Abstract：
Due to the rapidly aging population in Japan, the government has been attempting to link the healthcare delivery system with the long-term care delivery system. However, there are complex challenges that must be overcome to link the two systems. A new methodology should be used to organize complex community challenges and propose solutions. This study aimed to visualize the unique challenges and worldviews of interested parties in each community, using the soft systems methodology (SSM). We aimed to visualize issues and clarify challenges associated with linking the healthcare and long-term care delivery systems; in turn, clarifying the thought process behind solution proposals. We gathered information regarding those who are actively linking these systems in communities in a Japanese municipality (community care coordinators) and organized the information according to the SSM procedure. By organizing information using the SSM, we were able to summarize the present situations of the community healthcare and long-term care delivery systems, visualize issues, clarify challenges associated with linking these two systems, and propose solutions. The SSM may be useful in organizing complex community information and deriving solutions.
摘要：
由于日本人口迅速老龄化，政府一直试图将医疗保健提供系统与长期护理提供系统联系起来。然而,要将这两个系统联系起来，必须克服复杂的挑战。应该使用一种新的方法来组织复杂的社区挑战并提出解决方案。这项研究旨在可视化每个社区感兴趣的各方的独特挑战和世界观，使用软系统方法(SSM)。我们的目标是可视化问题，并澄清与连接医疗保健和长期护理提供系统相关的挑战;反过来，澄清解决方案建议背后的思维过程。我们收集了有关在日本市政当局的社区中积极链接这些系统的人（社区护理协调员）的信息，并根据SSM程序组织了信息。通过使用SSM组织信息，我们能够总结社区医疗保健和长期护理系统的现状，可视化问题，澄清与连接这两个系统相关的挑战，并提出解决方案。SSM可能有助于组织复杂的社区信息并得出解决方案。
