要介護認定者数推計を基にした高齢者通所介護施設の整備率・利用率算定と経営利益試算

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タイトル別名
  • ESTIMATION OF FULFILMENT, UTILIZATION RATE AND MANAGEMENT REVENUES AND EXPENSES OF DAY CARE FACILITIES BASED ON CARE-NEED CERTIFICATED PERSONS
  • 要介護認定者数推計を基にした高齢者通所介護施設の整備率・利用率算定と経営利益試算 : 山口県を対象として
  • ヨウカイゴニンテイシャスウ スイケイ オ モト ニ シタ コウレイシャツウショカイゴシセツ ノ セイビリツ ・ リヨウリツ サンテイ ト ケイエイ リエキ シサン : ヤマグチケン オ タイショウ ト シテ
  • － Case study on Yamaguchi Prefecture －
  • －山口県を対象として－

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<p> This paper aims to organize the sufficiency evaluation of the day care facility for the elderly by the municipalities before the municipal merger in Heisei period by based on estimation of the number of the care-need certificated persons in Yamaguchi prefecture which is prominent in aging and encompasses urban and rural areas. In addition, this paper examines the effect in profitability of facility management by nursing-care insurance revision in 2015 by based on the management revenue and expenditure before and after the insurance revision.</p><p> The facility supply was advanced all municipalities before the municipal merger in Heisei period, and they function as a base for home care services. In old cities, the facility supply is advanced in the municipality with large number of the care-need certificated person, and the number of the users of the facility increases. So, the facility demand is high. On the other hand, in old towns and villages, even if the sufficiency evaluation of the facility is same, there are the municipalities with many users of the facility and the municipalities with few users. So, there is a disparity of facility demand. And, utilization rate is low in the municipalities where the number of care-need certificated persons is few and there are multiple facilities. In addition, this paper calculates the management revenue and expenditure, and it is clarified that if facility management continues in the same way as in 2009, the management of the facility slides into deficit in more than half number of the facilities in 2015.</p><p> In the facility with other facilities, it is possible to compensate for the management with the revenue of the other facilities. However, many small-scale facility using a vacant house is managed independently, so management of these facility will be difficult in the future. In old towns and villages, 9 municipalities have only one facility with a special nursing home. The number of care-need certificated persons will decrease in the future, so they should consider the method to maintain the welfare service for the elderly in the area, such as positioning each day care facility as a base of a community general support system and introducing “the Care Prevention and Daily Life Support Project”.</p>

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