社会資源の乏しい離島での地域包括ケアに向けた地域活動―地域リハビリテーション・連携・地域資源・自主活動・地域包括ケアシステム

Community Based Rehabilitation on an Isolated Island

壱岐市について

　壱岐島は1市4町からなる九州北部の福岡市から北西70kmの玄界灘に浮かぶ長崎県の離島であり，人口29,000人で高齢化率33％の少子高齢化の地域である（図1）．総面積は約140km²で南北に17km東西に15kmの亀の甲羅をした形で高い山地はなく最も高いところで標高213mというなだらかな地形である．産業は第一次産業の農業・漁業が主体であったが不振で，近年は観光振興にも力を入れているものの，厳しい状況が続いている．

Abstract : The Iki rehabilitation and care volunteer group has performed supportive activities for children, adults and the elderly with disabilities for 27 years on the isolated island of Iki, Nagasaki Prefecture. The island, there has a high population of elderly people with very limited social resources and human power for community care and rehabilitation. The group's main activities include advising persons with disabilities for their independent living, educating health and social care professionals, and developing a network for linking these professionals. We have always worked with not only the caregivers themselves but also the persons with disabilities, their families and people living in the community because of the limited resources here. The elderly population of people over 65 years old will be approximately 40 percent in the near future. We administer educational and rehabilitation programs to assist people in the community in independent living, and we are encouraging the elderly to form a self help group to work together with the local government.