A Study on the Reliability and Validity of Home Care Assessment Formats from the View Point of Rehabilitaton model

2001 Fiscal Year Final Research Report Summary

• Project/Area Number: 11835030
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Institution: Tokyo Metropolitan University of Health Sciences
• Principal Investigator: TERAYAMA Kumiko Tokyo Metropolitan University of Health Sciences, Faculty of Health Sciences, Professor, 保健科学部, 教授 (70188689)
• Co-Investigator(Kenkyū-buntansha): SASADA Satoshi Innternational University of Health and Welfere, School of Health Science, Lecturer, 保健科学部, 助手 (80269513) ; KINOSE Takashi Innternational University of Health and Welfere, School of Health Science, Lecturer, 保健科学部, 講師 (10214850) ; SUGIHARA Motoko Innternational University of Health and Welfere, School of Health Science, Professor, 保健科学部, 教授 (60275782) ; SUZUKI Keisuke Innternational University of Health and Welfere, School of Health Science, Research Assistant, 保健科学部, 助手 (80326024) ; INOUE Kaoru Innternational University of Health and Welfere, School of Health Science, Research Assistant, 保健科学部, 助手 (90259143)
• Project Period (FY): 1999 – 2001
• Keywords: The Public Long Term Care Insurance / OccupationalTherapy / Home Care Assessment Formats

Research Abstract

A study was conducted to obtain a better understanding of what was advantageous and what needed to be improved regarding home-care assessment charts in accordance with the rehabilitation model. An occupational therapist was monitored subject. As a result, the following points became clear: (1) In depth information could be obtained, but the number of items on the charts was numerous, (2) vocabulary and items needed to be organized, (3) the meaning of "need" was ambiguous and (4) the consistency of the items on each assessment chart with the care plan needed further consideration. In order to examine the problem areas of home-care assessment charts in more detail, we made an anecdotal video. We conducted our investigation using this video. The subject was an occupational therapist who had both experience and certification as a nursing care manager. As a result, it was suggested that many of the items on the assessment charts overlapped; consequently, they should be organized and, where possible, the overlapping items cut from the charts. In addition, the compilation of an instruction manual for assessment charts is a subject for further investigation. It was also pointed out that because part of the items concerning social resources and nursing care was unclear, the contents should be made more precise.