公的介護保険における「利用者の選択」をめぐる一考察(岡崎守男教授退任記念号)

概要

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The Japanese system of public care insurance started on April 1,2000. This system is very efficient. It embodies ideals such as "national solidarity" and "user's free choice" which means user can choice care services freely. This paper is an examination of the meaning of "user's free choice". Many problems were encountered during the research. The problems occur within the following three descriptions : (1) There is too little information. The care insurance system is misunderstood. There is almost no information available about agents for care managers and service suppliers. (2) There is much dissatisfaction with care management plans for the following reasons : (1)Care management plans are insufficient because care managers are too busy. (2)Since the kinds and volumes of services are insufficient, the care managers were not able to provide the kinds of plans that customers wanted. (3)Many care managers are employed by service suppliers. It is possible that care managers gave preference to service suppliers rather than to customers. (3) Many customers wanted their families to care for them and disliked accepting care from strangers. We can find some problems relating with familiarity here. Although one reason of the dissatisfaction is the result of insufficient preparation, the system currently requires a great deal of reform, too. And future reform will require consideration of the familiarity problems.
桃山学院大学の論文