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Reform of medical-care system and revision of the nursing care insurance system have led to the integration of medical and welfare fields under the initiative of medical institutions. A central kitchen with a cook-chill system offers improved quality and safety as well as reducing production costs to meal delivery services. We discuss here whether innovation of the central kitchen opens new opportunities for partnerships among medicine, welfare, food and agriculture, and effects changes in business strategies of corporations and the food delivery services. Furthermore, we study the differences between urban and rural areas regarding welfare services including the food delivery services. Keyword: medical-care system,welfare services,innovation of the central kitchen, meal delivery services 医福食農連携とフードシステム─超高齢社会における配食サービスと福祉─ −145− の区分と介護予防の強化で総合的支援を実施する ことになる。新し制度設計では「介護予防・生活 支援の互助化」、「自助努力」や「助け合い」など これまでの「要支援」の対象となる高齢者の自立 を促すことになる[2]。特に地域におけるコミ ュニティへの参加、ヘルスケアの参加などアクテ ィブシニアの活用、栄養指導の実施などで健康寿 命を拡大することは、慣習から生活予防や医療費

Partnerships among Medical, Welfare, Food, and Agriculture from the Viewpoints of Food System