Social reintegration, particularly returning to work (RTW) is one of the most important rehabilitation goals for young patients with stroke from the viewpoint of normalization. Understanding the concepts of the International Classifications of Functioning, Disability and Health has spread, and thus the importance of social interaction has become paramount. Also, the Ministry of Health, Labor and Welfare now have a policy of promoting of RTW after stroke, and this is important for the balanced support of treatment and professional careers associated with employment policy reforms. However, aging, severe disability caused by stroke and increased part-time or short-term employment have inhibited RTW after stroke. Thus, the proportion of stroke victims who have been able to return to work has remained static at 40% for the past 20 years. The ability of patients to return to work after stroke is associated not only with the medical and vocational rehabilitation, but also with the welfare system. Close cooperation among the medical community, the social welfare system and the workplace of the companies are necessary.
"},{"@language":"ja","@value":"要旨：若年脳卒中患者の社会参加，特に復職は重要なリハビリテーションの目標であり，ノーマライゼイションの理念を具現化するものである．国際生活機能分類の普及に伴い，社会参加の重要性が再認識されている．また，政府が主導している「働き方改革」に関連した「治療と就労の両立支援」施策の一つとして，脳卒中の就労支援が進められている．しかし，脳卒中患者の高齢化・重度化，非正規雇用労働などの労働態様の変化は脳卒中患者の復職に多大な影響を与えており，若年脳卒中患者の復職率は過去20 年間，40％に留まっている．脳卒中患者の復職は医療だけでなく福祉分野とも関連し，職業リハビリテーションとの連携，さらには，復職予定先の企業等との調整など様々なレベルでの対応が必要であり，医療福祉連携を超える高次の連携が必要となる．
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