The purpose of this paper is to consider activation plans of long-term care management system for the disabled. The main contents of this paper are diagnosis of present state and problems of long-term care management system, directional establishments...
The purpose of this paper is to consider activation plans of long-term care management system for the disabled. The main contents of this paper are diagnosis of present state and problems of long-term care management system, directional establishments in constructing new system and consideration of practical alternatives of new system. Thre are many problems in current long-term care management system for the disabled, such as duality of management function, insufficiency in advocating and representing interests of service user, poor service supervision, poor service linkage to various community social services. To overcome these problems, there need to prepare measures, such as reinforcement of management agent`s independence, integration of management function, enhancement of professionalism, introduction of service monitering and evaluation by a third party, and reinforcement service linkage to various community social services by reforming service-deliverly systems in the long term. Meanwhile, consideration of practical alternatives of new long-term care management system is deeply related to new social security system for long-term care. There are two types of new social security system for long-term care, one is to integrate with existing long-term care insurance for the elderly, the other is to expand existing personal assistant service programme. In the case of the former, it is need to change management agent to local governments and to incorporate management services into insurance fee. In the case of the latter, it is need to leave management tasks to management team composed of local governments and service providers and social workers.