Research on the Practice of Understanding information in Assessment by Care Manager of Homed-Based Care Support Centers in JAPAN, and related factors.
In the year of 2000, the Public Long-Term Care Insurance system was introduced in Japan. Under the Insurance System, care management was required to coordinate the care services for the elderly. In the care management process, the assessment is a core function, and care managers have to gather and analyze significant information concerning the clients in the process of assessment.
The aim of the present study is to clarify factors for obtaining significant information in assessment for elderly clients by care managers. The data were collected by self-administered questionnaires mailed to the participants at 500 care management centers in 6 prefectures in the Kinki area of Japan. The research was conducted between February 9 and 28, 2017. The care management centers were randomly selected. Of the participants, 186 were utilized for the data analysis. The response rate was 37.2%.
We obtained approval from the ethical review board of the BAIKA Women’s University and informed the subjects of the study objectives，preservation of their anonymity，and methods for data management in the written forms．
A multiple regression analysis was performed concerning obtaining significant information in assessment as dependent variables and the care managers’ characteristics, relationships with informal support and formal service resources, the supports from the Comprehensive Community Support Center, and so forth as independent variables. As a result, obtaining significant information was associated with relationships of services users and their families, informal support organization in community, and formal service providers under the insurance system. Our findings suggest that in order to obtain appropriate information in assessment, care managers should have positive relationships of services users and their families, informal support organization in community, and insurance service providers.