Expectations and problems of the healthcare management support program for public assistance recipients

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  • UENO Keiko
    Department of Health and Social Behavior, Graduate School of Medicine, The University of Tokyo Department of Social Epidemiology and Global Health, Graduate School of Medicine and School of Public Health, Kyoto University
  • NISHIOKA Daisuke
    Department of Social Epidemiology and Global Health, Graduate School of Medicine and School of Public Health, Kyoto University Department of Medical Statistics, Research & Development Center, Osaka Medical and Pharmaceutical University
  • KONDO Naoki
    Department of Social Epidemiology and Global Health, Graduate School of Medicine and School of Public Health, Kyoto University

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Other Title
  • 生活保護受給者への健康管理支援事業に対する福祉事務所の期待と課題認識：福祉事務所への質問紙およびヒアリング調査結果より
  • セイカツ ホゴ ジュキュウシャ エ ノ ケンコウ カンリ シエン ジギョウ ニ タイスル フクシ ジムショ ノ キタイ ト カダイ ニンシキ : フクシ ジムショ エ ノ シツモンシ オヨビ ヒアリング チョウサ ケッカ ヨリ

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Abstract

<p>Objectives　In recent years, the importance of healthcare support for public assistance recipients has been recognized, and healthcare support measures have been implemented for them. This study aimed to investigate the expectations and problems of welfare offices, as well as their requests to the central government and prefectures about the healthcare management support program for public assistance recipients, which has been mandated since 2021.</p><p>Methods　In November 2019, snowball sampling was used to select 23 welfare offices for sending self-administered questionnaires about the healthcare management support program. Respondents were asked open-ended questions about their expectations and problems regarding the program, as well as their requests to the central government and prefectures. A subsequent interview survey was conducted from November 2019 to February 2020, gathering additional information on the questionnaire survey.</p><p>Results　We received consent for the questionnaire survey and interview survey from 16 welfare offices (response rate 69.6%). It was revealed that the staff in charge of the healthcare management support program at the welfare office expected the program to improve recipients' health awareness and condition and for it to be applied to other residents in the community. They reported difficulty in developing the implementation system, setting up the indicators and target population, and retaining health professionals. They requested the central government and prefectures to clarify the indicators and the criteria for evaluation, provide reference materials, introduce precedents, communicate and coordinate with welfare offices and related organizations in the community, hold meetings to share information, and secure financial resources.</p><p>Conclusion　Findings from our study suggest a need to strengthen the cooperation between the central government, prefectures, and local governments and to establish a multilayered system to implement the healthcare management support program effectively in welfare offices.</p>

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