@article{oai:n-seiryo.repo.nii.ac.jp:00001104, author = {柄澤, 清美 and KARASAWA, Kiyomi}, issue = {3}, journal = {新潟青陵大学紀要}, month = {Mar}, note = {application/pdf, The Yokufuen is a geriatric care setting established in 1927 under the Imperial Foundation. It was under the direct control of the Ministry of Internal Affairs, generously sponsored by the Imperial Foundation, and for those days was an outstanding care house. However, until nowadays a proper estimation of the medical treatment provided at the Yokufuen, especially from the social welfare approach was insufficient. This work represents a case study of the Yokufuen geriatric care setting with an analysis of medical treatment provided from the viewpoints of nursing and economics. Thus, the analysis has been performed in the following order. First, the social needs put on the base of establishment of the nursing facilities and the following development process of the health care system has been clarified. Second, an analysis of the medical development process has been done. In other words, the needs for the medical treatment and nursing sectors, and possible ways for its satisfaction have been clarified. Then, to summarize the above-mentioned it was analyzed how the Yokufuen geriatric care setting has managed to satisfy the social needs. As a conclusion, medical treatment system provided at the Yokufuen can be considered as a prehistory stage for development of the elderly care system., 浴風園は、1927年に恩賜財団浴風会によって設立された養老施設である。浴風園は、恩賜財団の豊富な資産をもとに内務省直轄の運営が行われ、当時としては質の高い養老施設とされていた。しかし、これまでの浴風園の評価は、社会福祉的視点からのものが多く、医療についての評価が不十分であった。今回の論文は、浴風園における、高齢者医療保障前史ともいえる医療を看護学的および経済学的に分析したものである。まず、浴風園がどのような社会的必然性によって設立されたかをふまえ、それによりどのような医療システムを作ったかを論じた。それから、医療の展開過程を分析した。すなわち、老人の医療ニーズおよび看護ニーズがどのように明らかにされ、それにどう対応したかについて論じた。また、尼子富士郎の老年医学研究の業績について論じた。そして、それらをふまえて、浴風園における医療活動を高齢者医療保障前史として位置づけた。}, pages = {115--132}, title = {「高齢者医療保障前史に関する一研究」 : 浴風園における老人医療を通して}, volume = {3}, year = {2003} }