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

目的是为地方老年人及其家庭护理支持中心在新的长期护理保险下如何运行其项目提出改进建议。东京、横滨、富山、石川等地242个地方护理支援中心的305名工作人员被要求写下他们一天的所有活动并进行编码。研究结果数据显示，60%的员工在新的长期护理保险计划下同时承担着当地护理支持中心计划和护理管理的职责。然而，30%的人只履行当地护理支持中心项目的职责。研究发现，花在当地护理支持中心项目上的时间主要取决于几个因素，包括双方分担责任的类型、护理计划的数量、用于需求评估和保险下的文书工作的时间。根据调查结果，我们向地方护理支持中心、地方政府和国家政府的工作人员和管理人员提出了12项建议，包括：职责分工，减少护理计划的数量，并采用新的策略进行文书工作。

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.