Factors Contributing to a High Rate of Suicides in a Local Health and Medical District in Gunma Prefecture with an Aging and Declining Population

Urano, Kimiko; Yamamoto, Ayako; Yamada, Yukiyo; Sugiki, Yumiko; Koike, Mikiyoshi; Tanaka, Hisato; Oyama, Takayuki; Asami, T; Takahashi, Atsushi

doi:10.2974/kmj.64.325

Cited by 1 publication

(4 citation statements)

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“…To examine the way of life support through medical welfare services elderly used in sparsely populated mountain villages Urano et al [19] Gunma ( To examine factors affecting patient satisfaction with volunteers' work in a meal delivery service for elderly Table 2: Summary of studies included in the synthesis. …”

Section: Resultsmentioning

confidence: 99%

“…Another concern is that many elderly persons frequently find themselves in financial difficulty. Government support is increasingly limited and rising costs of living often leads to difficulty in meeting basic living costs [14,17,19]. The various difficulties affecting elderly people mean that different forms of care are likely to be required to ensure that the health of elderly persons can be maintained.…”

Section: Personal Views and Concernsmentioning

confidence: 99%

“…Also, elderly people often have to deal with chronic illness and related symptoms. Psychologically, they may suffer from dementia, an increased inability to control their emotions, reduced motivation and lack of sleep or insomnia related disease [14,17,19]. Elderly persons often report having negative feelings such as loneliness, isolation and depression.…”

Section: Personal Views and Concernsmentioning

confidence: 99%

“…Conflicts may arise between an elderly person and their family when the elderly person lives alone. Elderly persons are often faced with the dilemma of choosing to live alone or feeling vulnerable because they have to be cared for by their family [13,14,17,19].…”

Section: Different Types Of Deliverymentioning

confidence: 99%

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Health Care for Elderly People in Rural Japan: Review of Issues and Analysis

Nagaya¹,

Alipio²

2017

J Nurs Care

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Various issues confront Japan's elderly population, particularly in rural areas. These issues need to be examined to fully understand the dynamics of the provision of health care. Only by understanding the different components and their impact on patient care can improvements be made to the delivery of services and ultimately the quality of care. In this review, a consideration of different aspects of care is undertaken, with a focus on rural areas. Potentials for improvements are also discussed. Electronic databases such as CiNii and ICHUSHI searched by Japanese and PubMed and CINAHL searched by English were searched to retrieve peer-reviewed primary research literature. A narrative synthesis of the findings sections of the papers was applied to identify key themes. These themes consider the range of issues affecting health care in rural Japan: Service delivery, distribution, resources, health care, rural and elderly. In total, eight papers with either qualitative or quantitative methodology were included in the review. The review highlights a broad range of issues being confronted, most of them likely to have a medium to long term impact on the quality of care in Japanese rural areas. Government, community and professional carers' attention to these issues is thus critical to ensuring improved health care to reassure a high quality of life for elderly in rural areas in Japan.

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Section: Resultsmentioning

confidence: 99%

Section: Personal Views and Concernsmentioning

confidence: 99%