The “Community-based Integrated Care System” and Discourse Ethics – From the Viewpoint of Autonomy and Solidarity –

Abstract

Since the establishment of the Long-term Care Insurance System in 2000, the promotion of the Community-based Integrated Care System has been promoted. The policy of the Long-term Care Insurance System sets in-home care services before reducing the economic burden in this country. However, this idea is not used in the latest report. The policy that individuals requiring care and terminal stage patients be sent into a large-scale accommodation in a depopulated area and live there until they die, is not adopted because of the belief or philosophy of the foundation of respect for dignity. In this study, I discuss the problems of the core concepts of the community-based integrated care system; we reconsider these problems from the standpoint of discourse ethics, which considers autonomy and solidarity as equal fundamental principles.