Embed Size (px)
Citation preview
Redesigning Communities for Healthy Longevity~ A Model from Kashiwa, Japan ~
Hiroko Akiyama
Institute of Gerontology The University of Tokyo
NAM Healthy Longevity WorkshopNovember 7, 2019, Washington DC
Challenges and Opportunities of a 100 year Life Society
Individual: Life design for 100 years
Society: Redesigning the infrastructure
Industry: Gold mine of innovation
2
2
Demographics (Japan)
Life Expectancy :Men 81 yearsWomen 87 years
Fertility Rate : 1.43
Age 65+ : 28%
Demographic Shifts （1950－2050）
資料： 総務省統計局「国勢調査」，国立社会保障・人口問題研究所「日本の将来推計人口（平成14年1月推計）
0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
1950
1960
1970
1980
1990
2000
2010
2020
2030
2040
2050
千人
Age 15～64
Age 0～14
Age 65～74
Age 75+
4
Old Age Dependency Ratios (Age 20-64 / Age 65+)
Year 2012 Year 2050Year 1965
9.1 persons
1.2persons
Needs to increase labor force
Longer work life
Child care support
2.4 persons
4
Redesigning Communities for 2030
5
Hospital->Home
Hospital Community
24-hr. visiting nurses & home help
Diverse housingIndividualized mobility assistance
Attending Dr.
Productive aging
E-health
ICT Network
Health Info
Pharmacy
Costs
Quality of Life
(QOL)
Evaluation
Primary care
Patient studies
Quality of Community
(QOC)
Major Projects
• Productive aging• Life long learning • Human Bonds • Frailty prevention• Health care & long term care• Housing• Transportation• ICT
15
Social Experiment Sites
China
Korea
Pacific Ocean
TokyoOsaka
Kashiwa
Fukui
22
We Live Longer & Work Longer
It is good for the well-being of individuals and the society
23
We are Living Longer and Healthier!
11 years younger in usual walking speed between 1992 &2002
8
Walking Speed
Men Women22
Definition of ‘old-age’ : age 75+
23
全体
男性 女性
平均 平均 平均
得点 順位 得点 順位 得点 順位
雇用されて働くこと 3.36 1 3.46 1 3.27 5
健康づくりの活動 3.36 2 3.29 3 3.43 1
自然と触れ合うことができる活動 3.35 3 3.36 2 3.35 2
食に関係する活動 3.23 4 3.11 4 3.35 3
芸術・音楽活動 3.17 5 3.04 5 3.29 4
生涯学習活動（学ぶ、交流中心） 3.11 6 3.02 6 3.19 6
ボランティアで働くこと 2.97 7 2.96 10 2.97 8
環境問題に取り組む活動 2.96 8 2.98 8 2.94 9
地域に貢献する活動（貢献する活動であれば何でも） 2.95 9 3.00 7 2.90 10
地域住民のつながりを築くような活動 2.92 10 2.94 12 2.89 11
地域の治安や防犯に関する活動 2.90 11 2.98 9 2.84 13
まちづくり活動 2.88 12 2.95 11 2.80 14
福祉関係のサポート活動 2.87 13 2.85 14 2.89 12
教育活動 2.82 14 2.84 15 2.80 15
次世代、子供と交流できる活動 2.82 15 2.83 16 2.80 16
美容に効く活動 2.77 16 2.50 21 3.03 7
子育て・育児サポート活動 2.68 17 2.59 20 2.76 17
起業して働くこと 2.67 18 2.83 17 2.52 19
異性と交流できる活動 2.61 19 2.86 13 2.37 21
海外で活躍する（奉仕活動等）こと 2.60 20 2.61 19 2.58 18
協同組合に属して働くこと 2.53 21 2.61 18 2.45 20
男女別
What do you want to do after age 65?
就労
自分磨き・探し感性
24
Life twice as long
50 year life ⇒ 100 year life
Sunset years of life ⇒Second chapter of life
25
Labor force participation rate & health expenditureby prefecture (Age 65+)
(Yen)
r= -0.491
Labor force participation rate of older people
Health expenditure per older person
Sources: Ministry of Health, Labour and Welfare; Statistics Bureau25
Japanese seniors are willing to work
19.2 23.0 8.9 36.89.7
2.4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
60歳ぐらいまで 65歳ぐらいまで 70歳ぐらいまで 75歳ぐらいまで 76歳以上 働けるうちはいつまでも
Source： Seniors’ Social Participation Survey （Cabinet Office）
＜How long do you want to work? ＞
70% of people age 60+ want to work until age 70 and longer
70%
15
15
CommunityEatery
After-schoolProgram
Meal Delivery
Work Places for the Second Life
Paper DiapersRecycling Factory
Roof Garden
CommunityFarm
FarmersMarket
Mini-vegetableFactory
Creating Work Places and Work Style
16
Office Seven
Utilizing fallow landsUrban farming
Using vacant housesMini vegetable factory
Supporting & enhancing living
Mobile shops, meals-on-wheels
@ renovated apartment complex
Rooftop farm
Community eatery
Child-care support
Farmers union “Kashiwa Noen”Kashiwa City, Agri. Committee, etc.
Daiwa HouseUrban Renaissance Agency (UR)
Urban Renaissance Agency (UR)(discussing the post-renovation plans)
Private company (open invitation for participation)
Kurumi Gakuen (local kindergarten)Sugiura Environ. Project (local company)
Kashiwa City Dept. of Family, etc.
Tokyo Marine Nichido Better Life ServiceCity Dept. of Aging, Social Welfare Council, etc.
Agri.
Agri
Agri
Food
Kids
Life
Kash
iwa C
ityU
RU
niv. o
f Tokyo
Food
New Work Style for the Second Life
17
Farmers union
Business corp.
School
Business corp.
Coordinating B
ody: “O
ffice Seven”
Senior
Senior
Senior
Senior
Senior
Senior
Recruitm
ent, job-matching,
labor mgt.
Job-matching,
labor mgt. support
Health care
Office Seven- “Job seminar” for residents: held 6 times & 517 people completed- Using work-sharing, a flexible employment scheme for both employers
and workers - Technological development using a cloud computing system to support
the flexible work scheme
18
■The 4th job seminarJune 22 (Fri.) & 27th (Fri.)
■The 5th job seminarJuly 24th (Tue.) and 31st
(Tue.)
※The 5th seminar will focus on agriculture
“Job Seminar”
Seminar Dates & Programs Seminar VenueThe Univ. of
Tokyo Kashiwa Campus
Research bldg.6th fl.
#1June
22
#2June
29
AM: Second-life work 101
PM: Current job opportunities and environment for seniors
AM: Expectations from employers
PM: New work styles in the second-life
This seminar is for:• Age 60+•City residents•Interested in working•Can participate in evaluation, etc.
Seniors in Work Places
27
2121
Physical and mental health
Social relations
Meaningful life
Smile
Tax revenue
Health care costs
Social capital
Individual Community
Effect Indicators
Evaluation Study
IOG LabVascular test
・CAVI/ABI・FMD
Body composition
・Fat/body water/bone and muscle mass
Bone density
Cognitive functionPhysical activity
・Pedometer/calories/Mets
Life-long Active Society
Individual
Health
Purposeof Life
Income
Connected
Sense of Belonging
Society
Producers
Consumers
Tax Payers
Preventing Social Isolation
Public Finance for Healthcare/Welfare
Community Power
Well-balanced Mutual Support Society 37
Policy Recommendation to Ministry of Health, Welfare and Labor
36
25
生涯現役促進地域連携事業地域マップ
2018/12現在
Towards Life-long Active Society
• Pension reforms• Reduction of labor market barriers• Enhancing employability
37
KEIROKA: 3S Assistive Technology
Smart Suit ® LitePassive KEIROKA Technology
Smart Suit ® Semi-active KEIROKA Technology
KEIROKA TechnologyAssistive technology to reduce fatigue/load of human workers in manual labors, e.g. agricultural work, nursing care, construction, designed on the concept of 3S assist.
3S Assist- Secure assistance- Sustainable assistance to maintain physical functions- Subliminal assistance not to disturb sensory functions
KEIROKA technologies for buck support
http://keiroka.org/
Biomechanical design for Smart SuitContact to Prof. Tanaka (Hokkaido University, JP)
AI Platform for Augmenting Intelligent Production of Diverse Human Resources
JST-Mirai Program
88
Life Expectancy
Healthy Life Expectancy
Engaged Life Expectancy
Collaboration of Multi-stakeholders
Municipal Government
Universities
Citizens
Industry
49
