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Comparative Study on the Administration and Finance of the Care Security Systems: Japan and European Counties

日本与欧洲国家护理保障制度管理与财务的比较研究

基本信息

批准号：
10490028
负责人：
TAKEDA Hiroshi
金额：
$ 4.03万
依托单位：
Osaka Prefecture University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-10490028/
关键词：
Security of Care Care Insurance European countries Administration and Finance of Local Government Tax Finance Systems Social Insurance Systems 措置制度ケアマネジメントホームヘルプ民間委託公私関係

项目摘要

Our research project aimed to discover the reorganization of the Care Security Systems. To do this task, we investigated the Care Systems of European counties and compared with that of our country. The points of our research frameworks are as follows.(1) Care service systems fitting needs of users/inhabjtants.(2) Organization of care delivery services, including care management(3) Training System for care related worker.(4) Claim and relief systems of the users.(5) Financing and administrative systems to attain the systems mentioned above.Public long-term care insurance systems in our country, started.from April 2000, are social insurance in form ; however, more than half money is financed by tax. So, we focused those of Germany and Sweden to do our research aims. In Sweden, local governments formed universal Care Systems including social home help and house/facilities for the elderly by 1980s. Under the economic crisis in 1990s, Swedish care systems had been reorganized to alternative ones; decentralization and the introducing market mechanism in social care. However, they try to continue the quality of care services, reforming training system of care manager; to realize effectiveness of services and efficiency of service organization. In Germany, we also got information about the reorganization of the training systems and standard of care staffs, under the social long-term care insurance.The result of our research as to theme is the importance of effectiveness of services: training systems, standard of cares workers, service organization and alternative systems to make services high quality, In addition, eligibility criteria of services and the claim-relief systems should be established for the user/inhabitants.

我们的研究项目旨在发现护理安全系统的重组。为了完成这项任务，我们调查了欧洲各国的护理系统，并与我国进行了比较。我们的研究框架要点如下：（1）适合使用者/居民需求的护理服务体系。（2）护理提供服务的组织，包括护理管理（3）护理相关人员的培训体系。（4）使用者的索赔和救济体系。（5）实现上述体系的融资和管理体系。我国的公共长期护理保险制度从2000年4月开始，形式上是社会保险；然而，一半以上的资金来自税收。因此，我们重点关注德国和瑞典的研究人员来实现我们的研究目标。在瑞典，地方政府在 20 世纪 80 年代建立了全民护理系统，包括社会家庭帮助和老年人住房/设施。在 20 世纪 90 年代的经济危机下，瑞典的护理系统被重组为替代性的系统；权力下放和在社会关怀中引入市场机制。然而，他们试图继续提高护理服务质量，改革护理经理的培训体系；实现服务的有效性和服务组织的效率。在德国，我们还获得了有关社会长期护理保险下的培训体系和护理人员标准重组的信息。我们的主题研究结果是服务有效性的重要性：培训体系、护理人员标准、服务组织和替代系统，以提高服务质量。此外，应为用户/居民建立服务资格标准和索赔减免系统。