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助成対象詳細(Details)

   

2017 2017年度 研究助成プログラム Research Grant Program 2017  /  (A)共同研究助成  
助成番号
(Grant Number)
D17-R-0540
題目
(Project Title)
福島県における Well-being を高める保健医療体制の追求―福島原発事故からの真の復興を目指して―
A Pursuit of Healthcare Promoting Well-being in Fukushima: Towards the full recovery from the 2011 Fukushima nuclear power plant accident
代表者名
(Representative)
尾崎 章彦
Akihiko Ozaki
代表者所属
(Organization)
南相馬市立総合病院外科
Department of Surgery, Minamisoma Municipal General Hospital
助成金額
(Grant Amount)
 1,000,000
企画書・概要 (Abstract of Project Proposal)

2011年の東日本大震災と福島原発事故から7年目の現在、福島県沿岸部地域においては、人口減少や高齢化による地域コミュニティーや家族機能の弱体化に加え、医療者の流出や医療機関の閉鎖による保健医療体制の崩壊が進行し、住民の健康に深刻な影響を及ぼしている。被災地域住民の身体的、精神的、社会的なWell-being(良好な状態)を向上させるために、保健医療体制を再構築することは重要な課題である。
 本プロジェクトは、原発事故後のがんのリスクを包括的に評価した上で、がん患者とそれを支える地域住民のWell-beingを高めるような保健医療体制のあり方を明らかにする。そのために、当該地域における 1) がんによる長期的な死亡率の推定、2) 震災後のがん診療の評価、3) 震災後のがん検診受診率の評価、4) Well-beingを高めるようながん診療・がん検診のあり方についての検討を行う。現在の日本は人口減少と高齢化が進行しており、福島県の被災地は将来の日本の縮図と言える。本プロジェクトの成果は、被災住民の健康増進のみならず、将来のがん診療・がん検診に資する方法論に結実し、「社会の新たな価値の創出」につながる。

 The Great East Japan Earthquake and the Fukushima nuclear power plant accident in 2011 caused extensive damage to the coastal region of Fukushima, Japan. This is that seventh year since the accident, however, the lives of local residents continue to be endangered by the outflow of the health workers and shutdown of the local health facilities in addition to societal changes such as rapid depopulation and population ageing. To achieve a full recovery from the disaster, it is imperative to understand the full extent of disaster-related health effects, and to establish health care systems which promote physical, psychological and social well-being among the local residents. 
 In this project, we focus on cancer, which is the leading cause of death in Japan. This project aims to undertake a comprehensive assessment of cancer risk following the nuclear disaster, looking beyond the biological effects of radiation exposure, and to produce evidence necessary to rebuild local health care systems to promote both physical health and overall well-being of local cancer patients and residents in the disaster-struck area. Specifically, we plan to assess: 1) the cancer mortality rate pre- and post-disaster, 2) the cancer healthcare system pre- and post-disaster, 3) the attendance rate of cancer screenings pre- and post-disaster, and 4) the ways in which both physical health and overall well-being are promoted through the cancer care and screening programs for local residents. It could be said that disaster-affected areas in Fukushima present phenomenon that are representative of what Japan as a country will face in the future, such as depopulation and rapid population ageing. We suggest that the findings obtained from this project will contribute not only to health promotion in affected areas of Fukushima, but additionally to the creation of new values in society through a case study of cancer in a disaster area that has experienced problems relevant to Japan more widely.

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