A research on the reconstruction of community care management system

社区养老管理体系重构研究

• 批准号: 13610262
• 负责人: GOTO Masumi
• 金额: $ 0.83万
• 依托单位: CHUBU GAKUIN UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13610262/
• 关键词: The Long-term care Insurance System; term care requirement certification; Long-term care system; care management; care manager; Long-term care service; マネージメント; ソーシャルマーケーティング; 介護システム; 在宅支援システム; 介護保険システム; 入所規定要因; 介護支援専門員; 居宅支援サービス; 介護保険施設

A research on the reconstruction of community care management systemObject of this research is to investigate the care services currently provided in communities under the Lung-term Care Insurance System, and propose the desirable care services that meet the needs of the community. The research was based on the following two studies :1.Statistical processing of information gathered through examinations for long-term care requirement certification of individual elderly persons in city A of Gifu Prefecture. Permission was obtained from city A for the use of the information for the purpose of statistical study.2.Case study on the decision made by individual care managers.Result 1: Elderly People with relatively low degree of needs for care, ranging from "support required" to care level II, are enrolled mostly for home-visit long-term care and home-visit/day services. People who are more heavily dependent on care services tend to be admitted to institutions. Preference of people at care le … More vels IV and V is clearly split between institutionalization and home care services, and care level III is regarded as the critical point, It was found that factors that lead to institutionalization are problems related to incontinence and dementia (institutionalization due to disorder in physical and/or mental functions) and IADL (institutionalization due to inconvenience in daily life), showing a trend of polarization in the reasons for selecting care services at institutions.Result 2: People of higher care levels who receive care services at their homes are physically disabled persons without dementia or persons who need medical care but in stable conditions, the so-called bed-ridden people.It was found that people change their places of life due to difficulty to live under home care services, when such troubles arise as incontinence, dementia or behavior disorder. From the view point of care manager, institutionalization is preferred strongly when it becomes necessary to provide nighttime care and/or constant monitor, or the patient becomes unable to maintain normal relationship with others. Care services for bed-ridden people may be provided in somewhat fixed pattern, even if they must be attended for a long period of time or frequently, and therefore home care services can be continued when the situation allows the care provider to work as planned. Less

对本研究的侦察护理管理的研究是根据肺部期限保险系统的社区进行调查，并根据以下两项研究提出了理想的护理服务。 。通过考试收集的信息的统计处理，以供GIFU县的城市A的长期护理要求认证。个人护理经理做出的决定1：需要相对低的护理需求的老年人。 。生命）在机构服务的原因中两极分化的趋势。所谓的卧床不起的人。从家庭护理服务失禁，痴呆症或行为障碍的情况下，他们的地位是有必要的。 /或为卧床不起的人提供固定的模式，即使必须长时间或经常参加，并且当护理人员按计划工作时，可以继续进行前家庭护理服务。 较少的。

项目成果

A research on characteristic in choosing long-term standards for of long-term care requirement certification.

长期护理需求认证长期标准选择特点研究

• 发表时间: 2003
• 期刊: Health and welfare Statics Association, Kosei no Shihyo 50
• 作者: Goto;M.;Wakamatsu;T.
• 通讯作者: T.

後藤真澄, 若松利昭: "要介護認定別・介護サービス利用特性に関する研究"厚生の指標. 第50巻第7号. 17-22 (2003)

后藤真澄、若松俊明：《通过护理需求认证来研究护理服务利用的特征》 福利指标第 50 卷第 7.17-22 期（2003 年）

要介護度別の介護サービス利用特性に関する研究

护理需求程度的护理服务利用特征研究

• 发表时间: 2003
• 期刊: 厚生の指標 50巻7号
• 作者: 後藤 真澄;若松利昭
• 通讯作者: 若松利昭

後藤真澄, 若松利昭: "要介護度別のサービス利用特性に関する研究"厚生の指標. 7月号. (2003)

后藤真澄、若松俊明：《按护理需求程度划分的服务利用特征研究》福利指标（2003年）。