Machizukuri making everyone to live healthily with a smile

In order to create a society in which people in various positions can mutually support each other and live in a healthy and rich mind, we will carry out necessary efforts while comprehensively looking at health, medical care, and welfare issues.

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 However, we have worked to create an environment where children can be raised with peace of mind.
This business plan is also the final year of this year, and is the year of preparation for formulating a new business plan from 2020 to 2020. Based on the results of the needs survey required for the child-rearing business of children, we will proceed with analysis and discussions at the Children's Conference, and formulate a new "Niseko Town Child and Child-Raising Support Project Plan".
This year, as a model town and village of "child-friendly town development business" that the public interest foundation Japan UNICEF association performs, we will demonstrate the participation of children in the town administration through a checklist, and will lead to the improvement of the child care environment.
Furthermore, we cooperate with "the emirate union which supports the future of child" that Motomachi joins, and work on realization of "a society where children believe their own potential and can challenge positively".
While continuing "to free medical care expenses for children up to the age of 18", which has been implemented for the healthy growth of children, and "crying for children to live is alive," the importance of play with cries out today, this year Begins examination about possibility of maintenance of "playground of child". In addition, along with these examinations, we will proceed with the examination of the way the child is.
The Niseko Children's House, which opened in April 2016, is used by many children and currently accepts 70 children. We aim at enhancement of facility as place of safe child care of child, but we examine use of Sunday and holidays with request from protectors than last year. We carry out recruitment of instructors from last year, but we decide to carry out trial opening as soon as childcare system is ready.
In the medical checkup, in order to detect hearing abnormalities early at the time of a newborn baby immediately after birth and to link it to early treatment, we will start a new subsidy to “Newborn Hearing Examination”. As continuation business, we try for enhancement of maternal and child health such as medical checkup of pregnant woman and infants, newborn baby visit instruction and health instruction and continue postpartum care of pregnant woman and securing measures of obstetrics and gynecologist as before.
In addition, all public expenses burden of voluntary vaccination of mumps and influenza, continuation of health checkup of 5-year-old child including health promotion of child and reduction of financial burden of protector, medical expenses payment business of premature infant and handicapped child etc To carry out.
 

Elderly and you have a body to disabilities everyone is, dear old was newly formulated has been "Shiribeshi interjurisdictional 7th long-term care insurance business plan" so as to be able to live in peace in the region and "7th Niseko Town Based on the elderly health and welfare plan "(FY 30-32 fiscal year), according to the change to the country's welfare system, and enhance the welfare for the elderly that can be peace of mind.
The special elderly nursing home “Niseko Heights” run by the Niseko Welfare Association is in need of refurbishment and reconstruction, as the facilities are aging. In order to continue the general management form and management last year, the basic design of the facility including the appropriate number of residents has been gathered, and in the future, we will improve the maturity of the design, and for maintenance of the facility where you can live with peace of mind Proceed with discussions with the Niseko Welfare Council. In addition, we continue support for "Guru-phi-mu, Kirari" opened as place where people with dementia can live in July, 2014 in peace.
In regional inclusion support center, we play a central role of the care prevention and support while planning in cooperation with related organizations and carry out prevention business for health maintenance. We have set up the "Dementia Initial Concentration Support Team" as a treatment for patients with dementia that has increased in recent years, and under the guidance of a dementia specialist, comprehensive and intensive initial support for people with dementia and their families. Will continue to support independent living as a “dementia initial concentration support project”.
With the support of the local activity support center and the home of Niseko Life, the organization itself is aging, and it is becoming difficult to respond to demand. This facility plays a central role in supporting people who have difficulties in daytime activities due to disability, and it is necessary to work with welfare related organizations to ensure that community support and community life support projects by the community proceed smoothly. In addition to coordination and coordination, we will continue to support the improvement of the working environment of people engaged and part of the facility management.
In addition, based on the "Niseko Town Third Basic Plan for Disability" and "Niseko Town Fifth Disability Welfare Plan", we will work to strengthen cooperation with welfare affiliates to promote community welfare activities, and provide consultation support and community life support projects. We will improve
The Niseko Town Social Welfare Council, which improves the welfare of the elderly and provides services, opened the Niseko Town Life Support Center for adult guardianship, and provides adult guardianship for people with increasing dementia We carry out consultation duties of and support training activity of "citizen guardian" to perform guardianship duties appropriately.
From this year, we will expand our food distribution service, which has been offering "a meal a week," to "two meals a week," and will strengthen the provision and monitoring of meals for the elderly.
In addition, we continue free conversion of specific medical checkup of one 65 years or older with certain obstacle and one 75 years or older, addition to house repair costs furtherance support based on the care insurance system, toward the person with severe disability We continue taxi use assistance, snow removal support business.

Based on "the second decade health promotion plan" in Honcho, we implemented business for the purpose of prevention of disease caused by lifestyle such as change of life form and aging, daily diet and exercise .
In this year, we aimed at becoming theta base including vaccination record, but we collectively manage vaccination record of all the townsmans and consultation record of various medical examinations and introduce new system performing prevention and health instruction, We will help to simplify the office work and health promotion.
From the viewpoint of lifestyle-related disease prevention, aiming at "healthy eating habits without knowing diseases", promoting businesses such as nutrition classrooms to acquire healthy eating habits and nutritional classrooms such as infants feeding To do. In addition, we are working on health promotion such as cancer and metabolic syndrome prevention measures from guidance of lifestyle-related disease prevention regularly, conduct of various examination business, improvement of examination consultation rate, holding of healthy exercise classroom.
About "video telephone health consultation business" which we carry out in Kimobetsu-cho, Shikomi-cho, Shimamaki village, four towns of Honcho by wide area cooperation, we work on business while planning review of contents in this year.
In addition to this, we will continue to implement measures against Echinococcosis which are being implemented with the cooperation of all the townspeople.
 

In Honcho, we carry out consultations for health promotion and various medical examinations, health consultations and visit guidance carefully and try for suppression of medical expenses, but general medical expenses are on the increase trend by advanced medical care. In addition, there is an increasing trend in medical expenses, especially for elderly people aged 75 and older.
Currently, the `` prefecture of insurers '' is being implemented with the aim of operating the national health insurance business soundly and stably, and the national health insurance business by the three parties of Hokkaido and the Shishi Wide Area Niseko Town It is operated. Based on the estimated medical expenses of all roads, the insurance business accounting is in Hokkaido, and the required national health insurance tax of Niseko Town is presented, and the town determines the “insurance tax rate” accordingly . In Honcho, this year we plan to conduct a “review of the asset allocation” again in the same manner as last year.
In addition to securing the fairness of the tax by storing measures of insurance tax this year, the implementation of various health business, simplified daily medical checkup of National Health Insurance participants, medical checkup recommendation in Kutchan welfare hospital and receipt inspection in wide area alliance, generic We will strive to control and optimize medical expenses spending by implementing notification of difference when using pharmaceuticals, notification of consultation invitations to those who have not had a medical checkup, etc.
 

At the Kutchan Public Health Hospital, which plays a central role in regional medicine, there are situations where improvements are being made a little bit more from the situation where medical technicians such as doctors and nurses are lacking. In terms of balance, the balance is steadily improving through the efforts of the director and other doctors, nurses, and staff, but the business situation is still severe. In order to secure regional medical care and emergency medical care and improve the working environment of doctors, work on the "Night sudden illness center" in Yotei mountain range town village, and with the neighboring towns and villages centering on the hospital location Kutchan Town Support for
In addition, with regard to the reconstruction of the former Kutchan Public Health Hospital, over the course of the current year, we will discuss the reconstruction, contributions, etc. with the relevant local governments, and decide on the future directionality.