Figure 1
Structure of the community-based integrated care system.
Source: Ministry of Health, Labor and Welfare.
Table 1
History of the community-based integrated care system in Mitsugi.
| 1973 | Home-based long-term care service started |
| 1974 | Visiting nurse and Visiting physician services started |
| 1981 | Visiting physical or occupational therapists service started |
| A special nursing home and rehabilitation centre opened | |
| 1984 | The Health Management Center, affiliated with the hospital, opened |
| 1989 | A geriatric health service facility opened |
| 1990 | The Home-based Long-term Care Support Center opened in the geriatric health service facility |
| 1992 | Visiting nurse station opened |
| 1993 | A care house opened |
| 1997 | The Health Management Center renamed the Health and Welfare Center |
| 2001 | Recovery stage rehabilitation ward opened |
| 2002 | A group home for elderly people with dementia opened |
| Palliative care ward opened | |
| Office of Collaboration for Comprehensive Community Medical and Other Care Services opened | |
| 2004 | Iki-iki Center opened |
| 2006 | The Community-based Integrated Care Center opened in the Health and Welfare Center |
[i] Source: Comprehensive community care system in Mitsugi town, Onomichi city; Operation zero bedridden (long-term care needs prevention) and health, medical, long-term care, welfare collaborations. Mitsugi General Hospital. 2012.
Photograph 1
The Transition of the Comprehensive Health and Welfare Facilities in Mitsugi.
Figure 2
The Mitsugi Hospital Complex.
Figure 3
The proportion of bedridden elderly living at home.
Source: Zaitaku rojin kihonchosa. [Basic survey of elderly people living home]. Hiroshima prefecture. 1975–1990. [in Japanese]. Data after 1990 are unavailable due to the change in definition of “bedridden”.
Figure 4
Average medical costs for geriatric care.
Source: Mitsugi cho ni okeru hoken fukushi katsudo. [The healthcare and welfare activities in Mitsugi town]. Mitsugi General Hospital. 1980–2004. [in Japanese]