| Abstract | ||
| Survey Number | 0296 | |
| Survey Title | Fact-finding Survey on Nursing Care Services, 2001 | |
| Depositor | JTUC Research Institute for Advancement of Living Standards (Former Name:Research Institute for Advancement of Living Standards) | |
| Restriction of Use |
For detailed information, please refer to 'For Data Users' at SSJDA website.
- Apply to SSJDA. SSJDA's approval is required. |
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| Educational Purpose | Only available for research. | |
| Period of Data Use Permission | One year | |
| Access to Datasets | Download | |
| SSJDA Data Analysis | Not available | |
| Examples of Citations and Acknowledgments |
When presenting the results of the secondary analysis, please specify the source of the individual data used by including the following sentence: The data for this secondary analysis, "Fact-finding Survey on Nursing Care Services, 2001, (JTUC Research Institute for Advancement of Living Standards)" was provided by the Social Science Japan Data Archive, Center for Social Research and Data Archives, Institute of Social Science, The University of Tokyo. https://doi.org/10.34500/SSJDA.0296 *In cases where you have used multiple surveys from the same series, you can shorten the sentence by focusing only on the series name or by grouping the survey years together. If you have any questions, please contact us. E-mail: ssjda@iss.u-tokyo.ac.jp |
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| Summary |
The long－term care insurance system, which started in April 2000, was introduced to promote independent living for people in need of long-term care by changing the system to one in which "long-term care is not left to family members alone, but is provided in the context of social solidarity" and "services are contracted instead of provided through measures," and has dramatically changed the environment surrounding social welfare services. However, the system was not fully prepared for the introduction of the new system. However, because the system was launched without sufficient preparation, various problems were feared from the beginning of its introduction and materialized after its implementation. This survey was planned to verify the long-term care insurance system about one year after its introduction and clarify problems in order to link the system to future system reforms. This survey consists of three surveys: 1) a questionnaire survey of home help service workers, 2) a questionnaire survey of care managers, and 3) a survey of "caregivers of the elderly who need nursing care. The purpose of survey 1) was to clarify the changes and actual conditions of work and working conditions before and after the implementation of long-term care insurance, as well as systemic issues, with the aim of establishing the home help service profession and reforming the long-term care insurance system to achieve this goal. In doing so, we also consider the continuation and comparison with the 1996 surveys conducted by the RENGO Research Institute ("Survey on Welfare Services for the Elderly in Local Communities" and "Survey on Welfare and Home Help Workers for the Elderly"). In section 2), the purpose is to grasp the actual situation of care support specialists (care managers), who are the cornerstone of the long-term care insurance system and a new profession established with the launch of the system, and to clarify the problems inherent in this system. In section 3), the purpose was to clarify the current situation and problems of the long-term care insurance system, as well as the actual conditions and issues of caregivers in the field of home care, by looking at the situation before and after the introduction of the long-term care insurance system. Here, continuity with RENGO's 1994 survey ("Fact-Finding Survey on Families with Caregivers Who Need Care") is taken into account. In addition, these three surveys give particular consideration to clarifying the problems seen from the different roles and positions of the actors supporting the long-term care insurance system. |
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| Data Type | quantitative research: micro data | |
| Universe | 1)[Home help service job survey]: Home helpers> 2)[Care manager job survey]: Care managers> 3)[Caregiver survey of elderly persons requiring care]: Caregivers of elderly persons requiring care> | |
| Unit of Observation | Individual | |
| Sample Size |
The following shows the number of questionnaires distributed, the number of responses, and the response rate. 1)[Home help service job survey]: about 4,000 sheets, 840 sheets, about 21% 2)[Care manager job survey]: about 1,000 sheets, 177 sheets, about 17% 3)[Caregiver survey of elderly persons requiring nursing care]: : about 3,000 sheets, 773 sheets, about 25% |
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| Date of Collection |
2001-03 ~ 2001-04 1)[Home help service job survey]: 2001/3 – 2001/4 2)[Care manager job survey]: 2001/3 – 2001/4 3)[Survey of caregivers of elderly persons requiring nursing care]: 2001/2 – 2001/3 |
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| Time Period |
2001 ~ 2001 |
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| Spatial Unit | All over Japan | |
| Sampling Procedure | ||
| Mode of Data Collection |
1) [Home help service job survey]: We distributed approximately 4,000 questionnaires to the home helpers concerned through the elderly welfare service organizations that cooperated in the "Survey of Welfare for the Elderly and Home Helpers" (1996 survey) conducted earlier by RENGO, the Central Labor Welfare Council, Jichiro and Zensenren (Japan Federation of Independent Unions). The questionnaires were distributed to the home helpers and returned directly to them by mail. 2) [Care manager job survey]: In the 1996 survey, about 1,000 questionnaires were distributed to the care managers concerned through the aforementioned welfare organizations for the elderly, the Central Labor Welfare Association, and the Jichiro Union, and returned directly to them by mail. 3) [Survey of caregivers of elderly persons requiring nursing care]: We distributed 50 to 100 copies each through the 47 prefectural federations nationwide, for a total of about 3,000 copies nationwide. We asked mainly union members and those who cooperated in related organizations to fill out a questionnaire and return it directly to the secretariat. |
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| Investigator |
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| DOI | https://doi.org/10.34500/SSJDA.0296 | |
| Sponsors (Funds) |
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| Related Publications (by the Investigator) | Please refer to the abstract in Japanese. | |
| Related Publications (based on Secondary Analysis) | List of related publications (based on Secondary Analysis) | |
| Documentation | [Home help service job survey][Care manager job survey][Caregiver survey of elderly persons requiring nursing care] | |
| Major Survey Items |
[Home help service job survey] (1) Career of home helpers When they started their work, the number of home visitors since they started working as home helpers, their current place of work, their employment status, work other than as home helpers, the number of registered offices, the existence and content of work immediately before the respondents started working as home helpers, qualifications they have acquired and when they acquired them, qualifications they would like to acquire, whether they moved their place of work before or after the Long-Term Care Insurance Law came into force. (2) Work attitudes of home helpers Motives for working as a home helper, reasons for choosing a workplace, social evaluation of the home help service profession, pride in work, and intention to continue working as a home helper (3) Job status of home helpers Existence or non-existence of coordinator role in the office, whether or not home help services are provided according to the home care plan, whether or not the coordinator gives explanations, participation in "daily meetings" and "conferences," recognition of "important information sheets," understanding of care plans, types of home help services provided in the past month, and daily The following data were collected in the past month: the types of home-visit services provided, thoughts on the current nursing care fees in comparison with the services provided, whether or not there are problems with the relationship with users and the causes, sexual harassment by users, consultation system and contacts for consultation when problems occur, training time and opportunities, usefulness of training, knowledge and skills (skills) to be acquired (4) Impact on home helpers of the implementation of long-term care insurance Changes in the overall work of home helpers due to the implementation of long-term care insurance, changes in workload, changes in work quality, changes in relationships with users due to the implementation of long-term care insurance, changes in complaints and requests for explanations of service content from users, evaluation of the diversification of service providers, and satisfaction with the number of home helpers in the area where they work (5) Actual conditions of work and working conditions Working conditions (number of days worked and number of days and households visited in the past month, the average number of hours spent visiting per day, travel time compared to time spent visiting (staying), the average number of hours spent visiting per household, whether visits are made on weekends and national holidays, working hours), workload, wages (wage form, average monthly income, hourly wage, changes in income and hours due to implementation of long-term care insurance, reasons for the increase/decrease in the unit wage per hour, treatment of time-related to home help service work, whether or not bonuses are paid and the amount paid, whether or not adjustments are made to take tax and social insurance premiums into account, membership status in social insurance, and membership status in labor unions (6) Attributes Gender, age, and academic background Workplace (office) attributes (parent organization, business development, business other than home-visit care, number of home helpers) [Care manager job survey] (1) General attributes of care managers Qualifications obtained in becoming a care manager, work experience in the occupation type according to the qualifications obtained, work experience in welfare-related consultation and assistance before becoming a care manager, whether or not they moved their place of employment before or after the implementation of the Long-Term Care Insurance Law, and the reason for their employment at their current place of employment. (2) Attributes of the office where the care manager works The current place of work, the organization to which the care manager belongs, business development, care service business other than the in-home care support business conducted by the office, and the number of staff in the in-home care support service business. (3) Care plan work Weight of care manager's work in the overall work, number of care managers in charge of care plans, attitude toward drafting care plans, what they keep in mind when drafting care plans, problems in drafting care plans, a support system for care managers in drafting care plans, progress management, status of OA in drafting care plans, the existence of appropriate monitoring of users in charge, awareness of the scope of work of care managers, and the number of care planners who can responsibly prepare care plans. (4) External support environment for care management The care manager's business consulting contacts and mutual network used to exchange information among care managers (5) Evaluation of the care manager profession Compensation for care, workload, evaluation as a profession, and willingness of care managers to continue working (6) Evaluation of the long-term care insurance system and welfare services for senior citizens in general Changes due to diversification of service providers, return of "performance reports" from service providers, status of approaches to welfare for the elderly and long-term care insurance in the municipalities where they work, degree of fulfillment of long-term care services in the municipalities where they work, changes in users' needs for long-term care services due to collection of long-term care insurance premiums from those aged 65 and over since October 2000, evaluation of long-term care insurance systems from the standpoint of care managers, and problems related to welfare and insurance for senior citizens (7) Employment environment of care managers Employment status, working conditions, salary and other conditions, welfare conditions, and the need for a labor union (8) Attributes Gender, age, academic background [Caregiver survey of elderly persons requiring nursing care] (1) Caregivers and caregivers Attributes of caregivers: gender, age, family structure, type of residence, prefecture of residence, municipality population size, employment status, occupation, and household income Status of the person requiring long-term care; age, place of care, daily living conditions, caregiver certification rank, ability to communicate due to dementia, and relationship with caregiver Status of the home caregiver; status of care leave system/short-time working system for caregiving at the workplace, size of employees at the workplace, reason for becoming the primary caregiver, number of years of caregiving, relationship with the person needing care in terms of housing, health of the caregiver, and whether a caregiver is cooperating with the caregiver (2) Family caregivers and caregiver certification Status of certification of care required; whether or not an application for certification has been made; and reasons for not applying for certification Home visit: understanding of the caregiver by the home visit survey staff, evaluation of the result of the certification of care required, and any problems caused by the light certification (3) Family caregivers and care plans Care plan; Whether or not a care plan is prepared, how it is prepared, the importance of preparation, satisfaction, and problems Care manager; Criteria for selecting a care manager, response of the care manager, and recognition of the care manager's job description Care costs: care costs at home, care costs at facilities and hospitals, changes in care costs before and after the introduction of long-term care insurance, who bears the care costs, and the maximum amount to be borne (4) Nursing care services and family caregivers Services currently used; changes in use before and after the introduction of long-term care insurance, reasons for choosing long-term care service providers, contracts with service providers, satisfaction with services and facilities, services and facilities they would like to use more in the future Home help services (home-visit care); Services they currently receive, services they would like to receive in the future, and reasons for dissatisfaction with home helpers Admission to a facility; thoughts about admission to a facility, whether or not the contents of the contract at the time of admission to a facility were explained, the period since application for admission, and reasons for wishing to be admitted to a facility (5) Issues associated with nursing care, requests to the government, and evaluation of nursing care insurance Feelings of "hatred" and "abuse" toward those who need care, diversification of service providers, changes in the burden of care before and after the introduction of long-term care insurance, problems with those who need care, desired systems, services, and facilities to support caregivers, municipalities' views on long-term care insurance administration, complaints to municipalities and to service providers, and Difficult-to-understand aspects of long-term care insurance, and satisfaction with the long-term care insurance system as a whole |
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| Date of Release | 2003/11/10 | |
| Topics in CESSDA |
Click here for details Labour relations/conflict Working conditions SOCIAL WELFARE POLICY AND SYSTEMS Social welfare policy Social welfare systems/structures |
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| Topics in SSJDA | Social Security/Welfare Employment/Labor | |
| Version | 1 ： 2003-11-10 | |
| Notes for Users | Variable and value labels are written in Japanese. |