With an aim at reducing the incidence of cerebral apoplexy to half in three years, the Institute of Community Medicine, the University of Tsukuba, worked out a community health program for the inhabitants of Oho-machi, a predominantly rural community in Ibaraki Prefecture.
A cerebrovascular disease prevention council was set up in the town to map out plans to execute health care services. An expert committee was set up to formulate health examination standards and health guidance. The governance of the health grogram is to be transferred from the Institute to the town council.
Initially, considerable effort was exerted to encourage inhabitants to participate in the mass health screening. With importance placed on livelihood and health guidance, effort was made to increase the efficiency as well as the quality of the self-governing health care delivery.
As a result, the health examination attendance has been increased and health conditions improved remarkably. Particularly, the cardiovascular disease death rate has gone down ward among the inhabitants at the prime of life.

Every local government in Japan is seeking to have an integrated health, medical and welfare system to take care of an increasing number of the elderly.
An attempt to develop such a model system called ‘Fukushi no Mori’ was begun in 1987 in Koga City, Ibaraki Prefecture. It was not until 1993 that the land for the project was acquired and the final plans for the arrangement of facilities were drawn up. In March 1994 construction got under way.
This paper discusses the strategies for developing an integrated health, medical and welfare system in this city. The results of a number of detailed research studies undertaken by the authors are also described and discussed.

Every local government in Japan is seeking to have an integrated health, medical and welfare system to take care of an increasing number of the elderly.
An attempt to develop such a model system called ‘Fukushi no Mori’ was begun in 1987 in Koga City, Ibaraki Prefecture. It was not until 1993 that the land for the project was acquired and the final plans for the arrangement of facilities were drawn up. In March 1994 construction got under way.
This paper discusses the strategies for developing an integrated health, medical and welfare system in this city. The results of a number of detailed research studies undertaken by the authors are also described and discussed.

For the purpose of clarifying the different roles of two tertiary care hospitals, namely the Tsukuba University Hospital and Tsuchiura Kyodo Hospital, we researched for the consulting behaviours of out patients in these two hospitals.
As Results:
1) About the classification of the diseases and the morbidity rate, there was slight degree of differences between the out patients in these two hospitals.
2) The motivations of consulting both of these two hospitals were seen in a large number the items of “confidence to the scientific medical arts” and “excellent medical instruments”.
3) The majority of out patients of both hospitals take about within one hour coming to hospital, in spite of various transport methods.
4) Specific functions and different roles were seen only a little between these two tertiary care hospitals in the same region.
We hope to make more propaganda and education, not only to patients but also to medical staffs, concerning with the regional activities of comprehensive health and medical planning and resources.

Every local government in Japan is seeking to have an integrated health, medical and welfare system to take care of an increasing number of the elderly.
An attempt to develop such a model system called ‘Fukushi no Mori’ was begun in 1987 in Koga City, Ibaraki Prefecture. It was not until 1993 that the land for the project was acquired and the final plans for the arrangement of facilities were drawn up. In March 1994 construction got under way.
This paper discusses the strategies for developing an integrated health, medical and welfare system in this city. The results of a number of detailed research studies undertaken by the authors are also described and discussed.

Every local government in Japan is seeking to have an integrated health, medical and welfare system to take care of an increasing number of the elderly.
An attempt to develop such a model system called ‘Fukushi no Mori’ was begun in 1987 in Koga City, Ibaraki Prefecture. It was not until 1993 that the land for the project was acquired and the final plans for the arrangement of facilities were drawn up. In March 1994 construction got under way.
This paper discusses the strategies for developing an integrated health, medical and welfare system in this city. The results of a number of detailed research studies undertaken by the authors are also described and discussed.

The need for medical team care is increasing because of advances in medical care and changing national needs. For more than 20 years medical students at the University of Tsukuba have participated in medical team care practice before bedside learning during the third trimester of their 4th year. The objective of this practice is to understand patients from the nurses' point of view and to learn cooperation between doctors and co-medical staff. We analyzed students reports to study what they had learned. A total of 326 items in 11 categories were specified in the free-response part of the reports. The largest category was “nursing/nurses” and the second largest was “communication/human relations.” The results show that the students learned points other than the General Instruction Objectives and that the practice was extremely effective.

In Japan, the number of people 65 and over is increasing while the number of children is decreasing. A greater number of senior citizens live by themselves or husband and wife alone than before.
To realize comfortable and independent life for aged people, it is important to prepare housing and environment which have special services for them.
We would like to explain two housing projects which were planned and are being put into execution in Japan. One is ‘Silver Housing’ multiunit dwellings for the aged built by the Ministry of Construction and the Ministry of Health and Welfare since 1987. The other is ‘Silver Peer’ project which has been pushed forward by the Tokyo Metropolitan Government since 1987.