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A research on the reconstruction of community care management system

社区养老管理体系重构研究

基本信息

批准号：
13610262
负责人：
GOTO Masumi
金额：
$ 0.83万
依托单位：
CHUBU GAKUIN UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

A research on the reconstruction of community care management systemObject of this research is to investigate the care services currently provided in communities under the Lung-term Care Insurance System, and propose the desirable care services that meet the needs of the community. The research was based on the following two studies :1.Statistical processing of information gathered through examinations for long-term care requirement certification of individual elderly persons in city A of Gifu Prefecture. Permission was obtained from city A for the use of the information for the purpose of statistical study.2.Case study on the decision made by individual care managers.Result 1: Elderly People with relatively low degree of needs for care, ranging from "support required" to care level II, are enrolled mostly for home-visit long-term care and home-visit/day services. People who are more heavily dependent on care services tend to be admitted to institutions. Preference of people at care le … More vels IV and V is clearly split between institutionalization and home care services, and care level III is regarded as the critical point, It was found that factors that lead to institutionalization are problems related to incontinence and dementia (institutionalization due to disorder in physical and/or mental functions) and IADL (institutionalization due to inconvenience in daily life), showing a trend of polarization in the reasons for selecting care services at institutions.Result 2: People of higher care levels who receive care services at their homes are physically disabled persons without dementia or persons who need medical care but in stable conditions, the so-called bed-ridden people.It was found that people change their places of life due to difficulty to live under home care services, when such troubles arise as incontinence, dementia or behavior disorder. From the view point of care manager, institutionalization is preferred strongly when it becomes necessary to provide nighttime care and/or constant monitor, or the patient becomes unable to maintain normal relationship with others. Care services for bed-ridden people may be provided in somewhat fixed pattern, even if they must be attended for a long period of time or frequently, and therefore home care services can be continued when the situation allows the care provider to work as planned. Less

本研究目的在于探讨长期照护保险制度下社区照护服务的现况，并提出符合社区需求的照护服务。本研究基于以下两个研究：1.对岐阜县A市个别老年人的长期护理需求认证考试所收集的信息进行统计处理。2.关于个别护理管理者决策的个案研究结果1：护理需求程度相对较低的老年人（从“需要支持”到护理二级），大多数参加家访长期护理和家访/日间服务。严重依赖护理服务的人往往被收容机构收容。护理人员的偏好 ...更多信息第四和第五等级明显分为机构和家庭护理服务，护理等级III被视为临界点，结果发现，导致机构的因素是与失禁和痴呆有关的问题（由于身体和/或精神功能障碍而被收容）和IADL（由于日常生活不便而被送入机构），在选择机构护理服务的原因方面呈现出两极分化的趋势。在家中接受护理服务的护理水平较高的人是没有痴呆症的身体残疾人或需要医疗护理但病情稳定的人，即所谓的卧床不起的人。当出现失禁、痴呆或行为障碍等问题时，从护理管理者的角度来看，当有必要提供夜间护理和/或持续监测时，或患者无法与他人保持正常关系时，机构化是首选。对卧床不起的人的护理服务可以以某种固定的模式提供，即使他们必须长时间或经常得到照顾，因此，在情况允许护理提供者按计划工作时，可以继续提供家庭护理服务。少