Needs assessment of home care services for the aged in the community

基于北九州市及邻近社区赡养老人的个人资料(133例居家老人和116例住院老人，共249例)，根据家庭类型和抚养水平构建了照护计划模式。利用北九州的数据和福利和卫生部的估算，估算了北九州各类别的老年人口数量。结合这两种评估方法，对北九州市居家养老服务需求评估进行了尝试。评估显示，需要更多的家居照顾服务，以满足社区的需求(家务助理服务超过30%，家居护理服务超过100%，日间服务超过500%，尽管使用率是估计的40%)。另一个重要的考虑因素是服务需求受家庭状况的影响很大。根据对49名一直使用社区社会福利理事会举办的家务助理服务和日间护理服务的受养老年人(1997年1月至2000年1月)的供养水平变化的时间顺序评估结果显示，接受调查的老年人的供养水平略有恶化(30%是搬家，10%是精神水平)。作为依赖程度恶化的关联因素，检测了骨骼和关节。建议居家照护服务有助于预防老年体弱者抚养水平的恶化。

Based on individual data of dependent aged in Kitakyushu City and a neighboring community (133 home cases and 116 institutionalized cases ; total 249 cases), model care plans were constructed according to type of family and dependency level. By using the data of Kitakyushu and the estimation of Ministry of Welfare and Health, the number of aged people for each category was estimated for Kitakyushu City. Needs assessment of home care services for the aged in Kitakyushu City was tried by combining these two estimations. The estimation has suggested that more home care services are required in order to satisfy the needs of community (30% plus for home help service, 100% plus for home nursing service, and 500% plus for day service, even though the utilization level is 40% of the estimation). Another important consideration is that needs for the services are heavily influenced by the familial condition.According to the result of chronological assessment of change in dependency level among the 49 dependent aged who have been using the home help service and day care service organized by a Community Council of Social Welfare (January 1997 to January 2000), a slight worsening of dependency-level was observed among the investigated aged people (30% for moving, 10% for mental level. As an associate factor of worsening of dependency level, bone and joint was detected. It is suggested that home care services should be useful for the prevention of worsening of dependency level of the frail aged.