Development of computer programs evaluating both the required care level and the needs of care using personal digital assistance

在长期护理保险中，对失能老年人的状况进行两次评估：第一次是确定所需的护理水平，第二次是制定护理计划。然而，第二次评估很少进行。我们开发了两个计算机程序，一个是直接从基础调查获得的数据中提取护理需求，然后使用日本老年护理协会的流程图方法自动编制标准护理计划。另一种类似地根据最小数据集2.1评估的数据来制定标准护理计划。这些计算机程序使标准护理计划能够快速收缩。

In long-term care insurance, conditions of the disabled elderly are evaluated twice : first for determination of the required care level, secondary for construction of the plan of care. The second assessment, however, is rarely performed. Even if the conditions are evaluated by assessment tools such as Minimum Data Set 2.1, the data rarely utilized due to difficulty of constructing the plan of care in this method.We developed two computer programs ; the one extract the needs of care directly from data obtained by the basic investigation and automatically prepare the standard plan of care using 'Flow Chart Method' by Japan Elderly Care Association. The other similarly frame standard care plans from data assessed by Minimum Data Set 2.1.These computer programs enable rapid contraction of the standard plan of care.