Abstract
The purpose of this study was to clarify how care managers' practice related to the active selection of services in the Long-Term Care Insurance. The subjects of the study were 20 care managers that belonged to agencies in H city. The care managers participated in semi-structured interviews about the explanations of their roles to their clients, the way of selecting services, the problems that could not be solved by Long-Term Care Insurance, and ideas for improving care manager's work. Regarding their roles, 14 care managers explained that they made care plans and coordinated services. They provided support to their clients about the selection of services based on the understanding the clients needs and their family's intentions and the clients' physical condition. They also advised their clients to observe the different services and use some pamphlets before choosing a service. Twelve care managers planned the care while they talked to clients. Ten care managers had some experiences of disagreement with their clients about the care plans. Eight care managers hoped for some chances to study Long-Term Care Insurance to exchange information about it. Care managers tried to encourage their clients to choose services actively. In this situation, it is very important to provide chances for care managers to discuss service selections with other care managers.
