Risk Management of "Human Services on Welfare" and "Occupational Safety and Health" in Social Welfare Facilities

由于公共长期保险的引入和社会福利基础性结构性改革的推进，人类福利服务的使用已经从制裁转向基于合同的制度。发生在社会福利机构的事故可分为(1)护理事故(使用者受损)、(2)职业事故(工作人员受损)。而且，它可以认为用户和工作人员都因一次事故而受损。社会福利设施是使用者的生活场所，也是雇员的工作场所。因此，在使用者端进行“福利人性化服务风险管理”和在雇员端进行“职业安全与健康风险管理”，对防止福利设施发生事故具有重要意义。本研究旨在将这两种风险管理结合起来。从一系列研究结果来看，明确了以下事项对预防社会福利设施事故的发生具有非常重要的意义。(1)员工侧的“职业安全健康风险管理”是“福利人性化服务风险管理”的前提。(2)更可行的是在社会福利设施中建立“职业安全健康管理体系”，利用已经根据职业安全健康法建立的职业安全健康组织，在“职业健康安全管理体系”中加入对作为社会福利机构重要成员的“使用者”的思考，同样可以实现“福利人文服务风险管理”的建立。

The use of human services on welfare have shifted to the system based on the contract from the sanction, because of the introduction of the public long-term insurance and the promotion of the basic structural reform of social welfare. The accident which happened in the social welfare facilities can be classified in (1)care accident (user damaged), (2)occupational accident (working staff damaged). And, it can think that both of the user and the working staff are damaged by one accident. Social welfare facilities are the places to live for the user, and it is the place to work for the employee.Therefore, it is important that both "Risk Management of human services on welfare" on the user side and "Risk Management of Occupational Safety and Health" on the employee side are carried out to prevent the accident in the welfare facilities.This study was performed for the purpose of aiming at the integration of this two risk management.From a series of study results, it was cleared that following matter was very important to prevent the accident in the social welfare facilities.(1)"Risk Management of Occupational Safety and Health" on the employee side is necessary as a premise of "Risk Management of human services on welfare"(2)It is more available that We build "the Occupational Safety and Health Management System" in the social welfare facilities, using the occupational safety and health organization which has already been established with the Occupational Safety and Health Law, than that the organization and system for "Risk Management of human services on welfare" is thought out newly.(3)If we build thoughtful consideration for "the user" who is the important member of the social welfare facilities onto "Occupational Health and Safety Management System", we can fulfill to establish "Risk Management of human services on welfare", either.