Community Integrated Care / 社区综合照护

Community integrated care is the Japanese shift from hospital-complete care to community-complete care in vol.120.日本医疗体系的崩溃与重生：医院、药品、医保三角困局的一种解法. The episode links the 1997 long-term care insurance law and 2003 community care system to a broader attempt to join medical care, long-term care, life support, and elder security.

The concept extends Aging-In-Place Support System / 居家养老支持系统 from individual planning into public system design. Community care can delay institutionalization, reduce unnecessary acute-care stays, and make older people safer at home if clinics, pharmacies, nursing support, rehabilitation, and emergency pathways are actually available.

Key Claims

• Community care is not a soft substitute for medicine; it reallocates hospital capacity toward people who need acute treatment.
• Aging-in-place depends on professional and local infrastructure, not only family willingness.
• Chronic disease and post-acute recovery require coordination across clinic, hospital, pharmacy, home care, and welfare systems.

Connections

• Aging-In-Place Support System / 居家养老支持系统, Elder Care State Capacity, and Long-Term Care Insurance Planning - existing elder-care planning branch.
• Social Hospitalization / 社会性住院 - hospital overuse problem the model tries to reduce.
• Japanese Medical Triage System / 日本分诊制 and Pharmacist As Second Doctor / 药剂师第二医生体系 - local access and medication-support components.
• Japan and China - comparative aging and care-system settings.