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An Examination of End of life that the dementia elderly person by healthcare occupations and the welfare occupations

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ᮌᮧ ඾Ꮚ

ឡ▱ᏛἨ▷ᮇ኱Ꮫ

An Examination of End of life that the dementia elderly person by healthcare occupations and the welfare occupations

Noriko Kimura

࣮࣮࢟࣡ࢻ㸸ே⏕ࡢ᭱ᮇ End of lifeࠊㄆ▱⑕㧗㱋⪅ dementia elderly persons ࠊ ࢢ࣮ࣝࣉ࣮࣡ࢡ examination

1㸬ࡣࡌࡵ࡟

ㄆ▱⑕࡟ࡼࡗ࡚ࠊ⮬ศࡢពᛮࡀఏ࠼ࡽࢀ࡞࠸≧ែ

࡟࡞ࡗࡓ᫬ࠊ௒ᚋࡢ⏕άࠊ་⒪࡞࡝࡟ࠊ࡝ࡢࡼ࠺࡞

ᑐ ᛂ ࢆ ࡋ ࡚ ࠸ ࡃ ࡜ ࡼ ࠸ ࠿ ࡜ ࠸ ࡗ ࡓ ၥ 㢟 ࡀ ࠶ ࡿ ࠋ

ࡲࡓࠊ㧗㱋⪅ࡢ༢⊂ୡᖏࡢቑຍ࡛ࠊ⑓Ẽ࣭௓ㆤࡀᚲ せ࡟࡞ࡗࡓሙྜࠊࡔࢀࡀ࣮࢟ࣃ࣮ࢯࣥ࡜࡞ࡾࠊ㈐௵

ࢆࡶࡘࡢ࠿࡜࠸ࡗࡓၥ㢟ࡀ࠶ࡿࠋ᪥ࠎࠊ་⒪࣭௓ㆤ

⌧ሙ࡛ࡣᝎࡲࡉࢀ࡚࠸ࡿࠋ

ཌ⏕ປാ┬ࡢ㧗㱋⪅᪋⟇࡛࠶ࡿࠕㄆ▱⑕᪋⟇᥎㐍 㸳࠿ᖺィ⏬ࠖ㸦࢜ࣞࣥࢪࣉࣛࣥ㸧ࠊ᪂࢜ࣞࣥࢪࣉࣛ

࡛ࣥࡣࠊㄆ▱⑕ࢣ࢔ࡢ㔜せㄢ㢟࡜ࡋࠊㄆ▱⑕㧗㱋⪅

ࡢពᛮࢆᑛ㔜ࡋࡓᨭ᥼ࢆ࠶ࡆ࡚࠸ࡿࠋពᛮࢆᑛ㔜ࡋ ࡓࢣ࢔࡜ࡣ࡝ࡢࡼ࠺࡟⪃࠼࡚࠸ࡅࡤࡼ࠸ࡢࡔࢁ࠺࠿

࡜㢌ࢆᝎࡲࡏࡿࠋㄆ▱⑕࡛࠶ࡿ࡜ࠊពᛮࡀ☜ㄆ࡛ࡁ

࡞࠸࡜⪃࠼ࡽࢀࠊᐙ᪘ࡢពྥࡀࠊㄆ▱⑕㧗㱋⪅ࠊᮏ

ேࡢពᛮ࡛࠶ࡿ࠿ࡢࡼ࠺࡟་⒪ࡸࢣ࢔ࡀ㐍ࡵࡽࢀ࡚

࠸ࡿࠋᖹ⃝ࡣㄆ▱⑕㧗㱋⪅ࡢᐙ᪘ࡣ⤊ᮎᮇ་

⒪࡛௨ୖࡀᘏ࿨἞⒪ࢆᮃࡲ࡞࠸࡜⟅࠼࡚࠸ࡿࡀࠊ ࡑࢀࡀᮏேࡢពྥ࡛࠶ࡿ࡜⟅࠼ࡓ๭ྜࡀᑡ࡞࠸ࠋᮌ

ᮧࡢㄆ▱⑕㧗㱋⪅ࢢ࣮ࣝࣉ࣮࣒࣍ࢆᑐ㇟࡜ࡋ ࡓㄪᰝ࡛ࡣࠊㄆ▱⑕㧗㱋⪅࡟ධᒃ᫬࡟௒ᚋࡢ⏕άࠊ

⤊ᮎᮇ࡟ពྥ☜ㄆࢆ⛬ᗘࡋ࠿⾜ࢃࢀ࡚࠸࡞࠿ࡗ

ࡓࠋ

ཌ⏕ປാ┬ࡢ⤊ᮎᮇࡢ་⒪Ỵᐃࣉࣟࢭࢫ࡛ࡣࠊ ᝈ⪅ࡢពᛮ☜ㄆࡀ࡛ࡁ࡞࠸ሙྜ࡟ࡣࠊ་⒪࣭ࢣ࢔ࢳ

࣮࣒ࡢ୰࡛ៅ㔜࡞ุ᩿ࢆ⾜࠺ᚲせࡀ࠶ࡿࠋᐙ᪘ࡀᝈ

⪅ࡢពᛮࢆ᥎ᐃ࡛ࡁࡿሙྜ࡟ࡣࠊࡑࡢ᥎ᐃពᛮࢆᑛ 㔜ࡋࠊᝈ⪅࡟࡜ࡗ࡚ࡢ᭱ၿࡢ἞⒪᪉㔪ࢆ࡜ࡿࡇ࡜ࢆ

ᇶᮏࡋࠊᐙ᪘ࡀᝈ⪅ࡢពᛮࢆ᥎ᐃ࡛ࡁ࡞࠸ሙྜ࡟ࡣࠊ ᝈ⪅࡟࡜ࡗ࡚ఱࡀ᭱ၿ࡛࠶ࡿ࠿࡟ࡘ࠸࡚ᐙ᪘࡜༑ศ

࡟ヰࡋྜ࠸ࠊᝈ⪅࡟࡜ࡗ࡚ࡢ᭱ၿࡢ἞⒪᪉㔪ࢆ࡜ࡿ

ࡇ࡜ࢆᇶᮏ࡜ࡍࡿࠋ⤊ᮎᮇ࡟࠾࠸࡚ࠊ㧗㱋⪅ࢆ୰ᚰ

࡟ࠊᐙ᪘࡜་⒪࣭⚟♴ࡢከ⫋✀ࡀ㐃ᦠࡋ࡚ࠊᑐฎࡋ

࡚࠸ࡃࡇ࡜ࡀᚲせ࡜࡞ࡿࠋ࠾஫࠸ࡀヰࡋྜ࠸ࢆࡋ࡚ࠊ ࢥࣥࢭࣥࢧࢫࢆᚓࡿ࡟ࡣࠊ࠿࡞ࡾࡢࢫ࢟ࣝࢆせࡍࡿ

ࡇ࡜ࡀ⪃࠼ࡽࢀࡿࠋከ⫋✀㛫࡟࠾࠸࡚ࠊ࡝ࡢࡼ࠺࡞

ヰࡋྜ࠸ࡀࡉࢀࡿ࠿ࢆ▱ࡾࠊ௒ᚋࡢከ⫋✀㛫࡛ࡢヰ ࡋྜ࠸ࡢ௙᪉ࠊ㐃ᦠࡢᅾࡾ᪉ࢆ⪃࠼࡚࠸ࡃᚲせᛶࡀ

࠶ࡿࠋከࡃ࡛㛵ࢃࡾࢆࡶࡘࡇ࡜࡛ࠊ㈐௵ࡢᡤᅾࡀ୙

᫂☜࡞≧ἣ࡟࡞ࡿࡇ࡜ࡶ⪃࠼ࡽࢀࡓࠋ

௒ᅇࠊㄆ▱⑕㧗㱋⪅ࡢ⤊ᮎᮇ஦౛ࢆࡶ࡜࡟ࠊከ⫋

✀㛫࡛ࡢពぢ஺᥮఍ࢆᐇ᪋ࡋࡓࠋ࡝ࡢࡼ࠺࡞཯ᛂࠊ

⪃࠼᪉ࢆࡋ࡚ࠊᑐฎ᪉ἲࢆ⌧ሙࡢ་⒪࣭⚟♴⫋ࡢே

ࡓࡕࡣᑟࡁฟࡍࡢ࠿ࢆ▱ࡾࠊࡑࡢୖ࡛ࠊ⤊ᮎᮇࢣ࢔

㸫㸫

(2)

◊ಟࡢ᪉ྥᛶࢆ⪃࠼ࡿ㈨ᩱࢆᚓࡿࡓࡵ࡟ࠊㄪᰝࢆ⾜

ࡗࡓࡢ࡛ࠊሗ࿌ࢆࡍࡿࠋ

2㸬◊✲᪉ἲ

㸦1㸧ᑐ㇟⪅

Aᕷㄆ▱⑕ࢣ࢔ࢿࢵࢺ࣮࣡ࢡ◊ಟ఍࡟ཧຍࡋࡓ་

⒪࣭⚟♴⫋ࠋ

㸦2㸧᪉ἲ

ཧຍ⪅࡟ࠊ5㹼6ྡࢆ୍ࡘࡢࢢ࣮ࣝࣉ࡜ࡋ࡚ࠊ஦౛

ࠕ୍ேᬽࡽࡋࡢㄆ▱⑕ࡢ᪉ࡢ⤊ᮎᮇ ̿ᦤ㣗ࠊᄟୗ㞀 ᐖ̿ࠖࡢㄢ㢟ࠕࡇࡢ஦౛࡟ฟ࡚ࡃࡿ⏚ࡢ❧ሙ࡛࠶ࡗ ࡓࡽࠊ࡝࠺ࡋࡲࡍ࠿ࠖࠊࠕ᥼ຓ⪅࡜ࡋ࡚ࠊ⏚࡟࡝ࡢࡼ

࠺࡟࠿࠿ࢃࡾࡲࡍ࠿ࠖ࡟ࡘ࠸࡚ࠊ20ศ⛬ᗘࠊࢢ࣮ࣝ

ࣉ࣮࣡ࢡࡋ࡚ࡶࡽ࠺ࠋḟ࡟ࠊࡑࡢヰࡋྜ࠸ࡢ㐣⛬ࢆ

ICࣞࢥ࣮ࢲ࣮࡟㘓㡢ࡋࠊ㏲ㄒ㘓࡜ࡋ࡚グ㏙ࡋࠊศᯒ ࡍࡿࠋ

㸦3㸧ศᯒ᪉ἲ

ࢢ࣮ࣝࣉࡈ࡜ࡢヰࡋྜ࠸ࡢ㐣⛬ࡢ㏲ㄒ㘓ࢆࢸ࢟ࢫ ࢺ࣐࢖ࢽࣥࢢࢯࣇࢺࠊKH coderࢆ⏝࠸࡚ศᯒࡋࡓࠋ

KH coder ࡣࠊࢸ࢟ࢫࢺࢹ࣮ࢱࢆࠊከኚ㔞ゎᯒࢆ⏝

࠸࡚ࠊࢸ࢟ࢫࢺࢹ࣮ࢱࡢせ⣙࣭ᥦ♧ࡋࠊࢥ࣮ࢹ࢕ࣥ

ࢢつ๎ࢆసᡂࡋࠊ᥈⣴ⓗ࡟ศᯒ࡛ࡁࡿࠋศᯒ࡟ࡣࠊ 㛵ಀࡢ࡞࠸ຓモࠊྃㄞⅬࢆ๐㝖ࡋࠊព࿡ࡀඹ㏻ࡍࡿ

༢ㄒ࡟⨨ࡁ᥮࠼ࠊࢹ࣮ࢱࢡ࣮ࣜࢽࣥࢢࢆࡋࠊฟ⌧ࡋ ࡓㄒ࡛ࠊ3 ᅇ௨ୖ࡛࡚ࡁࡓࡶࡢࢆ㢖ฟㄒ࡜ࡋࠊࡇࡢ

ࣜࢫࢺࢆ⏝࠸࡚ࠊㄒྃ࡜ㄒྃࡢ⤖ࡧࡘࡁࢆ⾲♧ࡍࡿ

ඹ㉳ࢿࢵࢺ࣮࣡ࢡ஧✀㢮ࢆసᡂࡋ࡚ࠊศᯒࡋࡓࠋ୰

ᚰᛶࡢඹ㉳ࢿࢵࢺ࣮࣡ࢡศᯒ࡛ࡣࠊࡑࢀࡒࢀࡢㄒྃ

ࡀ࡝ࡢ⛬ᗘࠊ୰ᚰⓗ࡞ᙺ๭ࢆᯝࡓࡋ࡚࠸ࡿ࠿ࢆศᯒ ࡋࠊࢧࣈࢢࣛࣇ᳨ฟࡢඹ㉳ࢿࢵࢺ࣮࣡ࢡ࡛ࡣࠊᙉࡃ

⤖ࡧࡘ࠸࡚࠸ࡿㄒྃࢆศ㢮ࡋ࡚ࠊෆᐜࢆ᳨ウࡋࡓࠋ

㸦4㸧ㄪᰝᮇ㛫 2015ᖺ9᭶

㸦5㸧஦౛ࡢෆᐜ

஦౛ࠕ୍ேᬽࡽࡋࡢㄆ▱⑕ࡢ᪉ࡢ⤊ᮎᮇ ̿ᦤ㣗ࠊ ᄟୗ㞀ᐖ̿ࠖࡣࠊ௒ᚋࠊࡲࡍࡲࡍቑຍࢆࡍࡿㄆ▱⑕ࠊ

୍ேᬽࡽࡋࡢ㧗㱋⪅ࠊ⤊ᮎᮇࠊពᛮỴᐃ࡟ࡘ࠸࡚ࠊ

⪃࠼ࡿࡇ࡜ࡀ࡛ࡁࡿ஦౛ࢆసᡂࡋࡓࠋᐇ㝿࡟౑⏝ࡋ ࢫࣛ࢖ࢻࢆ♧ࡍࠋ

(3)

ከ⫋✀࡟ࡼࡿㄆ▱⑕㧗㱋⪅ࡢ⤊ᮎᮇࡢ᳨ウ

3 㸦6㸧೔⌮ⓗ㓄៖

ᑐ㇟⪅࡟ࡣࠊ◊✲ࡢ㊃᪨ࠊ◊✲࡬ࡢ⮬⏤ཧຍࠊ༏

ྡᛶࡢಖᣢࠊㄪᰝ┠ⓗ௨እ࡛ࡣ౑⏝ࡋ࡞࠸ࡇ࡜࡟ࡘ

࠸ཱྀ࡚㢌࡛ㄝ᫂ࡋࠊྠពࢆᚓࡓࠋ

3㸬⤖ᯝ

㸦1㸧ᑐ㇟⪅ࡢᴫせ

Aᕷㄆ▱⑕ࢣ࢔ࢿࢵࢺ࣮࣡ࢡ◊ಟ఍࡟ཧຍࡋࡓ

་⒪࣭⚟♴⫋࡛ࠊ3 ࢢ࣮ࣝࣉ࡟◊✲ࡢ༠ຊࡢチྍࢆ

ᚓࡓࠋゼၥ┳ㆤࢫࢸ࣮ࢩࣙࣥࠊㄆ▱⑕㧗㱋⪅ࢢ࣮ࣝ

ࣉ࣮࣒࣍ࠊࢹ࢖ࢧ࣮ࣅࢫࠊゼၥ௓ㆤࠊᆅᇦໟᣓᨭ᥼

ࢭࣥࢱ࣮ࠊᒃᏯ௓ㆤᨭ᥼஦ᴗᡤ࡛ാࡃࠊ┳ㆤᖌࠊ௓

ㆤ⚟♴ኈࠊࢣ࢔࣐ࢿࢪ࣮࡛ࣕ࠶ࡗࡓࠋ

3ࢢ࣮ࣝࣉࡢࢢ࣮ࣝࣉྡࢆAࠊBࠊCࢢ࣮ࣝࣉ࡜ࡍ

ࡿࠋ

㸦2㸧Aࢢ࣮ࣝࣉࡢヰࡋྜ࠸ࡢ㏲ㄒ㘓

㢖ฟㄒࡢୖ఩55ㄒࢆ⾲1࡟࠶ࡽࢃࡋࡓࠋ㢖ฟㄒ ࡣඹ㉳ࢿࢵࢺ࣮࣡ࢡ(୰ᚰᛶ)࡛ࠊ෇ࡀ኱ࡁࡃࠊ⾲ࡉ

ࢀ࡚࠸ࡿࠋࡲࡓࠊඹ㉳ࢿࢵࢺ࣮࣡ࢡ࡛ࡣࠊㄒྃ㛫ࡢ 㛵㐃ࡀศ࠿ࡿࠋከࡃ㢖ฟㄒ࡜ࡋ࡚࠶ࡿㄒࡾᩥ❶ࢆグ ࡋࡓࠋ௚ࡢࢢ࣮ࣝࣉ࡟࠾࠸࡚ࡶࠊྠᵝ࡟グࡍࠋ 㢖ฟㄒࢆӐ ӑ࡛♧ࡋࠊㄒࡾᩥ❶ࢆᩳ⥺࡛グࡋࡓࠋ Ӑ┳ྲྀࡾӑ࡜Ӑ㏥㝔ӑࡢㄒࡾᩥ❶࡟ࡣࠊ

ࠕ ṓࡢ㧗㱋ࡢ᪉┳ྲྀࡾࡋࡓ࡜ࡁࡣࠊࡑࢇ࡞࠿ࡓࡕ

ࢆ࡜ࡽࡉࡏ࡚ࡶࡽࡗ࡚ࠊ᪋タ࡛࡞ࢇ࡜࠿࡜࠸࠺࠿ࡓ ࡕࠖ

ࠕ┳ྲྀࡾ࡛௒ࠊࣉࣛࣥࢆసࡿࡢ࡛ࠊ௒᪥㏥㝔࡜࠸࠺᪉ ࡀ࠶ࡗ࡚ࠊ⑓㝔ࡢุ᩿ࡣ་⒪ᚑ஦⪅࡞ࡢ࡛ࠊ኱యὶ

ࢀࡣศ࠿ࡿ࡜ᛮ࠺ࢇ࡛ࡍࡼࡡࠋ⚾ࡶ┳ྲྀࡾ࡜࠸࠺ࡢ ࡣࠊ࠶ࢇࡲࡾࡸࡗ࡚࠸࡞࠸ࡢ࡛ࠊፉࡉࢇࡶࠊࡶࡕࢁ

ࢇᐙ᪘ࡶึࡵ࡚࣭࣭ࠖ

ࠕ┳ྲྀࡾ࡛௒ࠊࣉࣛࣥࢆసࡿࡢ࡛ࠊ௒᪥ ㏥㝔࡜࠸࠺

᪉ࡀ࠶ࡗ࡚ࠊ⑓㝔ࡢุ᩿ࡣࠊࡶ࠺ඵ༑஬භࡢዪᛶࡢ ᪉࡞ࡢ࡛ࠖ

ࠕㄗᄟᛶ⫵⅖ࡗ࡚ࠋࡶ࠺࠿ࢃ࠸ࡑ࠺ࡔ࡜ࠊㄗᄟ⫵⅖ࡀࠋ

ࡶ࠺࡞ࢇ࡟ࡶ↓ࡋ࡛ࠊ㏥㝔ࡋࡲࡋࡻ࠺࡜࠸࠺ࡇ࡜࡛ࠖࠊ

஦౛࠿ࡽࠊ௒ࡲ࡛࠿࠿ࢃࡗࡓ฼⏝⪅ࡢࡇ࡜ࢆㄒࡗ

࡚࠸ࡓࠋ

Ӑㄝ᫂ӑ࡛ࡣࠊ

ࠕ࡝࠺࠸࠺㑅ᢥ⫥ࡀ࠶ࡿࡢ࠿࡜࠸

࠺ࡇ࡜ࡶࠊࡁࡕࡗ࡜᪋タࡢ࡯࠺࠿ࡽࠊㄝ᫂ࢆཷࡅࡿ

࡜࠿ࠊ⑓㝔ഃ࠿ࡽ࡜࠿ࡋ࡞࠸࡜ࠊỴࡵࡽࢀ࡞࠸ࢃࡅ

࡛ࡍࡢ࡛ࠋࠖ

ࠕࡲࡎࡣࡸࡗࡥࡾࡁࡕࢇ࡜⑓㝔࠿ࡽࠊ ㄝ᫂ࢆ⪺࠸

࡚ࠊࡑ࠺࠸࠺㑅ᢥ⫥ࢆ୪࡭࡚ࡶࡽ࠺ࡇ࡜ࡀࠊ࣭࣭࣭ࠖ

ࠕ⏚ᚚࡉࢇࡔࡅࡢ㈐௵࡛ࡣ࡞ࡃ࡚ࠊࡑ࠺ࡸࡗ࡚ㄝ᫂

ࢆཷࡅࡓୖ࡛ࠊࡳࢇ࡞࡛Ỵࡵࡓࢇࡔࡼࠖ

ࠕ᪉ἲࡣᗄࡽ࠿࠶ࡿ࠿ࡽࠊࡑࢀࢆࡁࡕࡗ࡜ㄝ᫂ࢆཷ

ࡅ࡚ࠊࡌࡷࠊ࡝࠺ࡋࡼ࠺࡜࠸࠺ࡢࡀࡸࡗࡥࡾᚲせ࡞

ࢇࡌࡷ࡞࠸࡛ࡍ࠿ࠖ

ᮏ஦౛ࡢᑐᛂ⟇࡜ࡋ࡚ࠊࡲࡎࠊ༑ศ࡞ㄝ᫂ࢆ⑓㝔 ࡢ་⒪⪅ࡀᥦ౪ࡋࡓ࠺࠼࡛ࡢヰࡋྜ࠸ࡀᚲせ࡛ࠊ⏚

ࡔࡅࡢ㈐௵࡟ࡋ࡞࠸ࡼ࠺࡞యไࡀᚲせ࡛࠶ࡿ࡜ㄒࡽ

ࢀ࡚࠸ࡓࠋ

㸦3㸧Bࢢ࣮ࣝࣉࡢヰࡋྜ࠸ࡢ㏲ㄒ㘓 Ӑពぢӑࡢㄒࡾࡢᩥ❶࡟ࡣࠊ

ࠕ㸿ࡉࢇࡀࠊ⮬ศࡢពぢࢆゝࡗ࡚࠸ࡓ࠿࡝࠺࠿ぶ᪘

࡟☜࠿ࡵࡿࠖ

ࠕ௚ࡢぶ᪘ࡉࢇ࡟ࡣࠊ㸿ࡉࢇ⮬㌟ࡶ࠺ࡇ࠺ࡋࡓࡽ࠸

࠸ࢇࡌࡷ࡞࠸࠿࡜࠸࠺ពぢࢆලయⓗ࡟⪺࠸࡚ࡶ࠸࠸

࡛ࡍࡡࠋࠖ

ࠕᘵࡉࢇࡀ୍␒ࡢ㏆ሙ࡟࠸ࡓࡢ࡛ࠊࡑࡇࡢពぢࢆ⪺

ࡃࡇ࡜࡜࠸࠺ࡢࡣࠊࡍࡈࡃ኱஦ࡔ࡜ᛮ࠺ࠖ

ࠕ࠶࡜ࡢぶ᪘࠿ࡽࡢᡤぢ࡞ࢇ࠿ࡶࡍࡈࡃ኱஦࡟࡞ࡗ

࡚ࡃࡿ࡜ᛮ࠺ࡢ࡛ࠊࡇࡢ࡬ࢇࡢពぢࢆඹ᭷ࡋ࡚࡝࠺

ࡍࡿ࠿ࠖ

㸫㸫

(4)

ࠕࡓࡪࢇࡇࡢ⏚ࡢ❧ሙࡔ࡜ࠊࡍࡈࡃ㞴ࡋ࠸࡜ᛮ࠺ࢇ࡛

ࡍࡅ࡝ࠋ⥲ྜⓗ࡞ ពぢ࡛ࡸࡗ࡚࠸ࡃࡋ࠿࡞࠸࡛ࡍ

ࡼࡡࠖ

ᑐᛂ⟇ࢆ⪃࠼࡚࠸ࡃ࠺࠼࡛ࠊᘵ࣭ぶ᪘࣭ඖẼࡔࡗ ࡓ࡜ࡁࡢ $ ࡉࢇࡢゝࡗ࡚࠸ࡓࡇ࡜࠿ࡽࠊุ᩿ࡋ࡚ࠊ ពぢࢆ⥲ྜࡋ࡚⪃࠼࡚࠸ࡃࡇ࡜ࡀᚲせ࡜ㄒࡗ࡚࠸ࡓࠋ

Ӑ⪃࠼ࡿӑ࡛ࡣࠊ

ࠕᘵࡶᕳࡁ㎸ࢇ࡛ࠊⓙࡉࢇ࡛ࡕࡻࡗ࡜ヰࡋ࡚࡜࠸࠺

࡜ࡇࢁ࡛Ỵࡵ࡚࠸ࡃࡢࡀ࠸࠸࡜⪃࠼ࡲࡍࠋࠖ

ࠕ⏚ᚚࡉࢇ࡟ࠊඛ࡯࡝ࡶࡕࡻࡗ࡜ゝࢃࢀࡓࡼ࠺࡟ࠊ

඲࡚ࡢ㈐௵ࡀ࠶ࡗ࡚ࡋࡲࡗࡓࡾ࡜࠸࠺࡜ࡇࢁࡀ࡞

࠸ࡼ࠺࡟ࠊ୍⥴࡟⪃࠼࡚࠸ࡅࡿࡼ࠺࡟࡜࠸࠺࡜ࡇࢁ

࡛͐ࠖ

ࠕࢣ࢔࣐ࢿࢪ࣮ࣕ࡜ࡋ࡚ࡣࠊࡈᐙ᪘ࡢ㛵ಀࡋ࡚࠸ࡿ๓

୍࡛⥴࡟ ⪃࠼࡚࠸ࡅࡿࡼ࠺࡟ࠊࡈ┦ㄯࡋ୍࡚⥴࡟⪃

࠼࡚࠸ࡅࡿࡼ࠺࡟ࠖ

ࠕࡶ࠺᪩ᛴ࡟㰯⭍࡛࠶ࡿ࡜࠿ࠊ⫶⒦࡜࠸࠺ࡇ࡜ࢆࡓࡪ

௒ᚋࠊAࡉࢇࡢពᛮࢆ㐣ཤࡢ㛵ࢃࡾࡢ୰࡛࡞࠿ࡗࡓ

࠿⪃࠼ࠊᑐᛂ⟇ࢆぶ᪘࡞࡝୍⥴࡟⪃࠼ࡿࡇ࡜ࡀㄒࡽ

ࢀࡓࠋ

Ӑ┳ྲྀࡾӑ࡛ࡣࠊ

ࠕ⫶⒦ࢆసࡗ࡚ࡶࡽ࠼࡞࠸࡜࠸࠺࡜ࠊⅬ⁲࡛ࡣ㞴ࡋ࠸ࠋ

┳ྲྀࡾࡍࡿ≉㣴ࡶ࠶ࡾࡲࡍࡅ࡝ࠋࠖ

ࠕA ࡉࢇࡢධࡗ࡚࠸ࡿ≉㣴ࡀࠊ┳ྲྀࡾࢆࡸࡗ࡚ࡃࢀࡿ

࠿࡝࠺࠿࡜࠸࠺ࡢࡀ࠶ࡾࡲࡍࡅ࡝ࡶࠊࡲࡔᑡ࡞࠸࡛

ࡍࡶࢇࡡࠋࠖ

Aࡉࢇࡢᄟୗ㞀ᐖ࠿ࡽࠊㄆ▱⑕ࡢ⤊ᮎᮇࢆ᝿ᐃࡋ

࡚ࠊ௒ᚋࡢᬽࡽࡋࡢሙ࡟ࡘ࠸࡚ࡢㄒࡾ࡛࠶ࡗࡓࠋ௒ࠊ

⮬ศࡓࡕࡢぢ࡚ࡁ࡚࠸ࡿ≉ู㣴ㆤ⪁ே࣮࣒࣍ࡢ⌧≧

ࡀㄒࡽࢀ࡚࠸ࡓࠋ

⾲ 㢖ฟㄒࠊୖ఩ ㄒ

(5)

ከ⫋✀࡟ࡼࡿㄆ▱⑕㧗㱋⪅ࡢ⤊ᮎᮇࡢ᳨ウ

5

ᅗ $ ࢢ࣮ࣝࣉ ඹ㉳ࢿࢵࢺ࣮࣡ࢡศᯒ ୰ᚰᛶ

ᅗ % ࢢ࣮ࣝࣉඹ㉳ࢿࢵࢺ࣮࣡ࢡศᯒ ୰ᚰᛶ

㸫㸫

(6)

㸦4㸧Cࢢ࣮ࣝࣉࡢヰࡋྜ࠸ࡢ㏲ㄒ㘓 Ӑ⤒ཱྀӑ࡛ࡣࠊ

ࠕ⤒ཱྀࡀࠊᅔ㞴࡜࿌ࡆࡽࢀ࡚࠸ࡿࡢ࡛ࠊࡔ࠿ࡽࠊ㔜኱

ࡢỴᐃ࡜࠸࠺ࠖ

ࠕ୺἞་࠿ࡽࠊࡔ࠿ࡽ௒ᚋࠊࡇ࠺࠸ࡗࡓ⠊ᅖࢆ㉺ࡋ࡞

ࡀࡽࡶ ⤒ཱྀᦤྲྀࢆࡉࡏ࡚࠶ࡆࡓ࠸ࡢ࠿ࠊ⫶⒦࡜࠿ࠊ

⤒㰯࡜࠿ࠊࡓࡪࢇࠖ

ࠕ⫶⒦࡜ ⤒ཱྀᰤ㣴ࡶࡍࡿ࠿࡝࠺࠿࡜࠸࠺ࡼ࠺࡞ヰ ࡀฟ࡚ࡃࡿព࿡࡛ࡣ࡞࠸࠿ࠖ

ࠕ㣗஦ࡢෆᐜࡀฟࡓࡢ࡛ࠊ⚾ࡀࡕࡻࡗ࡜ ⤒ཱྀᦤྲྀࡀ

↓⌮࡜࠸࠺ヰ࡛ࡣ࡞࠸ࡢ࠿࡞࡜ᛮࡗࡓࡔࡅ࡛ࡍࡅ࡝ࠖ

ࠕᄟୗカ⦎ࢆࡋ࡞ࡀࡽࠊ⤒ཱྀᦤྲྀࢆ࡝࠺ࡋ࡚ࡶ⥆ࡅ࡚

࡯ࡋ࠸࡜࠸࠺せᮃࢆฟࡍࡇ࡜ࡣ࡛ࡁࡿࡢ࠿ࡶࡋࢀ࡞

࠸ࠋࠖ

ࠕࡇࡢேࡣࠊࡶ࠺ᑡࡋ⥅⥆ⓗ࡟ࡇࡢேࡢࠊ౛࠼ࡤࠊ⤒

ཱྀᰤ㣴࡜࠿࠸ࢁ࠸ࢁ࠶ࡿ࠿࡜ᛮ࠺ࢇ࡛ࡍࡅ࡝ࡡࠖࠋ ࠕ౛࠼ࡤࠊᑡࡋ㡢ᴦࡢὶࢀࡿࡼ࠺࡞⎔ቃ࡟⨨࠸ࡓࡾ࡜

࠿ࠊ᭱ᮇࡲ࡛⤒ཱྀࢆヨࡍࢇࡔࡗࡓࡽࠊ㣗஦ࢆࡍࡿ࡜

ࡁ࡟ࠊࡴࡏ࡞࠸ࡼ࠺࡟㡢ᴦࢆὶࡋ࡚

஦౛Aࡉࢇࡢ⤒ཱྀᦤྲྀࡀࠊᮏᙜ࡟㞴ࡋ࠸≧ែ࡛࠶ࡿ

ࡢ࠿ࠊ᳨ウࡍࡿᚲせࡀ࠶ࡿ࡜࠸ࡗࡓㄒࡾࡀ࠶ࡗࡓࠋ

Ӑࡶ࠺ᑡࡋӑ࡛ࡣࠊ

ࠕ⫶⒦ࡍࡿࠊࡋ࡞࠸ࡔࡅࡢ࢜࣌ࡢỴᐃ࡛ࡣ࡞ࡃ࡚ࠊࡶ

࠺ᑡࡋࢺ࣮ࢱࣝⓗ࡞࡜࠸࠺ࢇ࡛ࡍ࠿ࡡࠋࠖ

ࠕࡶ࠺ᑡࡋࠊࡇࡢேࡣᴦ࡞≧ἣ࡟࡞ࢀࡿࢇࡌࡷ࡞࠸࠿

࡞࡜ᛮ࠺ࢇ࡛ࡍࡼࡡࠋࠖ

ࠕࡶ࠺ᑡࡋࠊ⥅⥆ⓗ࡟ࡇࡢேࡢࠊ౛࠼ࡤࠊ⤒ཱྀᰤ㣴࡜

࠿࠸ࢁ࠸ࢁ࠶ࡿ࠿࡜ᛮ࠺ࠋࠖ

ࠕࡶ࠺ᑡࡋࠊẼᣢࡕࡀᴦ࡟࡞ࡗ࡚ᑐᛂࡋࡸࡍࡃ࡞ࡿࠋ

࠶ࡲࡾࡇࡢேࡔࡅ࡟㈇ᢸࢆ࠿ࡅ࡞࠸ࡼ࠺࡟ࡋ࡚࠶ࡆ

࡚ࠊ✜ࡸ࠿࡟ࡋ࡚ࠊࡑ࠺࠸࠺⎔ቃࢆࡘࡃࡗ࡚࠶ࡆ࡚ࠖ

ࡶ࠺ᑡࡋࠊᴦ࡟࡞ࡿࠊ⫶⒦ࡢ࡯࠿ࡢ᪉ἲࡀ⪃࠼᪉࡟

࡞࠸ࡔࢁ࠺࠿࡜ᥦ᱌ࡉࢀ࡚࠸ࡓࠋ Ӑ➨୕⪅ӑ࡛ࡣࠊ

ࠕ➨୕⪅ ᚋぢ࡜࠿ࡑ࠺࠸࠺࢔ࢻࣂ࢖ࢫࢆࡋ࡚࠶ࡆ

ࡿ࡜࠸࠸ࠋࠖ

ࠕ㞳ࢀ࡚࠸ࡿࡢ࡛ࠊ㐲㝸ᆅ࡛ ➨୕⪅ ᚋぢேࢆឡ

▱࡛ࠊ௜ࡅ࡚ࡸࡿ࡜࠸࠺ࡇ࡜ࡶ࠶ࡾࡔ࡜ᛮ࠺ࠋࠖ

ࠕࡸࡣࡾᐙ᪘ࡢ᝟ሗᥦ౪ࡣᚲせ࡛࠶ࢁ࠺࡜࠸࠺ࡇ࡜

࡛ࠊࡑࡢୖ࡛ࠊ㐲㝸ᆅ࡛ࠊ➨୕⪅ ᚋぢࢆ௜ࡅࡿࠋ

⫼ᬒࢆヰࡏࡤᘚㆤኈ㈨᱁ࡢ➨୕⪅ᚋぢேࡀ௜ࡃࡢ࡛

ࡣ࡞࠸ࡔࢁ࠿ࠋࠖ

୍ேᬽࡽࡋ࡛࠶ࡿࡓࡾࠊぶ᪘ࡣ㐲᪉࡛࠶ࡾࡇ࡜࠿ࡽࠊ ἲⓗ࡞ᚋぢேไᗘࢆά⏝ࡍࡿࡇ࡜ࡶࡼ࠸ࡢ࡛ࡣ࡞࠸

࠿࡜࠸࠺ㄒࡾࡀ࠶ࡗࡓࠋ ᅗ & ࢢ࣮ࣝࣉ ඹ㉳ࢿࢵࢺ࣮࣡ࢡศᯒ ୰ᚰᛶ

(7)

ከ⫋✀࡟ࡼࡿㄆ▱⑕㧗㱋⪅ࡢ⤊ᮎᮇࡢ᳨ウ

7 Ӑ┳ྲྀࡾӑ࡛ࡣࠊ

ࠕ≉㣴ࡀࠊ┳ྲྀࡾࡲ࡛ࡍࡿ≉㣴࠿࡝࠺࠿࡜࠸࠺ࡇ࡜࡛

ࡶࠊ┳ྲྀࡾࡲ࡛ࡍࡿ≉㣴ࡔࡗࡓࡽࠊ⤒⟶ᰤ㣴ࢆẖ᪥

ࡍࡿ࡞ࡾ࣭࣭࣭ࠖ

ࠕឡ▱┴࡟࠸ࡓ࡜࠸࠺ࡇ࡜࡛࠶ࡿ࡞ࡽࡤࠊឡ▱┴࡛ࠊ ࡏࡵ࡚ࠊ┳ྲྀࡾࢆࡋ࡚ࡃࢀࡿࡼ࠺࡞࡜ࡇࢁࡢ≉㣴ࢆ

᥈ࡍࡢ࠿ࠖ

ࠕ᪋タࡢᶵ⬟࡜࠸࠸ࡲࡍ࠿ࠊ┳ྲྀࡾࡀྍ⬟࠿࡝࠺࠿࡜

࠸࠺ࡇ࡜ࡢほⅬ࠿ࡽࠊ᪋タ࡟ࡍࡿࡢ࠿ࠖ

┳ྲྀࡾ࡟㛵ࡋ࡚ࡣࠊ⤊ᮎᮇࢆ㏄࠼ࡿሙࢆ࡝࠺ࡋ࡚࠸

ࡃ࠿࡜࠸࠺ㄒࡾࡀ࠶ࡗࡓࠋ

4㸬⪃ᐹ

ࠕ୍ேᬽࡽࡋࡢㄆ▱⑕ࡢ᪉ࡢ⤊ᮎᮇ Ɇᦤ㣗ࠊᄟୗ

㞀ᐖɆࠖࡢㄢ㢟ࠕࡇࡢ஦౛࡟ฟ࡚ࡃࡿ⏚ࡢ❧ሙ࡛࠶

ࡗࡓࡽࠊ࡝࠺ࡋࡲࡍ࠿ࠖࠊࠕ᥼ຓ⪅࡜ࡋ࡚ࠊ⏚࡟࡝ࡢ

ࡼ࠺࡟࠿࠿ࢃࡾࡲࡍ࠿ࠖࡢヰࡋྜ࠸ࡢ㐣⛬ࢆ㏲ㄒ㘓

࡜ࡋ࡚ࠊࢸ࢟ࢫࢺ࣐࢖ࢽࣥࢢࢯࣇࢺࠊKH coder ࢆ

⏝࠸࡚ศᯒࡋࡓࠋ

ྠࡌ஦౛࡛࠶ࡗ࡚ࡶࠊࡉࡲࡊࡲ࡞ពぢࡀฟࡿࡇ࡜

ࡀศ࠿ࡗࡓࠋ᭱⤊ⓗ࡟ࠊྠ୍࡜࠸ࡗࡓ⪃࠼࡟ࡣ⮳ࡽ

࡞࠿ࡗࡓࠋ౛࠼ࡤࠊᄟୗ㞀ᐖࡀ࠶ࡾࠊ⤒ཱྀᦤྲྀࡀࡴ

ࡍࡀࡋ࠸࡜࡞ࡗ࡚ࡶࠊᮏᙜ࡟⤒ཱྀᦤྲྀࡀ㞴ࡋ࠸ࡢ࠿

࡜࠿ࠊ⤒ཱྀᦤྲྀࡀ㞴ࡋ࠸ࡇ࡜࠿ࡽࠊ┳ྲྀࡾ࡜⤖ࡧࡘ ࡅࠊ┳ྲྀࡾࡢሙࢆ࡝࠺ࡍࡿࡢ࠿࡜࠸ࡗࡓពぢࡀ࡛࡚

࠸ࡓࠋ

་⒪೔⌮ᅄཎ๎࡟ࠊࠕ↓༴ᐖࠖࠕၿ⾜ࠖࠕṇ⩏ࠖ

ࠕ⮬ᚊᑛ㔜ࠖࡀ࠶ࡿࠋฟ࡚ࡁࡓពぢࢆࡇࡢᅄཎ๎࡟

❧ࡕ㏉ࡾࠊ⪃࠼࡚࠸ࡃࡇ࡜ࡀᚲせ࡜࡞ࡿࠋ ௒ᅇࡢ஦౛ࡢࡼ࠺࡞ࠊ㧗㱋⪅ᮏே࡟ពᛮࡀ☜ㄆ࡛

ࡁ࡞ࡃࠊࡲࡓࠊ୍ேᬽࡽࡋ࡛ࠊᮏேࡢ⪃࠼ࢆ௦ᘚ࡛

ࡁࡿᐙ᪘ࡢ࠸࡞࠸ࢣ࣮ࢫࡣ௒ᚋࠊቑຍࡋ࡚࠸ࡃࡇ࡜

ࡀண᝿ࡉࢀࡿࠋࡑࡢࡼ࠺࡞࡜ࡁ࡟ࡣࠊ㧗㱋⪅ࡢࡑࡤ

࡟࠸ࡿ་⒪⪅࣭௓ㆤ⫋ࡀࠊᮏேࡢពᛮࢆ᥈ࡾࠊ᭱ၿ ࡢ᪉ἲࢆ⪃࠼࡚࠸ࡃࡇ࡜ࡀᚲせ࡟࡞ࡿࠋࡇࡇ࡛ࠊ་

⒪೔⌮ࡢཎ๎࡟❧ࡕ㏉ࡿࡇ࡜ࡣ኱ษ࡞᪉ἲ࡜ゝ࠼ࡿࠋ

5 㸬࠾ࢃࡾ࡟

௒ᅇࡢㄪᰝࡼࡾࠊྠ୍஦౛࡛࠶ࡗ࡚ࡶࠊࡉࡲࡊࡲ

࡞᪉ྥ࠿ࡽពぢࡀ࡛ࡿࡇ࡜ࡀࢃ࠿ࡗࡓࠋᐇ㝿ࡢሙ㠃

࡛ࡣࠊᐙ᪘ࡢ⌮ゎ୙㊊ࠊᮏே࡜ᐙ᪘ࠊぶ᪘࡜ࡢ㛵ಀ ᛶ࡞࡝࡜࠸ࡗࡓၥ㢟ࡀ࡛࡚ࡃࡿࠋ

ᐙ᪘ࡀ㧗㱋⪅ࡢពᛮࢆ᥎ᐃ࡛ࡁ࡞࠸ሙྜ࡟ࡣࠊ㧗 㱋⪅࡟࡜ࡗ࡚ఱࡀ᭱ၿ࡛࠶ࡿ࠿࡟ࡘ࠸࡚ᐙ᪘࡜་

⒪࣭⚟♴ࡢከ⫋✀࡜༑ศ࡟ヰࡋྜ࠸ࠊ㧗㱋⪅࡟࡜ࡗ

࡚ࡢ᭱ၿࢆ⪃࠼࡚࠸࠿࡞ࡃ࡚ࡣ࠸ࡅ࡞࠸ࠋヰࡋྜ࠸

ࢆࡋ࡚ࠊࢥࣥࢭࣥࢧࢫࢆᚓࡿ࡟ࡣࠊ་⒪೔⌮ࡢᅄཎ

๎࡟❧ࡕ㏉ࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࠋ௒ᚋࠊヰࡋྜ࠸ࡢ 㐣⛬࡛ࠊ་⒪೔⌮࡟❧ࡕ㏉ࡿ᪉ࢆఏ࠼ࡿ◊ಟࡀᚲせ

࡜࡞ࡿࠋ

ཧ⪃ᩥ⊩

1)ᖹ⃝⚽ே௚㸸ㄆ▱⑕㧗㱋⪅ࡢ⤊ᮎᮇ་⒪࡟㛵ࡍࡿᐙ᪘ ࡢព㆑ㄪᰝ㸪ධ㝔࣭እ᮶ᝈ⪅࡟ࡘ࠸࡚㸪⪁ᖺ⢭⚄་Ꮫ㞧ㄅ㸪 18㸪8㸪884-889㸪(2007)

2)ᮌᮧ඾Ꮚ: ㄆ▱⑕㧗㱋⪅ࢢ࣮ࣝࣉ࣮࣒࡛࣍⾜ࢃࢀ࡚࠸ࡿ

┳ྲྀࡾ㸪┳ྲྀࡾ࡟ᦠࢃࡗࡓ┳ㆤᖌ࠿ࡽㄪᰝ㸪࣍ࢫࣆࢫࢣ࢔

࡜ᅾᏯࢣ࢔,64,24.1,11-15(2016)

3)http://www.mhlw.go.jp/stf/houdou/2r9852000002j8dh.

htmlࠊㄆ▱⑕࢜ࣞࣥࢪࣉࣛࣥ

4)http://www.mhlw.go.jp/file/04-Houdouhappyou-12304 500-Roukenkyoku-Ninchishougyakutaiboushitaisakusu ishinshitsu/01_1.pdfࠊㄆ▱⑕᪂࢜ࣞࣥࢪࣉࣛࣥ

5)http://www.mhlw.go.jp/shingi/2007/05/s0521-11.html

⤊ᮎᮇ་⒪ࡢỴᐃࣉࣟࢭࢫ࢞࢖ࢻࣛ࢖ࣥ

6)ὶ▼ࡺࡾᏊ㸪∵⏣㈗Ꮚ㸸㧗㱋⪅ࡢ⤊ᮎᮇ(End of life) ࡢࢣ࢔࡟࠾ࡅࡿ┳ㆤ⫋ࡢᝎࡳ࣭ᅔ㞴㸪A┴ୗࡢ௓ㆤಖ㝤᪋

タ࡟໅ົࡍࡿ┳ㆤ⫋ࡢㄪᰝ࠿ࡽ㸪ಖ೺ࡢ⛉Ꮫ㸪849-856 (2007)

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