To Examine Factors of waiting Institution Care of the Dependent Elderly at Home By follow-up survey

[目的]分析长期护理保险制度下居家依赖老人及其家庭照顾者的机构护理等待情况。[方法]以琦玉美里市被认定为需要长期护理的老人为调查对象，以社会服务利用群体为研究对象（n = 799，90.9%应答率）和非利用组（n =.358，50.8%的应答率），关于每组，我们比较并检查了两组：机构入口：2002年申请团体和非申请团体本研究（第二次调查）在一年后通过访问和访谈的方式对这些被试的动态进行了跟踪调查。[结果]在愿意转机构的老人中，利用组的申请者51人（7.1%），非利用组的申请者24人（13.2%）。进行了分析，以阐明决定公用事业和家庭护理是否 关于我们 捐赠者会要求转移到机构。影响老年人护理效用的主要因素是高龄，尤其是女性老年人，护理需求的严重性，家庭结构。家庭照顾者的主要因素是家庭关系、身心压力等。一年后的动态结果（第二次调查）：公用事业G的一半以上是家庭照顾。非公用事业G是希望将老年人转移到机构护理。以访视追踪调查：超过半数的公共设施G需要立即住院，而非公共设施G则已将老人转往机构照顾。家庭照顾者呼吁对精神和身体的压力，强烈的痴呆症和卧床不起的家庭护理在所有的日子。然而，也有一个例子，应用程序无法实现的经济原因。因此，他们的等待时间很长，作为依赖老年人和高风险者的状态改善支持，在家庭照顾者的支持下，为了改善申请的因素，需要立即进行个人护理管理的持续支持。少

[Objectives]The aim of this study is to analysis of follow-up survey to waiting institution care of the dependent elderly at home and their family caregivers under the long-term care insurance system[Methods]We surveyed the elderly certified as needing long-term care in Misato City, Saitama Prefectural.The subjects were social services utilizing groups (n=799,90.9% response rate) and non-utilizing groups (n=.358,50.8% response rate), and about each group we compared and examined two groups : institution entrance : application groups and non-application groups in 2002 (first survey).The present study (second survey) followed up these subjects the dynamic state one year later through visiting and interviews.[Results]Of those who desire transfer of elderly to institutional care 51 were application groups of utilizing groups (7.1%) and 24 were application groups of non-utilizing groups (13.2%). Analysis was performed to elucidate the factors that determine whether utilities and family care … More giver would demand transfer to institutions. Utility's main factors were advanced age, especially the female of oldold, the seriousness of care requirement, household structure. Family caregiver's main factors were family relationships, stress of body and mind etc. As results of the dynamic state after one year (second survey) :More than a half of Utilities G were home care. Non-Utilities G were desired transfer of elderly to institutional care. The follow-up survey by visit interview : More than a half of utilities G were needed hospitalization and entrance immediately and non-utilities G were already transfer of elderly to institutional care. Family caregivers had appealed against the stress of mind and body strongly by dementia and bedridden home care during all of days. However, there was also an example which application could not realize by an economic reason. Therefore their waiting period was long, and as state improvement support of dependent elderly and high-risk person with support of family caregivers in order to improve an application's factors, the continuous support by immediately individual care-management was required. Less