臨牀透析 Vol.17 No.13(2-3)


特集名 介護保険と透析医療
題名 各論:透析有床診療所の介護保険
発刊年月 2001年 12月
著者 松本 昭英 星優クリニック
著者 河野 俊明 星優クリニック
著者 小林 清隆 星優クリニック
著者 坂井 瑠実 坂井瑠実クリニック
著者 前川 正信 大阪市立大学名誉教授
【 要旨 】 兵庫県下の透析有床診療所10施設において,介護保険適用対象者がどのように介護保険に対応しているかを調査した成績を報告する.これらの施設の許可ベッド数に対する利用率は78%で,そのうち,慢性透析患者の利用率は51%であった.透析患者の介護保険適用対象者のうち要介護認定慢性透析患者(認定患者)は29%で,総要介護認定者(透析認定患者を含む)の約2.3倍であった.通院手段は自動車が58%.通院支援の種類は施設送迎が52%で,自治体からのタクシー券が23%.通院支援者の2本柱は,配偶者・家族37%と施設スタッフ26%.介護保険サービス利用は訪問介護44%で,訪問看護13%であった.介護保険適用対象者の介護保険認定率および認定者に対する介護保険利用率の向上が望まれる.
Theme Curent Status and Problem of Long Term Care Insurance System for Dialyzed Patients
Title Long term care insurance for hemodialysis yusho clinics (clinics with beds for inpatients)
Author Akihide Matsumoto Seiyu Clinic, Itami City
Author Toshiaki Kohno Seiyu Clinic, Itami City
Author Kiyotaka Kobayashi Seiyu Clinic, Itami City
Author Rumi Sakai Sakai Rumi Clinic, Kobe City
Author Masanobu Maekawa Osaka City University
[ Summary ] The results of a survey have illustrated how long term care insurance recipients (including certification of care need patients) utilize long term care insurance.
The utilization rate for beds in 10 hemodialysis yusho clinics in hyogo prefecture was found to be 78%, 51% of which were chronic hemodialysis patients. Twenty nine % of the hemodialysis patients, who were recipients of long term care insurance, were certified as being in care service need (certification of care need). This corresponds to 2.3 times as high as the rate in total number elder person needing care. As to ambulatory transportation, 58% of the patients use cars, including institutional transportation service (52%) and taxi ticket service (23%). The two main sources of ambulatory assistance were their partners/families (37%) and institutional staff members (26%). The most frequently used services for long term care insurance were visiting care (44%) and visiting nursing (13%). The progress on the rate of certification of care need for chronic hemodialysis patients and that of utilization of long term insurance services are expected to increase in the near future.
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