Study on development of enabling roles of public long-term care insurers(municipalities) for building a community-based integrated care system

2015 Fiscal Year Final Research Report

• Project/Area Number: 25380836
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Social welfare and social work studies
• Research Institution: National Institute of Public Health
• Principal Investigator: MORIKAWA MIE 国立保健医療科学院, 医療・福祉サービス研究部, 主任研究官 (40325999)
• Co-Investigator(Kenkyū-buntansha): MATSUSHIGE TAKUYA 国立保健医療科学院, 医療・福祉サービス研究部, 主任研究官 (70558460)
• Co-Investigator(Renkei-kenkyūsha): FUKADA SATOSHI 国立保健医療科学院, 医療・福祉サービス研究部, 上席主任研究官 (80527995) ; KUMAKAWA TOSHIRO 国立保健医療科学院, 医療・福祉サービス研究部, 部長・主任研究官 (10221227) ; OKAMOTO ETSUJI 国立保健医療科学院, 統括研究官 (90247974) ; HIRATSUKA YOSIMUNE 国立保健医療科学院, 医療・福祉サービス研究部, 上席主任研究官 (80266014) ; OTSUBO KOICHI 国立保健医療科学院, 医療・福祉サービス研究部, 主任研究官 (80248559)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Keywords: 介護 / 統合ケア / 日本 / 地域ケア / 人材 / 保険者 / コミュニティ / 政策

Outline of Final Research Achievements

This study aims to analyze the development process of the enabling roles played by public long-term care (LTC) insurers (municipalities) for building a community-based integrated care system, and to understand this process in the context of international trends in health care reforms.
We have successfully published a paper that elucidated Japan’s national policy trend toward community-based integrated care in relation to the concepts of integrated care and community-based care, the agenda of cost containment and service streamlining, and medical care, with a consideration of international trends in health care reforms.
In addition, given the results of qualitative case studies on long-term care administration at the municipal level, we have identified the several phases of building a community-based integrated care system by a local government to outline the framework for each phase of the system building process. The framework outlines the issues to be addressed in future research.

Free Research Field

社会福祉学