幸手市高齢者福祉計画 第６期介護保険事業計画 （平成27年度～平成29年度） 幸 手 市 は じ め に わが国では総人口が減少する中、高齢化率は上昇を続けてお り、平成25年には25％を超え、約４人に１人が65歳以上の高 齢者となっています。また、昭和22年から24年生まれのいわ ゆる「団塊の世代」の人たちがすべて75歳以上となる平成37 年（2025年）には、後期高齢者が２千万人を突破することが 見込まれています。それまでに、地域の実情に応じて、高齢者 が可能な限り住み慣れた地域で安心して日常生活を営むことが できるよう、住まい・医療・介護・予防・生活支援が一体的に提供される地域包括ケアシステ ムの構築を着実に進めていくことが求められています。 本市においても、少子高齢化が進む中、平成28年度には高齢者人口が１万６千人を 超え高齢化率が30.7％に、平成37年度には高齢化率が36.2％に達するものと見込ま れています。高齢者が生きがいをもって"元気で100歳"を迎えていただくためにも継続 して介護予防に重点を置くとともに、ひとり暮らし世帯や高齢者のみ世帯、認知症の人 の増加も懸念されることから、地域社会の中で、世代を超え、地域住民が共に支えあう 仕組みづくりを進めていく必要があります。 このたび策定した「幸手市高齢者福祉計画・第６期介護保険事業計画（平成27年度 ～平成29年度）」は、平成37年（2025年）の中長期的視点に立ち、第５期計画で取 り組んできた『地域包括ケア』の考え方を継承・発展した計画となっています。 本市のめざす将来像「住み慣れた地域で 人と人が支え合うやさしさあふれるまち 幸手」の実現に向けて、本計画の推進に全力で取り組んで参りますが、計画が目指す豊 かな高齢社会を実現するためには、市民の皆様をはじめ関係者と一体となった取り組み が不可欠であります。より一層のご理解とご協力をお願いいたします。 最後に、この計画の策定にあたり、貴重なご意見やご提言を賜りました幸手市介護保 険運営協議会委員の皆様をはじめ、関係機関の皆様や、アンケート調査にご協力いただ いた市民の皆様に心からお礼申し上げます。 平成27年３月 幸手市長 渡辺 邦夫 目 次 第１部 総論 ·································································· 1 第１章 計画策定にあたって ···················································· 3 １ 計画の目的 ····································································· 3 ２ 計画の性格 ····································································· 5 （１）法令等の根拠 ···································································· 5 （２）計画の位置付け ·································································· 5 ３ 計画の期間 ····································································· 6 ４ 計画の策定体制 ································································· 6 （１）介護保険運営協議会の開催 ························································ 6 （２）アンケート調査の実施 ···························································· 6 （３）パブリック・コメントの実施 ······················································ 7 第２章 高齢者をめぐる現状と課題 ·············································· 8 １ 高齢者等の現状 ································································· 8 （１）高齢者人口の推移 ································································ 8 （２）要支援・要介護認定者数の推移 ··················································· 10 （３）介護保険サービス利用者数の推移 ················································· 13 （４）アンケート調査結果からの課題 ··················································· 14 第３章 計画の基本的方向 ····················································· 36 １ 基本理念 ······································································ 36 ２ 基本目標 ······································································ 36 ３ 基本目標の実現に向けて ························································ 37 ４ 平成37年（2025年）に向けて ···················································· 38 （１）高齢者人口等の将来の見込み ····················································· 38 （２）日常生活圏域の設定 ····························································· 41 （３）地域包括ケアシステムの構築に向けて ············································· 43 （４）地域包括ケアシステムの構築のための重点的取り組み ······························· 44 ５ 施策の体系 ···································································· 45 第２部 各論 ································································· 47 第４章 基本目標１ 高齢者の生きがいづくりと自立の支援 ···························· 49 施策の方向性① 高齢者の就労の促進 ················································ 49 施策の方向性② 社会参加活動の促進 ················································ 50 施策の方向性③ 生涯学習・スポーツの推進 ·········································· 51 施策の方向性④ 生活支援の充実 ···················································· 53 第５章 基本目標２ 身近な地域で暮らし続けるための支援体制づくり ··················· 57 施策の方向性① 介護予防推進の体制整備 ············································ 57 施策の方向性② 在宅医療・介護連携の推進 ·········································· 60 施策の方向性③ 認知症施策の推進 ·················································· 64 施策の方向性④ 支え合いのまちづくり ·············································· 68 施策の方向性⑤ 安全な生活環境の整備 ·············································· 72 第６章 基本目標３ 介護保険事業の円滑な推進 ································· 75 施策の方向性① 介護保険サービスの充実 ············································ 75 （１）介護保険サービスの利用実績 ····················································· 75 （２）居宅サービスの量の見込み ······················································· 78 （３）施設サービスの量の見込み ······················································· 85 （４）地域密着型サービスの量の見込み ················································· 86 （５）施設・居住系サービスの整備の見込み ············································· 90 施策の方向性② 地域支援事業及び関連施策の推進 ···································· 91 （１）新しい地域支援事業 ····························································· 91 （２）事業の実施時期 ································································· 91 （３）総合事業の内容 ································································· 91 （４）包括的支援事業の内容 ··························································· 92 （５）任意事業の内容 ································································· 93 （６）地域支援事業の量の見込み ······················································· 93 施策の方向性③ 適切なサービス費用と保険料の見込み ································ 94 施策の方向性④ サービスの質の向上 ··············································· 100 施策の方向性⑤ 制度の円滑な運営 ················································· 102 第７章 計画の推進のために ·················································· 104 １ 各主体の役割 ································································· 104 （１）市民、家庭 ···································································· 104 （２）地域社会 ······································································ 104 （３）団 体 ········································································ 105 （４）事業者等 ······································································ 105 （５）行 政 ········································································ 105 ２ 計画の推進体制 ······························································· 106 （１）推進体制 ······································································ 106 （２）計画の点検 ···································································· 106 （３）計画の周知 ···································································· 106 資料編 ······································································ 107 １ 幸手市介護保険条例（抜粋） ··················································· 109 ２ 幸手市介護保険条例施行規則（抜粋） ··········································· 110 ３ 幸手市介護保険運営協議会委員名簿 ············································· 111 ４ 計画の策定経過 ······························································· 112 ５ 用語説明 ····································································· 113
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