著者

三浦 研 安田 渓

出版者

日本建築学会

雑誌

日本建築学会計画系論文集 (ISSN:13404210)

巻号頁・発行日

vol.86, no.790, pp.2578-2586, 2021-12-01 (Released:2021-12-01)

参考文献数

10

被引用文献数

1

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Background In Greater Tokyo areas with well-developed transportation networks and high land prices, there is a possibility that elderly people are leaving their familiar areas and moving to distant Residences For Elderly People with Services, or REPS. However, since prefectures, ordinance-designated cities, and core cities individually manage the REPS, the actual situation over a wide area of the Greater Tokyo area has not been ascertained as to where and what kind of REPS are being constructed. Objective The purpose of this study is to clarify the distribution trend of REPS in the Greater Tokyo area from the perspective of resident attributes such as the long-term care level and the care functions attached to REPS, while comparing it with REPS data from across Japan. Research Method In this study, 7415 registered information and 3261 management information of REPS nationwide as of August 2019 were obtained, and analyzed the distribution of the REPS in the Greater Tokyo area on GIS using CSV address matching service. Results Based on the information available in the database, the distribution of REPS in the Tokyo metropolitan was analyzed on a map, and segregation by rent and tenants' long-term care level was found, as shown below. The REPS located in the center of the Greater Tokyo area has more than 50 units and a large private area, and it also has a Home-Visit Long-Term Care. On the other hand, the REPS in remote areas have only about 30 units and a private area of less than 20 square meters and provide nursing care through Outpatient Day Long-Term Care. In addition, there were many REPS in the prefectures far from Tokyo, with about 30 units and an exclusive area of less than 20 square meters. In the prefectures farther from Tokyo, the residents' average long-term care level was higher than in other prefectures, resulting from older people requiring care moving from Tokyo. As a result of analyzing the ratio of male and female residents, the REPS with a high ratio of male residents tended to be distributed in the outer rim of the Greater Tokyo area. The characteristics of REPS with a high ratio of males include inconvenient locations, low rent, and a tendency to require a high care level despite their relative youth. From the perspective of nursing care, there is a tendency for low-income male older people to move to distant areas with poor conditions when moving into the REPS.  Conclusion In the Greater Tokyo area, a GIS analysis showed that REPS was accepting older people in need of nursing care Tokyo in prefectures 40 to 60 kilometers away from central Tokyo. In this metropolitan area, older people in need of nursing care in Tokyo are accepted by REPS in prefectures far away from Tokyo. This indicates that the land prices in Tokyo are so high that older people in need of nursing care cannot continue to live there and are forced to relocate to remote areas in search of low-cost REPS. The reality that low-income older people cannot continue to live in Tokyo may necessitate the development of low-cost housing for the elderly, such as safety-net accommodation renovated from existing private homes.