介護保険法における要介護高齢者の居住問題 : 高齢者の意思決定のプロセスに焦点をあてて

抄録

In this paper, I analyze the problem of the habitation in the elderly people who need care in the public long term care insurance ,from the aspect of their residential selections. Elderly people have decided on the place in which he lives, considering various points, such as a state of his body, a situation of nursing care by family members, an economical situation, and a residential environment. Here, I examine this problem from an economical element and a residential element, which are considered that it will carry out appropriate to many elderly people. When determining whether elderly people live in a house, the following problem comes out: the housing repair in the public long term care insurance is not functioning well. The amount of money of housing repair is restricted and its contents are also limited. Neither after-sale service nor information disclosure is also enough. On the other hand, the problems of elderly people live in an institution are as follows: the width of its room and lack of a single room. From the 2002 fiscal year, the system where all single room for all elderly people are secured in the nursing home for them was built. But,since "hotel cost" starts, it may be unable to be paid to poor elderly people. Finally, I propose some points to this problem' administration's severe supervision, progress of information disclosure, and the education of care managers in the public long term care insurance.