Evaluation of the Local Care Support Centers Programs Running under the New Long-Term Care Insurance

其目的是提出建议，以改善地方护理支持中心的老年人及其家庭应该如何运行他们的计划，根据新的长期护理保险。在东京、横滨、富山、石川等地的242家地方护理支援中心，对305名工作人员进行了一天的活动记录和编码。结果显示，有60%的工作人员同时履行地方护理支援中心项目和新的长期护理保险项目的护理管理职责。然而，30%的人只是履行地方护理支助中心方案的职责。结果发现，在地方护理支持中心项目上花费的时间主要取决于双方分担责任的类型、护理计划的数量、需求评估和保险文书工作所花费的时间等几个因素。根据调查结果，我们向地方护理支持中心的工作人员和管理人员、地方政府、和国家政府，包括以下内容;划分两项职责，减少护理计划的数量，并使用新的文书工作策略。

The objective was to make proposals for improvement in how the local care support centers for the elderly people and their families should run their programs under the new long-term care insurance. 305 staff of 242 local care support centers in Tokyo, Yokohama, Toyama, and Ishikawa were asked to write down all their activities for a whole day and code them.The results of the research data show that 60 % of the staff are carrying out duties of both the local care support center program and care management under the new long-term care insurance program. However 30 % are only carrying out duties of the local care support centers program. It was found that the amount of time spent on the local care support centers program depended on mainly several factors including types of duty sharing between both, the number of care plans, the amount of time spent for needs assessment and paper work under the insurance.According to the findings, we made 12 proposals to staff and managers of local care support centers, local government, and national government including the following; division of both duties, to reduce the number of care plans, and use a new strategy for paper work.