title: [Factors associated with municipality officers' recognition of relief for elderly life in each municipalities: the community health care white paper survey].
abstract: To elucidate the present condition about health, medicine and welfare, and to evaluate factors associated with relief for elderly life in each community, a questionnaire survey was conducted among officers of all the municipalities in Japan. We asked officers about their recognition whether older people can live feeling relieved or not, and other factors about health, medicine and welfare condition in each municipality. Demographic data of each municipality were also used as dependent variables. Odds ratios and their 95% confidence intervals for the officers' evaluation of relief for life of the elderly were calculated using unconditional logistic models. Of the 3.252 municipalities, 3,059 (94%) responded to the survey. Of the respondents, 2,957 municipalities (91%) answered questions about relief for elderly life. "Receiving satisfactory medical home care service", "cooperative function between medicine, health, and welfare sections", and "receiving complete welfare service" were associated with their recognition about relief for elderly life in both of cities and rural towns. In addition, "the rate of elderly households" and "the easiness to maintain nursing staff" were associated in the cities. This study indicated that more arrangements are needed not only about health and welfare aspects, but also about medical service, especially medical home care service systems to support older peoples' life in the community.
authors.forename: Ayumi
authors.initials: A
authors.lastname: Takayashiki
authors.forename: Masanobu
authors.initials: M
authors.lastname: Okayama
authors.forename: Yosikazu
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Eiji
authors.initials: E
authors.lastname: Kajii
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D019538:Health Care Surveys; D006301:Health Services Needs and Demand / Q000639:trends*; D006299:Health Services for the Aged / Q000639:trends*; D006801:Humans; D007564:Japan; D019035:Rural Health Services / Q000639:trends; D012946:Social Welfare / Q000639:trends*; D011795:Surveys and Questionnaires; D019037:Urban Health Services / Q000639:trends