A study on support for caregivers under the long-term care insurance system reform in the establishment of an integrated community care system

2021 Fiscal Year Final Research Report

• Project/Area Number: 18K02079
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 08020:Social welfare-related
• Research Institution: Otsuma Women's University (2021); Japan College of Social Work (2018-2020)
• Principal Investigator: Kikuchi Izumi 大妻女子大学, 人間生活文化研究所, 研究員 (00533217)
• Project Period (FY): 2018-04-01 – 2022-03-31
• Keywords: 介護者支援 / 介護保険制度改革 / 地域包括ケアシステム / 地域支援事業 / 家族介護支援事業 / 市町村 / 地域包括支援センター / 自助の確立

Outline of Final Research Achievements

Under recent reforms to the long-term care insurance system, the reorganization of Community Support Projects, which stipulates Family Care Support Projects, is progressing.
In this study, the situation of caregiver support was clarified through a nationwide questionnaire survey for all municipalities. Based on the results, we selected municipalities that are active and advanced in caregiver support projects and conducted an interview survey with municipalities and community support center directors. Through the analysis of these quantitative and qualitative data,the ideal caregiver support toward the establishment of an integrated community care system was presented.

Free Research Field

高齢者福祉政策

Academic Significance and Societal Importance of the Research Achievements

家族を中心とするインフォーマルな介護者に対する支援のあり方は、介護保険創設時に争点となったものの、未だ十分な議論が尽くされたとはいえない。本研究は、地域包括ケアシステム構築を目標とする介護政策の動向を踏まえ、介護保険の保険者として権限の増した市町村の介護者支援にかかわる事業に焦点をあてた研究である。介護の総合相談窓口である地域包括支援センターの機能を有効活用し、地域の実情に応じた事業展開とともに、介護者の自助の確立に向けた支援体制の構築の重要性を明らかにした。