Process and outcome evaluation for constructing the community-based integrated care system.

2016 Fiscal Year Final Research Report

• Project/Area Number: 25285175
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Partial Multi-year Fund
• Section: 一般
• Research Field: Social welfare and social work studies
• Research Institution: Tokyo Metropolitan University (2016); Kamakura Women's University (2013-2015)
• Principal Investigator: Sugihara Yoko (杉原陽子) 首都大学東京, 都市環境科学研究科, 准教授 (80311405)
• Co-Investigator(Renkei-kenkyūsha): SUGISAWA Hidehiro 桜美林大学, 大学院老年学研究科, 教授 (60201571) ; WATANABE Yuichi 武蔵野大学, 人間科学部, 准教授 (70412921) ; SHIMMEI Masaya 東京都健康長寿医療センター, 研究員 (70312288) ; SHIMIZU Yumiko 東京慈恵会医科大学, 医学部, 講師 (30328330) ; WATANABE Hirofumi 武蔵野大学, 人間科学部, 准教授 (50383328) ; KOIKE Yukako 神奈川県立保健福祉大学, 保健福祉学部, 助教 (80714104)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Keywords: 地域包括ケアシステム / 介護保険制度 / 政策評価

Outline of Final Research Achievements

We conducted the surveys in a municipality of Tokyo metropolis to evaluate process and outcome for constructing the community-based integrated care system. The results of process evaluation showed that there was few prospect of securing various services and support to construct the community-based integrated care system, and the function of the municipality as insurer had not yet worked well. To examine the outcome of the system, two repeated cross-sectional surveys were conducted in 2013 and 2016 with probability samples of community-dwelling persons aged 65 years and older, care-need/support-need certificated elderly persons, and caregivers of care-need certificated persons. The results showed that there were not any positive changes which might suggest the progress of community-based integrated care system in three years. On the contrary, it was suggested that there might be negative effects of the revision of long-term care insurance system on the frail elderly.

Free Research Field

社会科学