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新政権は介護療養型医療施設の「存続」を

「介護療養型医療施設の存続を求める会」は12月8日、東京都内で「高齢者のための医療と介護を考える国民会議」を開いた。同会の吉岡充事務局長(上川病院理事長)は、「高齢者医療難民―介護療養病床を潰してよいのか」をテーマに講演。介護療養型医療施設は、多職種連携や利用者本位のケアの提供などの面で「進んでいる」とし、存続を訴えた。

　吉岡事務局長は講演で、介護療養型医療施設廃止の決定に至るプロセスは「きわめてずさんだった」と批判。また、介護療養型医療施設には「身体疾患を合併している重度認知症患者の受け入れができる」などのメリットがあるとし、その重要性を強調した。
　さらに介護療養型医療施設は介護保険適用の病床で、提供する医療や介護の基本がケアプランだと指摘。ケアプランの策定には、多職種のスタッフ、利用者、その家族が加わるため、ケアの内容に利用者の希望や意思が反映されやすく、多職種連携によるケアもしやすいとし、「介護療養型医療施設は進んでいる」と語った。

■介護療養廃止反対は「公約と同じ」、新政権に民主議員も「不満」
　続くシンポジウムでは、国会議員や研究者、医療関係団体の代表者などが発言した。この中で、日本慢性期医療協会の安藤高朗副会長(永生病院理事長)は、同協会が衆院選前に各政党に対して行ったアンケートで民主党が、▽「介護療養型医療施設の廃止」に反対▽「後期高齢者医療制度」に反対▽「療養病床を含む慢性期医療病床の増床」に賛成―と回答したことを紹介。「これは公約と同じことではないかと思っている」と述べた。
　また、今後の医療提供体制について、「療養病床は今後、80-90万床必要になるのではないか」と指摘。在宅医療を進めるためには、「きちんと家庭医制度をつくっていくべき」と語った。

　国会議員からは、民主党の山崎摩耶衆院議員や国民新党の自見庄三郎参院議員らが発言。山崎議員は、新政権発足以降、「一番肝心な医療・介護に関して、新政権からなかなか発信されていない」とし、現場の医療・介護関係者と同様、「私も不満だ」と述べた。

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