Basic Research for Introducing Advance Care Planning to Persons Taking Insulin Therapy

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K10528
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Ibaraki Prefectural University of Health Science
• Principal Investigator: Watanabe Shinobu 茨城県立医療大学, 保健医療学部, 准教授 (60833811)
• Co-Investigator(Kenkyū-buntansha): 田宮 菜奈子 筑波大学, 医学医療系, 教授 (20236748) ; 田中 理恵 筑波大学, 医学医療系, 研究員 (60827418) ; 石川 智子 (伊藤智子) 筑波大学, 医学医療系, 准教授 (70709683)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: インスリン療法 / 在宅医療・介護連携 / 多職種連携 / 介護保険制度

Outline of Final Research Achievements

This study was conducted as a basic investigation of advance care planning for elderly persons requiring long-term care who have difficulty self-administering insulin, with the aim of identifying options for safe continuation of treatment. The results suggest that there are issues recognized in each of the medical insurance and long-term care insurance systems, and furthermore, that these issues are not shared among the systems. In advance care planning, all those involved in providing support need to share possible future problems and consider solutions. In the next issue, we would like to conduct an empirical study on how problems should be shared between the two systems, which is a prerequisite for the introduction of advance care planning.

Free Research Field

老年看護学・高齢者看護学

Academic Significance and Societal Importance of the Research Achievements

要介護高齢者がインスリン療法等の医療的ケアを必要とする場合、在宅での生活を安全に継続するには、支援を受ける選択肢として医療保険や介護保険制度による社会資源の充実が必要である。本研究は現行の制度下でのインスリン療法に関する支援の限界と、制度間で問題を共有できていない点を明らかにした点で社会的意義があると考える。