地域包括ケアシステムの構築をめざしたソーシャルワークの実践的課題の一考察 : ミクロ・メゾ・マクロ領域の連動性と循環性

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This study investigated the care management functionality of community-based social work and nursing-care insurance systems, aiming to clarify the challenges that must be addressed when constructing integrated community care systems.We identified an important question that must be addressed in the practice of integrated community care: How best to construct an environment favorable to the development of community social work and the implementation of care management? Social work conducted at a variety of levels-care management systems that take an individual approach on a micro scale, networking and custody systems that take an environment-based approach on a medium scale, and the construction of integrated community care systems as well as administrative activities, including the operation and management of these systems, on a macro scale-must function in an interconnected, synergistic manner.We concluded that cooperation across the various domains in which integrated community care systems are implemented is required, and that such systems must have strong connections with and have clear directions toward cooperation to ensure the continued operation of a system with numerous functions.