Abstract
The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come. Under Japanese Long-term Care Insurance System, long-term care is provided based on long-term care programs, which were designed by care providers on the basis of long-term care service plans, which were designed by care managers. However, defined methodology for designing long-term care service plans and care programs has not been established yet. In this paper, we propose models for designing long-term care service plans and care programs for older people, both by incorporating the technical issues from previous studies and by redesigning the total methodology according to these studies. Our implementation model consists of “Function,” “Knowledge Structure,” and “Action Flow.” In addition, we developed the concrete knowledgebases based on the Knowledge Structure by visualizing, summarizing, and structuring the inherent knowledge of healthcare/welfare professionals. As the results of the workshop and retrospective verification, the adequacy of the models was suggested, while some further issues were pointed. Our models, knowledgebases, and application make it possible to ensure the quality of long-term care for older people.
Highlights
Japan is known as a “super-aging society [1],” because of long life expectancy and a low birth rate [2]
The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come [4,5,6]
Each care provider designs a concrete care program based on this long-term care service plan and provides care services according to this care program
Summary
Japan is known as a “super-aging society [1],” because of long life expectancy and a low birth rate [2]. The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come [4,5,6]. In response to this increasing social need for appropriate long-term care services, the Long-term Care Insurance System was instituted in April 2000 in Japan [1]. Long-term care services are based on long-term care service plans, which consist of goals, care services to be provided, estimated care contents, schedules for care services, and so on. Care programs consist of concrete care contents, detailed schedules for care, and so on
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