し、上記の課題の改善に向けて対策を検討する。プロジェクトで得られた実践的な知識は、老年学の発展のため国際的な普及を図る。

Elderly rate in Thailand (over 60 years old) is 14% in 2012. In 2032 it is estimated to increase up to 26.1%. That of Chon Buri province is 9.7% in 2012. The 2nd National Plan on the Elderly (2002-2021) is being executed in Thailand. Actual activities are entrusted to provincial government. Elderly rate in Japan (over 65 years old) is 23.3% (2012). Elderly rate of Saku city is higher than the national rate but medical expense is much lower than average due to social welfare policies and health care services in the community. In Japan, the Comprehensive Reform of Social Security System is announced to be established by 2025 to respond to higher needs of the elderly. Common strategies of both countries are: 1. Measure on health promotion and disease prevention, 2. Promote their  family members and caregivers to gain skills and knowledge, 3. Strengthening supportive networks. Through this project Saen Suk municipality and Saku City share experiences and discuss about countermeasures of those strategies for better actual practices to enhance the elderly’s quality of life in both countries. The practical knowledge from this project can be utilized for making advancement in gerontology and be disseminated internationally.

実施報告書・概要 (Summary of Final Report)


Despite the large difference in the rate of population aging between Thailand and Japan, both countries are promoting measures for seniors, Thailand by implementing the “Second National Plan for Older Persons (2002-2021)” and Japan by seeking to establish “Comprehensive Community Care System” by 2025. The goal of this project is to propose future measures by sharing Saku’s cumulative experience in elder care with Saensuk, and for Saku city to learn about community ties from Saensuk. Issues shared by both cities include 1) health promotion and disease prevention measures; 2) health education for family members and caregivers; and 3) strengthening the support network for the elderly and their families. Saensuk conducted two surveys, on health among the elderly and support for the elderly. Based on findings from these surveys, suggestions on measures to prevent lifestyle-related diseases, support for casual gathering places for the elderly and daily recreation activities, and establishment of a system for checking on seniors’ well-being were made in Saensuk municipality. Saku city will continue health promotion activities for the elderly and measures to strengthen community networks based on cross relations as to see faces each other in community. Importance of establishment of Comprehensive Community Care System was re-confirmed.

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