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A shrinking population, low birthrate, and aging society are problems Japanese society is currently facing. The population of Japan began decreasing in 2005 and It is estimated the population will shrink to 70% of its current level by 2055. there are disparities between sparsely populated mountainous regions and urban areas in terms of the social capital that forms the basis of everyday life (infrastructure such as public facilities, roads, sewers, telecommunications; and medical, health, and welfare systems). Our objective was to clarify issues related to the living environments of older adults people. Methods: Surveys were conducted using questionnaires and through semistructured interviews. (1) Questionnaire survey: Subjects: 333 households, 627 people age 20 or older, a collection rate of 37.3%. (2) Semi-structured interview The result of this study is most of participant wanted to continue living in the district but the living environment are lacking, most of resident is single person households and the 80% of resident are regularly going to hospital. 50% of them in personal interview said that the transportation infrastructure and medical service is inconvenient. The main reason of the inconvenient is high frequent of going to hospital and difficulty finding support. In order to support the older adults to live their home in rural community, it is necessary to advance developing human resources and develop the community support system in order to provide the end of life care in the home.

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UCI(KEPA) : I410-ECN-0101-2018-338-001976829