Machizukuri making everyone to live healthily with a smile

In order to create a society where children, adults, the elderly, people with disabilities and people in various positions can help each other, live healthily and abundantly, we will comprehensively view the issues of health, medical care and welfare , We will promote necessary measures.

In this year's child care environment improvement, based on the "Niseko Town Child and Child Care Support Project Plan" for five years from 2015, based on the Child and Child Care Support Law, the next generation of children and child care families But we try for environment creation that child care is possible in peace. The Niseko Children's Hall is used by many children, but this year we plan to accept 70 children due to an increase in applicants.
　
In addition, in response to requests from parents, we will be trialing opening the centre on Sundays and public holidays, for which a fee will be charged, just like the Niseko Yoji Centre.

In medical examination, we strive to enhance maternal and child health measures such as medical checkups of pregnant women and infants, guidance on visits to newborns and health guidance, etc. In addition to implementing post-natal care for pregnant women and taking measures to secure obstetrics and gynecologists as before I will continue. In addition, it is necessary to promote the promotion of children's health, including reducing the burden of public expenses for some voluntary vaccinations, continuing health examination for 5-year olds, reducing the economic burden of parents, and medical care benefit projects for premature infants and disabled children Continue to implement.

In order to reduce the economic burden of couple receiving infertility treatment from last year, we established a system to subsidize self-payment of infertility treatment cost along with subsidy of Hokkaido, but from this year We also support the couple who wishes to expand the support and increase opportunities for children to be blessed.

Based on the newly formulated "Shiribeshi Regional Union 7th long-term care insurance Business Plan" and "7th Niseko Town Elderly Health and Welfare Plan" (2018-2020), which aim to enable elderly people and people with physical disabilities to live safely in the areas they are familiar with, and in line with the rapidly changing national welfare system, we will strive to improve elderly welfare so that people can feel safe.
　
The special nursing home for senior citizen "Niseko Heights" has been aged more than 30 years since its establishment, and the aging of facilities has progressed, so we compile a comprehensive management policy and the basic concept of the facility. From now on, we will support the Niseko welfare association's efforts to improve the maturity of the concept and improve the facilities that can live with peace of mind. In "Guru ~ Puho ~ Muri · Kirari", we will continue to support stable management.
　
The Regional Comprehensive Support Center plays a central role in prevention of care, carries out support while cooperating with related organizations, and carries out prevention business to maintain health. In addition, we have established the "Dementia Initial Concentration Support Team" in "Dementia Initial Concentration Assistance Project" as a countermeasure of patients who have increased dementia in recent years. Under the guidance of dementia specialists, people with dementia and their Initial support for family members will be comprehensively and intensively done, and we will continue to support independent living.

In the community activity support center · Niseko living house, the aging of the organization itself responsible for management progresses, making it difficult to respond to new demand.
This facility is a facility that plays a core role in supporting disabled people who are difficult during the day due to the disability, and supports the improvement of the working environment of the people engaged in nursing care and part of the facility management I will. In addition, cooperation and coordination with welfare-related organizations will be carried out so that "comprehensive nursing care prevention / daily living support comprehensive project" that provides nursing care prevention through community support and community will proceed smoothly.

Furthermore, we promote business based on new "Niseko Town Third Basic Plan for Disability" and "Fifth Disability Welfare Plan" aiming to promote community welfare activities that support and help each other with the spirit of mutual assistance and live together. We will work to strengthen cooperation with affiliates and plan to enhance consultation support and local life support projects.

The Niseko Town Council of Social Welfare, which is improving the welfare of the elderly and providing services, has established the "Niseko Town Life Support Center (tentative name)" for adult guardianship in this fiscal year. Because we perform consultation duties of adult guardianship toward one, we support about setting and push forward the training of "citizen guardian" to perform guardianship duties like last year.
　
We will continue to provide free specific health checkups for people aged 65 and over and people aged 75 and over with certain disabilities, as we have done up until now, and will also continue to provide additional subsidies for home renovation costs based on the long-term nursing-care insurance system, taxi assistance for people with severe disabilities, and snow removal support projects.

Along with changes in lifestyles and aging, the proportion of diseases caused by lifestyle habits such as daily eating habits and exercise has increased, and Honmachi conducts business based on the "Second Health Building 10 Year Plan" It was.
We will promote business such as nutrition classroom which acquires well-balanced healthy eating habits from the viewpoint of prevention of lifestyle-related diseases with the aim of "not being sick with healthy eating habits". In addition, we regularly tackle health promotion measures such as preventive measures for cancer and metabolic syndrome, such as guidance on prevention of lifestyle related diseases, implementation of various screening projects, improvement of examination visit rate, holding of health exercise classes.
In the videophone health consultation business, we have been working on improving the contents of business based on discussions at the relevant 4 towns and villages. This fiscal year we will also commission the Social Welfare Council to support the "Preventive Long-Term Care and Daily Life Support Comprehensive Project". In addition to this, we will continue implementing Ekinokox extermination measures with the cooperation of the residents of the townspeople.

In Honmachi, healthcare making, various medical examinations, health counseling, visiting guidance and so on are carried out in a detailed manner, general medical costs are on a downward trend, etc. However, results are mainly focused on late elderly people Medical expenses continue to increase, and strict fiscal management continues.

Under these circumstances, the “insurer's prefecturalization” was implemented this year with the aim of operating the National Health Insurance business soundly and stably, and the Hokkaido-Koshi Area Association, Niseko Town Health insurance business by elderly people starts.
In the future, Hokkaido will be presented with the amount of National Health Insurance tax required for insurance business accounting, and accordingly it will decide the "insurance rate" in the town, and we will review the asset allocation this year .

In addition to securing the fairness of tax by insurance tax storage measures this year as well, implementation of various health projects, receipt inspection in wide area coalition, implementation of difference notification when generic drugs are used, invitation for medical examination to those who have not received medical examination We will strive to restrain and optimize medical expenditure expenses by notifying etc.

Regarding the environment surrounding regional medicine, due to population declines, lack of medical technicians such as doctors and nurses, and changes in medical system by repeated countries, at Kutchan Health Hospital, which is the core of regional medical care, doctors including the director, The income and expenditure is steadily improving due to the efforts of nurses and staff, but the tough business situation continues still. In order to protect regional medicine, we will support this shortage of operating expenses along with neighboring towns and villages, mainly in Kutchan cho, which is the hospital's location this year. In addition, we will continue our "Nocturnal Immediate Disease Center" at Mt. Yotei mountain village to secure emergency medical care and improve the working environment of doctors.