Chapter 1 Recovery of Livelihood in the Community

233.3 billion

## 【Recovery of medical care, welfare services and the community】

【Recovery of medical care, welfare services and the community】

Rebuild the system for the provision of medical care and welfare services and the local community in order to recover the livelihood in disaster stricken areas and serve as a model of an aging society with a declining birthrate.

### 1. Rebuilding of the regional medical care system (increase the Fund for the Recovery of the Regional Medical Care (applied in the affected 3 prefectures)) 72 billion yen

In order to construct a new system that offers medical care services without any disruptions in areas whose community health care suffered enormous damage, financial support is provided for the following projects based on the health care reconstruction plans drawn up by the affected 3 prefectures. ① Redevelopment of medical institutions, etc.

Redevelop medical institutions affected by the disaster, including those in the private sector, from the following standpoints, to strengthen and streamline the medical care through the differentiation, consolidation, and coordination of medical care functions.

• Differentiation of functions between hospitals, whose functions are to be boosted, and those that provide medical support

• Participation of health clinics in the at-home duty medical system

- Promotion of home medical care through the development of medical institutions (home medical treatment support hospitals and health clinics) that function as the points of coordination for home medical care

② Development of an infrastructure where information is exchanged among medical institutions

③ Securing of staff, such as doctors and nurses

#### 2. Rebuilding of the integrated community care system (increase the Provisional Special Fund for the Urgent Establishment of Infrastructure of the Long-term Care Facilities (applied in the affected prefectures)) 11.9 billion yen

In order to develop and maintain the “integrated community care” system that integrally and ongoingly provides medical and long-term care services in daily living areas, financial assistance is provided for the following projects based on the reconstruction plans, etc. formulated by affected municipalities,

① Establishment of the bases for the integrated community care system

Establish the bases of home care, etc. in addition to the small-scale intensive care home for the elderly, group homes, etc.

② Establishment of the support bases for long-term care

To support the daily lives of the elderly whose life as evacuees has been prolonged, develop long-term care support facilities provisionally needed (where general counseling is provided and the activities of the elderly at temporary emergency housings, etc. are supported in a comprehensive manner).

3. Rebuilding of “Kizuna (solidarity)” in the community (increase the Provisional Special Fund for Emergency Job Creation (to support projects, including the expansion of measures for housing)) (applied nationwide) 20.2 billion yen

Reconstruct “kizuna” and connection among people in the community and provide financial support for the following projects in support of the livelihood of the elderly, disabled, poor, etc.

- Support for local activities to promote “social inclusion” (support provided by an incorporated NPO, etc. to make an assessment of the situation and watch over the above people through the home visit care)