redesigning communities for healthy longevity...2019/11/03  · redesigning communities for 2030 5...

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

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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

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Redesigning Communities for 2030

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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

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Social Experiment Sites

China

Korea

Pacific Ocean

TokyoOsaka

Kashiwa

Fukui

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We Live Longer & Work Longer

It is good for the well-being of individuals and the society

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We are Living Longer and Healthier!

11 years younger in usual walking speed between 1992 &2002

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Walking Speed

Men Women22

Definition of ‘old-age’ : age 75+

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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

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Life twice as long

50 year life ⇒ 100 year life

Sunset years of life ⇒Second chapter of life

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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%

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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

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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

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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

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■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

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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

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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

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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)

ttanaka@ssi.ist.hokudai.ac.jp

AI Platform for Augmenting Intelligent Production of Diverse Human Resources

JST-Mirai Program

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Life Expectancy

Healthy Life Expectancy

Engaged Life Expectancy

Collaboration of Multi-stakeholders

Municipal Government

Universities

Citizens

Industry

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