The Resolving of the Entrance-Waiting for the Facilities Service and the Influence of the Facilities-Function-Differentiation(in Japanese)

The long-term care facility service cost suddenly increases since the start of the nursing-care insurance system and will be increasing with the advancing aging in future. The cared periods are prolonged as the average life span of the elderly person lengthens. The family function is weakening as the nuclear family being in progress and the single or two household increases. From these, in addition to the financial problem, it should be examined the restraint of the nursing-care cost considering the care burden for the households. This paper examined two points. First, assuming the current system, the model of the long-term care facility service cost is built according to the age-grade, the need of nursing- care-degree and nursing-care-service per one elderly person. Secondly, using this model, it is examined how the cost of the long-term care facility service, especially the intensive-care old people's home, is restrained, Specifically, with the waiting entrance data of the intensive-care old people's home, this paper calculates the amount of change of the cost of the long-term care facility service, in cases of meeting all the demand of the waiting entrance and of limiting the part demand. Additional calculations also consider that the reduction for the medical expenses occurs with the transfer from the medical facilities to the nursing facilities. As a result, the followings are shown; firstly it is effective that an elderly person who needs intensive nursing care could be entered preferentially giving a constant limit to the slight need of nursing care degree for facilities service. Secondly, it is for the medical care treatment expenses to be restrained by differentiating appropriately the facilities service between the medical facilities and the nursing facilities.