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A Study of the Impact of the Community Comprehensive Care System on Long-Distance Caregiving

Research Project

Project/Area Number 18K02062
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 08020:Social welfare-related
Research InstitutionYamaguchi University

Principal Investigator

Nabeyama Shoko  山口大学, 経済学部, 教授 (00335762)

Project Period (FY) 2018-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2021: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Keywords遠距離介護 / 地域包括ケアシステム / 高齢者介護 / 別居子 / 介護拒否 / 高齢者ケア / 仕事と介護の両立
Outline of Final Research Achievements

In the past, we have clarified the financial and time-related problems associated with “commuting” as a characteristic of “long-distance caregiving.” This time, we found “parental refusal of care” as a difficulty unique to long-distance caregiving, and discussed its causes and solutions. Separated children encourage their parents to accept outside services, including long-term care insurance services, because they are unable to provide daily living support for their elderly parents. However, in many cases, the discrepancy with the parent's self-perception leads to “care refusal. I compared this refusal of care with existing self-neglect studies and pointed out the conditions that an effective community comprehensive care system should incorporate to support long-distance caregiving.

Academic Significance and Societal Importance of the Research Achievements

学術的研究が少ない「遠距離介護」に着目し、別居子による介護の特徴を明確化すると同時に、別居子による介護に特有の困難性として、要介護認定を受け、介護保険制度のサービス利用に至る前段階や介護保険サービスでは対応できない「通常の暮らし」を手助けするサービスの必要性を指摘した。さらに、遠距離介護に必須である、外部サービスの受け入れを親が拒否する「介護拒否」に悩む別居子が多いことを調査結果で示し、親の「外部サービスの受け入れ拒否」を既存のセルフネグレクト研究と比較することで、遠距離介護に固有の困難性と親とのコンフリクトの要因を明らかにした。

Report

(7 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (6 results)

All 2024 2023 2022 2021 2020

All Journal Article (5 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Book (1 results)

  • [Journal Article] 住民調査から読み解く地域課題解決への方策-山口市阿東地福地区における全住民調査の分析-2023

    • Author(s)
      鍋山 祥子
    • Journal Title

      山口経済学雑誌

      Volume: 72 Pages: 15-31

    • Related Report
      2023 Annual Research Report
  • [Journal Article] Refusal of Nursing Care as a Factor That Hinders Long-Distance Care in Japan2023

    • Author(s)
      Nabeyama Shoko
    • Journal Title

      Nursing Science Quarterly

      Volume: 36 Issue: 4 Pages: 411-418

    • DOI

      10.1177/08943184231187865

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ケアマネジャーからみた遠距離介護-別居子と老親をつなぐ地域包括ケアシステム-2022

    • Author(s)
      鍋山 祥子
    • Journal Title

      山口経済学雑誌

      Volume: 70(5) Pages: 25-44

    • Related Report
      2021 Research-status Report
  • [Journal Article] 遠距離介護を困難にする一要因としての介護拒否-セルフ・ネグレクト概念による考察-2021

    • Author(s)
      鍋山 祥子
    • Journal Title

      山口経済学雑誌

      Volume: 69(5) Pages: 21-39

    • NAID

      40022645993

    • Related Report
      2020 Research-status Report
    • Open Access
  • [Journal Article] 別居子が向き合う地域包括ケアシステム -医療機関によるアセスメントに着目して-2020

    • Author(s)
      鍋山祥子
    • Journal Title

      山口経済学雑誌

      Volume: 68 Pages: 15-29

    • Related Report
      2019 Research-status Report
  • [Book] 介護のことになると親子はなぜすれ違うのか2024

    • Author(s)
      鍋山祥子、竹林正樹、神戸貴子
    • Total Pages
      176
    • Publisher
      メディカル・ケア・サービス
    • ISBN
      4058022434
    • Related Report
      2023 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2025-01-30  

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