日本医疗护理供给制度改革与医疗护理一体化

Medical Care Supply System Reform and Integration of Medical Care in Japan

2025年,日本战后初期出生的人将进入75岁高龄期,医疗护理需求进一步增加。而应对2025年问题,日本政府陆续颁布了《社会保障制度改革推进法》(2012年)、《综合确保地域医疗护理法》(2014年)及《医疗保险制度改革关联法》(2015年),对医疗护理供给体制进行改革,构建高效的医疗供给体制和地域综合护理体系,实现医疗护理一体化。千叶县柏市政府与UR都市机构(原日本住宅公团)、东京大学老龄社会综合研究机构合作,经过5年努力,以建设附带服务功能老年住宅为前提,将医疗、护理、预防、生活支援服务有机结合起来,为老年人提供居家医疗服务,向医疗护理一体化迈出了坚实的一步。

As Japan＇s population born in the early postwar period go into the advanced age period of 75 years old in 2025, the medical care needs will increase further. In response to the problems in 2025, the Japanese government has promulgated Social Security System Reform Law （2012）, Comprehensive Law To Ensure Regional Medical Care （2014） and Medical Insurance System Reform Association Law（2015） in order to realize the integration of medical care by reforming the medical care supply system and con- structing the efficient medical supply system and regional comprehensive care system. Chiba County Mu- nicipal Government cooperated with UR urban institutions （original Japanese Housing Corporation） and The Comprehensive Research Institution of Aging Society of Tokyo University for five years, combined the medical treatment, care, prevention and life support services to provide home care service for the eld- erly by constructing the senior houses of ancillary services as the premise. This strides a solid step to the integration of medical care.