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政大機構典藏 > 學術期刊 > 問題と研究 > 期刊論文 > Item 140.119/132632

Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/132632

Title:	介護保険サービスが及ぼす高齢者夫婦への影響―要介護者自身の決断に着目して― 日本長期照護制度對老年夫婦的影響─著眼於被照護者自身的決定─ Influence of the Long-Term Care Service on Elderly Couples: Special Attention on the Choice of the Elderlies
Authors:	何妨容 He, Fang-Rong
Contributors:	問題と研究
Keywords:	介護保険制度 ; 高齢者夫婦 ; 在宅介護 ; ケアマネジャー長期照護保險制度 ; 高齡者夫婦 ; 居家護理 ; 長期照護服務管理者 Long-Term Care Insurance ; Elderly Couples ; Home Care ; Care Manager
Date:	2020-06
Issue Date:	2020-11-17 10:53:49 (UTC+8)
Abstract:	本研究は、要介護高齢者夫婦が、子世代による介護を求めず、介護保険サービスを用いながら夫婦間で介護を担っていこうとする事情を、高齢者夫婦への聞き取り調査を通じて考察する。夫婦のみでの自立した自宅生活に限界を感じた高齢者は、ケアマネジャーを通して、通所系や訪問系サービスの利用による自宅生活を維持しようと試みることで、どのような困難に直面するのか。これらの検討を通じて、現行制度が要介護者を「介護を要する個人」として捉え、かつ「子世代による介護」を暗黙の前提としているがゆえに、高齢者夫婦世帯の介護ニーズに応えられていない状況を示す。こうした現状は、高齢者夫婦を分解して個人として扱うのではなく、「介護を要する夫婦」として介護保険サービスの対象とする制度改革の必要性を指し示す。本研究通過對老年夫婦的實際調查來考察使用長期照護服務的老年夫婦，在不依靠子女時，是如何滿足自己的照護需求的。感受到在家生活困難性的老年夫婦，嘗試通過長期照護服務管理者的介紹，使用通所型服務和訪問性服務來維持在家生活時，會面臨什麼問題呢？通過對這個問題的探討發現，日本長期照護制度將需要護理的老年人看作是單個的個體，並且默認子女照顧為基本前提，而在此情況之下提供的服務無法滿足老年夫婦的照護需求。這表明將老年夫婦分開以單個人的視角來分配服務的不合理性，並提示長期照護制度需要把老年夫婦看作是一個需要長期照護服務的家庭整體，從而進行製度改革的必要性。 This study examines the circumstances in which elderly couples, who require long-term care, are willing to take care of each other through long-term care insurance services, and not through the care of their children generation. The elderly couples who are struggling with care needs, try to maintain their home life by using the day services and by visiting services that are introduced by their care manager. Through this method, what kind of difficulties will they face? These examinations in this paper indicate that the current system separates care recipients as ＂individuals who require care＂ and implicitly states that ＂the children generation will take care of the elderly＂ do not need care; hence, the care needs of these elderly couples (couples being taken care of by their children) cannot be met. This situation points to the need for institutional reform that should target elderly couples as a family who needs nursing care.
Relation:	問題と研究, 49(2), 45-79
Data Type:	article
DOI 連結:	https://doi.org/10.30391/ISJ.202006_49(2).0003
DOI:	10.30391/ISJ.202006_49(2).0003
Appears in Collections:	[問題と研究] 期刊論文

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