New models for providing care to balance between the rights of carers/care workers, quality care, and self-governance of elderly people requiring care

从老年人的权利、护理质量和护理工作者的权利这三方面对国内外的护理模式进行了评价，这对未来的护理政策至关重要。首先，对包括日本在内的经合组织国家的长期护理效益进行了评估，并提出了结果对日本未来护理模式的影响。其次，消费者或用户导向的护理模式在其对护理工作者社会权利的脆弱性方面存在问题，而芬兰护理工作者的案例，“在健康和社会护理中功能整合的通才护理工作者”，被分析并作为21世纪日本社区综合护理人力资源的替代模式提出。

The models of care inside and outside the country are evaluated from a set of following viewpoints, elderly people's right, the quality of care, and care workers' right, which is an essential for a future care policy. Firstly, the performance of the OECD countries 'long-term care benefit including Japan is evaluated, and the implications of the results for a Japan's future care model are presented. Secondly, consumer or user-directed models of care are problematized in their vulnerability of social rights of care workers, while the case of Finnish care workers, which is "functionally integrated generalist care workers in health and social care," is analyzed and presented as an alternative model of human resources for community-based integrated care in the 21st century in Japan.