Comparative study of needs assessment for frail or dementia elderly in Sweden and Japan

我们对这项获得资助的研究项目的研究结果如下：我们可以发现，瑞典虚弱或痴呆症老年人的需求评估将由一名Kommun的专家和定期工作人员进行。通过对建议接受家务助理、日间服务或短期住宿服务的老年人的访谈，一个应该和滞后的问题是确定普通家庭的服务种类和频率。他们将决定虚弱或痴呆症的老年人是否有权进入疗养院或团体。在任何Kommun中，都没有需求评估的标准。因此，我们认为，由于缺乏国家评估标准，各社区在需求评估方面存在严重差异。瑞典没有全国统一的评估虚弱或痴呆症老年人的标准。但这意味着老年人的个人和个人需求是偶尔可以指望的。我们从7个立场向2000年4月1日开始在日本的市公共长期护理保险认证委员会成员的专家发出了开放式调查问卷。预计这些专家将决定长期护理需求的水平，范围从需要支持到需要长期护理5。我们可以从4个城市的约120名专家那里获得关于公共长期护理保险的意见和评估的许多回应。我们日本对虚弱或痴呆症老年人的评估有全国统一的客观标准。这意味着在任何情况下都不能指望老年人的个人和个人需求。

Our findings of this granted research project are as follows.We could find out need assessment for frail or dementia elderly in Sweden is to be conducted by one bistandshandlaggare who is a expert and regular staff of the kommun. By the interview with the elderly who propose to receive the services such as homehelp, day services or short stay services, one bistandshandlaggare is to decide the kinds and frequencies of services in ordinary home. And that they are to decide whether the frail or dementia elderly is entitled to enter the sarskilda boendeformer such as nursinghome or grouphome or not. There is no standards for the need assessment in any kommun. So we think there are severe differences about needs assessment between kommuns because of lack of national standards of assessment. Sweden has no nationally uniform criteria for the assessment for frail or dementia elderly. But this means individual and personal needs of elderly could be counted on occasionally.And we have sent the open-ended research questionnaire from 7 standpoints to the experts who are the members of municipality's certification committee of Public Long-term care Insurance starting at the 1 April 2000 in Japan. These experts are expected to decide the level of long-term care need ranging from 'requiring support' to 'requiring long-term care 5'.We could get the many responses about the opinion and assessment for the Public Long-term Care Insurance from some 120 experts of 4 municipalities. We Japan has nationally uniform and objective criteria for the assessment for frail or dementia elderly. This means individual and personal needs of elderly could not be counted on in any occasion.