{"created":"2023-06-19T10:05:02.481595+00:00","id":14323,"links":{},"metadata":{"_buckets":{"deposit":"9a6a2152-6f96-410a-b08c-4e8fd1636d6f"},"_deposit":{"created_by":18,"id":"14323","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"14323"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00014323","sets":["7:267:268"]},"author_link":["63397","63398"],"item_1_alternative_title_20":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Issues and the Prospect of Integrated Care System"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"83","bibliographicPageStart":"79","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"川崎医療福祉学会誌"}]}]},"item_1_creator_6":{"attribute_name":"著者名(日)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"筑後, 一郎"}],"nameIdentifiers":[{}]}]},"item_1_description_1":{"attribute_name":"ページ属性","attribute_value_mlt":[{"subitem_description":"P(論文)","subitem_description_type":"Other"}]},"item_1_description_2":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"短報","subitem_description_type":"Other"}]},"item_1_full_name_7":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"CHIKUGO, Ichiro"}]}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00014289","subitem_identifier_reg_type":"JaLC"}]},"item_1_publisher_23":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"川崎医療福祉学会"}]},"item_1_source_id_13":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN10375470","subitem_source_identifier_type":"NCID"}]},"item_1_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-4605","subitem_source_identifier_type":"ISSN"}]},"item_1_text_22":{"attribute_name":"その他(別言語)の雑誌名","attribute_value_mlt":[{"subitem_text_value":"Kawasaki medical welfare journal"}]},"item_1_text_9":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"川崎医療福祉大学医療福祉マネジメント学部医療福祉経営学科"}]},"item_1_textarea_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_value":"　本稿では，地域包括ケアシステムが策定された経緯と，策定されてから10年が経過した現在の状況を概観し，適正化，効率化のもとで動いている地域包括ケアシステムの展望と課題を議論している． わが国は，2025年には65歳以上人口，75歳以上人口がそれぞれピークに達するため，そのピークに備 えた地域包括ケアシステムを構築している．現在ある医療・介護保険制度のなかで，適正化と効率化 を図りつつ，システムの持続的な維持を考えているが，一方で地域にいながら最期を迎えるための準 備が整っているとはいいがたい．その理由として，提供主体の地域に3つの困難があることを指摘し， その困難のなかでも多様な医療者，介護職員，自治体に存在する介護支援者を仲立ちするシステムの 脆弱さがあると考えられること，これを仲立ちする担い手が急務であることを提示した．\n"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-12-09"}],"displaytype":"detail","filename":"09　筑後一郎.pdf","filesize":[{"value":"390.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/14323/files/09　筑後一郎.pdf"},"version_id":"4c262207-b2df-4fbd-a2ae-e9c01fcd3bd2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Integrated Care System","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"national budget","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"regional alliances","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"main provider of care","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"地域包括ケアシステムの課題と展望","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"地域包括ケアシステムの課題と展望"}]},"item_type_id":"1","owner":"18","path":["268"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-12-09"},"publish_date":"2016-12-09","publish_status":"0","recid":"14323","relation_version_is_last":true,"title":["地域包括ケアシステムの課題と展望"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-19T10:33:31.440290+00:00"}