Departmental Bulletin Paper 軽度要介護認定者の介護サービス未利用と社会関連性との関連
The Relation between Unusing Long-term Care Insurance Service and Social Interaction in Elderly People with Lower Care Levels

海原, 律子  ,  上野, 昌江  ,  和泉, 京子

The objective of this study was to understand the state of long-term care service use by individuals certified asrequiring lower care and, from the viewpoint of their relationship with society, to clarify why individuals do not useservices.A questionnaire using un-named, individually filled-in forms via mailing was administered targeting 2,355 elderlypeople who maintain an at home lifestyle and receive approved Needing support 1 and 2 and Long-term care 1 and 2.We have received the following results.① Participants not using had higher IADL scores. Also, the group who need support showed a significantly higher ratein living alone, and the group who need long-term care had a lower average age and showed a significantly higherrate in residency of 10 years or more.② The group who need support responded, “Having discussion with family members” while the group who need longtermcare responded, “no discussion with family members and other people.” Thereby, showing a relation to unusedlong-term care service.From the above results, we have determined that the group who need support and the group who need long-term carehave different backgrounds, revealing the possibility that the groups require separate support measures. Moreover, thereis a possibility that those not using but belonging to the group who need long-term care may be isolated from family andneighbors. Hence it may be required to create a mechanism in which we can gain an understanding of their situation andbuild an individual relationship with them through house-calls, etc.

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