Sociological Evaluation Study on Public Longterm Care Insurance

研究结果表明：第一，公共长期保险利益相关者之间存在不同程度的差异。根据我们的初步假设，非营利服务提供者和营利性提供者是非常不同的，但他们既有相似之处也有不同之处。第二，我们发现个案工作者的离职率很高。我们对福冈县的护理人员进行了问卷调查。我们发现护理人员离开护理机构的原因有很多。第三，我们发现了许多关于护理人员国际化或全球化的问题。我们已经根据EPA计划对印度尼西亚护士和护理人员候选人进行了研究。日本的护理设施变得非常专门，只为日本老年人服务。因此，许多印尼护士和护理工作者的一些专业技能与日本护理工作无关。其次，日本养老院和护理机构作为护理提供机构存在许多问题和议程。护理工作者需要更多关于专业护理工作、职业道路和晋升机会的教育计划。第五，根据日本公共长期护理保险的处理情况，护理工作和护理设施变得非常本地化。这使得很多养老院院长和护理提供者对公共长期护理体系的未来抱有一种“失范”式的悲观看法。对公共长期护理保险的改革应进行更多的社会学评估。

Research results show 5 points as below;First, we identified various differences among stakeholders of Public long-term Insurance. According to our preliminary hypotheses, nonprofit service providers and For-profit providers are very different; however they have both similarities and differences.Second, we found high turnover rate among caseworkers. We had conducted questionnaire research on care workers in Fukuoka prefecture. We are finding many reasons why care workers left care facilities.Third, we identified many problems regarding 'internationalization or globalization of care workers'. We had conducted research on Indonesian nurse and care worker candidates under EPA scheme. Japanese care facilities became very specialized only for Japanese seniors. So that some professional skills of found many Indonesian nurse and care worker candidates had nothing to do with Japanese care work.Forth, Japanese Nursing homes and care facilities have many problems and agendas as care providing organizations. Care workers need more educational programs on professional care work, career paths, and promotional opportunities.Fifth, according to the handling of Japanese Public Long-term Care Insurance, care works and care facilities became very domestic. So that many directors of Nursing homes and care providers have 'anomie' types of pessimistic view on the future of Public Long-term care system. Much more sociological evaluation should be done on the reform of Public Long-term care Insurance.