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Please use this identifier to cite or link to this item: http://hdl.handle.net/11173/1535

Title: 先進諸国における訪問介護サービスの変容と今後の課題 : 日本、フランス、ドイツ、オランダを中心に
Other Titles: Changes and future issues in visiting care services in developed countries : Focus on Japan, France, Germany and the Netherlands
Authors: 藤森, 宮子
NAKAMURA FUJIMORI, Miyako
Keywords: 日本の介護保険改正案
生活援助サービス
先進諸国の訪問介護サービスの動向
フランスの訪問介護サービス市場
Japan Nursing Care Insurance System revision proposal
support services for daily life
trends in visiting care services in developed countries
visiting care service market in France
Issue Date: 25-Dec-2013
Publisher: 京都女子大学現代社会学部
Abstract: 2013年現在、日本では2015年の介護保険制度改正にむけて、厚生労働省が打ち出した改正案の中に、軽度な自立喪失兆候を示す要支援者に対する訪問介護サービス給付の変更がある。現在の要支援者に対する訪問介護サービスは介護保険の法定給付であるが、改正案では市町村の裁量による新しい地域支援事業の中に組み入まれる。市町村の方針や状況に合わせて、地域のNPOやボランティア団体、企業などを活用して、介護予防、配食、見守りなどの生活支援サービスを提供するという方向性である。しかしながら、要支援者が最も利用してきたのは訪問介護サービスであることから、改正案はその縮小である、という見方ができる。さらに現在ではまだ見えにくいが、介護保険や行政サービスによる準市場ではない、自由市場における家事・介護に関連する生活支援サービス振興の狙いにも気付かされる。そこで本稿では先進諸国の公的介護制度の中で、訪問介護サービスはどのような動向を示しているのかを見る。その上で、社会福祉の訪問介護サービスを市場の対人サービスに包摂したフランスにおける高齢者援助政策の推移を見る。
At present, in 2013, there are changes in provision of visiting care services for people requiring care showing signs of loss of autonomy in the reform proposed by the Ministry of Health, Labour and Welfare, as Japan moves toward the 2015 revision of the Nursing Care insurance system. Currently, visiting care services are a statutory benefit of Nursing Care Insurance, but in the proposed revision, they will be incorporated into new community support projects implemented at the discretion of the city, town or village. The trend is for community NPOs, volunteer groups and businesses to be used to provide daily living support services such as prevention of the need for care, meals services and monitoring visits in line with the policies and situation of the city, town or village. However, judging by the fact that it is visiting care services that have been most used by people requiring care, there is a view that the proposed revision means cutbacks in these services. Furthermore, although it is still not clear, one is made aware of the aim of promoting home help and care services as a free market rather than quasi-market through nursing care insurance and public services. Within this context, this paper examines the kinds of trends evident in visiting care services in public care systems in developed countries. Based on this, the situation of visiting care service market policies in France, where visiting care services consume a large part financially in the care system for elderly people, is introduced.
URI: http://hdl.handle.net/11173/1535
Appears in Collections:第16号(2013-12-25)

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