1995 Fiscal Year Final Research Report Summary

LEGAL STUADY TO SECURE THE QUALITY OF THE HOME CARE

Research Project

Project/Area Number	06301061
Research Category	Grant-in-Aid for Co-operative Research (A)
Allocation Type	Single-year Grants
Research Field	Social law
Research Institution	TOKAI UNIVERSITY
Principal Investigator	UTSUGI Shin TOKAI UNIVERSITY SCHOOL OF LAW,PROFESSOR, 法学部, 教授 (80014174)
Co-Investigator(Kenkyū-buntansha)	MIKI Tomihiro OSAKA NTT HOSPITAL,CHIEF OF INTERNAL MEDICINE, 第一内科, 医長 (30239206) HIRABAYASHI Katsumasa KOKUGAKUIN UNIVERSITY SCHOOL OF LAW,PROFESSOR, 法学部, 教授 (40086971) TSUKAMOTO Yasushi KANTO CENTRAL HOSPITAL,CHIEF OF BRAIN NEUROSURGERY, 脳神経外科, 部長 SAITO Kazuyuki SAITAMA MEDICAL SCHOOL,ASSOCIATE,PROFESSOR, 助教授 (10215535) IWASHI Waichiro WASEDA UNIVERSITY,FACULTY OF LAW,PROFESSOR, 法学部, 教授 (70193737)
Project Period (FY)	1994 – 1995
Keywords	HOME CARE / ELDERLY / QUALITY OF MEDICAL CARE / HOME NURSING / CARER / INFORMED CONSENT / LOCAL GEVERMENT
Research Abstract	Out of the analysis and comparison of the results of two investigations into the actual conditions of the elderly patients in their homes operated in an rural area and in an urban area in Japan, following conclusions were extracted. (1) For the home care system to be established it is indispensable to amply prepare the institutional facilities. (2) In our country, the female kins, especially the spouses of the eldest sons have been and are even now burdened to take care of the parents. This social tradition should be as soon as possible abolished, and several measures should be prepared to lessen the burdens now loaded. (3) Complaint system with able and capable staffers could be quite useful for the parties concerned to improve the conditions as well as for the authorities to reassess the present policies. (4) It is indispensable for home-care plan to reexamine the hitherto housing policy with long range of vision. (5) Private sectors in welfare fields should be adequately instructed and controlled by the authority so as to fill up the disparity abserved in geographical as well as service fields. (6) The idea to introduce the free contract system to replace the admission order now used for admission of the elderly into the longterm care facilities should not be adopted, for the defects of the contract system would prevail the merits of it. (7)Special institutions are needed for the elderly with dementia. (8) Rehabilitaion and counselling are urgently needed to be fortified.