Analysis of the Differences between Certificated Grades of Care Required of Long-term Care Insurance System in Japan and the Care Provided

概要

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The purpose of this study was to clarify and analyze the problems associated with long-term care insurance systems in Japan. We investigated the number of care services utilized and the duration of care services received during day care. In total, 490 clients (142 male and 348 female ; average age 81.3±7.9 years old) whose care plans were prepared at five institutions providing home care support in the Hyogo Prefecture enrolled for study A in March 2001. For study B, 31 clients (14 male and 17 female ; average age 76.7±10.9 years) from the five day care centers attached to the Geriatric Health Service Facility in Hyogo and Okayama prefectures, and all of whom needed care verbally consented to participate. In study A, the relationship between actual utilization and the use limits of each grade was examined. In study B, the relationship between the duration of actual service time offered and standard time allocated for each. Grade was examined. Results clarified that 65.3% of the clients utilized below the use limits for their grade (Study A), while a relationship was not found between allocated time and the actual service time offered (Study B). In conclusion, it is apparent that a reconsideration of certification methods is implicit, as no differences were found between the actual demand and supply of care time.
神戸大学の論文
2004-03-25