Suveillance study on "The palce for end of my life" and "Design in mu future" for the senior citizen of marginal hamlet in Japan

The purpose: The object of this survey, “SUGARI district” is an enclave in Owase City, (Location is Middle of Japan) and the marginal hamlet by the rate of aging 54.9% as an inconvenient traffic place. So, the access of the health welfare medical services is very difficult. This survey aimed for the senior resident in this area to find out for better and necessary comprehensive health system. The method: The object was senior citizen 206 of 65 years or more of this district living, and the answer of 181 people was obtained. This survey contents are as follow; present health condition including ADL, family relationship, social support and the end of my life issues. The result: 80% or more is living alone or living of two people with the consort. As for children, 68% lived outside this area. 74 % of resident recognized health conditions "So-so". However, 68% have given some medical care. All residents are proud of natural environment, and wanted to live through life here. If they will be difficult to live by themselves, they wish that most was going to live in their own home or child's house. However, they realized that it could do nothing but enter nursing home actually. So, it was made not to think about my end of life issues as possible. Most of people satisfied the community bonds. But, the overall social support was low. Their keen demands are enhancement of the public transportation facility and the health service regularly.