A STUDY ON THE PROS AND CONS OF CASH BENEFITS FOR FAMILY CAREGIVERS IN HOUSEHOLDS USING HOME HELP SERVICES AND THE UNDERLYING REASONS

OGATA Tomoaki, KOINUMA Nobuo, ITO Michiya, KANEKO Sayuri

doi:10.11303/jsha.48.137

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訪問看護サービス利用世帯の家族介護者による現金給付の賛否と要因に関する研究
ホウモンカンゴサービスリヨウセタイノカゾクカイゴシャニヨルゲンキンキュウフノサンピトヨウインニカンスルケンキュウ

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Abstract

The purpose of this study is to clarify the pros and cons of cash benefits for family care and the underlying reasons in families who care for home help service station users at home and to investigate how nursing care services and cash benefits could be allocated for family care. A questionnaire survey was conducted among 850 caregivers, of whom 350 responded. Thirty-three point three percent opposed cash benefits, 37.4% supported them, and 29.3% were undecided. The reasons for supporting cash benefits were the presence of services that cannot be used for economic reasons and a high cost burden, whereas the opposing reasons were problem behaviors and the absence of services in local areas.<br>There are pros and cons of cash benefits, and a national debate is necessary in the future. As a desirable state of the long-term care insurance, cost reduction for low-income households and improvement of services in local areas with insufficient services should be sought, and after that cash benefits should be considered based the case-by-case evaluation of family care. In order to provide cash benefits in an appropriate manner, environmental improvements are required, such as establishing a system to ensure the quality of family care and, in particular, monitoring by a third party.

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Journal of the Japan Society for Healthcare Administration

Journal of the Japan Society for Healthcare Administration 48 (3), 137-145, 2011

Japan Society for Healthcare Administration

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