在宅介護支援センターの変遷と今後の課題 : 介護保険制度前後のA市C在宅介護支援センターの事例から

阿部 政博, 片山 弘紀, Masahiro Abe, Hiroki KATAYAMA

doi:10.14993/00000450

在宅介護支援センターの変遷と今後の課題 : 介護保険制度前後のA市C在宅介護支援センターの事例から

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タイトル別名

Comparison of In-Home Care support Center with Before and After the Implementation of Long-term CareInsurance : In case of C In-Home Care support Center at the city of A
ザイタクカイゴシエンセンターノヘンセントコンゴノカダイカイゴホケンセイドゼンゴノ Aシ C ザイタクカイゴシエンセンターノジレイカラ

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説明

The purpose of this study is to examine administrative changes and problem of in-home care support center through a comparison with before and after the implementation of the long-term care insurance at C in-home care support center in the city of A. The study has found four problems as follows; 1) decrease in amount of financial support; 2) delay of qualitative service delivery for the elderly; 3) rapid increase in the number of counseling; and 4) reaching upper limit of the capacity in service. It may be true that the implementation of the long-term care insurance has might affect in-home care support center on finance and personnel. There are solutions for in-home care support center to maintain the quality of service. It is necessary to entrusted as a community comprehensive support center under a new long-term care insurance system or cooperate with such a center