Analysis of Influence of the introduction of Long Term Care Insurance on Community Health System for the Aged

本文对长期护理保险的实施对社区老年卫生服务体系的影响进行了调查。研究内容包括：i）护理服务使用者的消费者满意度研究; ii）基于LTCI数据的社区健康指标开发研究; iii）预防活动效果研究; iv）LTCI支出结构分析。研究结果表明：（1）用户满意度较高。大多数用户评价他们正在使用的服务是令人满意的，ii）几个指标的社区健康水平的LTCI数据的基础上，如SMR类型的指标，iii）预防服务的评价表的开发。通过一个社区项目的分析，阐明了本表的合理性。（4）保险公司之间与长期保险支出增加相关的因素是不同的。

We investigated about the investigated about the influence of the introduction of Long Term Care Insurance (LTCI) on the community health system for the aged. The research was composed of i) study on consumer satisfaction level among users of care services, ii) study of development of community health indicator based on LTCI data, iii) study on the effect of preventive activity, and iv) structural analysis of LTCI expenditures. Research results were as follows; i) the satisfaction level of users are relatively high. Most of users evaluated the services that they were using were satisfactory, ii) several indicators for the community health level were developed based on the LTCI data, such as SMR type of indicator, iii) the evaluation sheet for the preventive services were developed. Usefulness of this sheet was clarified by a community project, iv) The factors related with the increase of LTCI expenditures were different among insurers.