訪問介護："成長産業"一転...相次ぐ倒産　競争激化、人手不足も拍車　／奈良

◇県内今年５件
　県内で今年、訪問介護事業者の倒産が相次いでいることが、東京商工リサーチ奈良支店の調査で分かった。昨年はなかった倒産が、今年は１０月までに５件を数えた。介護に関係する事業は成長産業として注目を集めてきたが、介護報酬の引き下げや慢性的な人手不足、他産業からの新規参入で競争が激化し、経営環境が厳しくなっている。【阿部亮介】
　同支店によると、今年１０月までに上牧町や奈良市、生駒市などの訪問介護事業者５社が破産を申請した。いずれも資本金３００万～１０００万円、従業員５～１４人の零細企業で、負債は１０００万～９０００万円だった。倒産の増加は全国的な傾向で、今年１０月までに昨年の１７件を上回る２３件が倒産している。
　住宅を訪ねて介護サービスを提供する訪問介護事業者は、００年に介護保険制度が導入されて以降、増加。保険料などで安定的な収入が見込めるほか、大規模な事務所設営が不要なことが主な要因とみられ、県内では００年の１９５社が、０９年には４６８社に急増した。
　このため、業者間の競争が激化。１事業者当たりの利用者数は２９・２人と近畿２府４県で最も少なくなり、最も多い京都の７１・６人の約４割しかない状況だ（厚生労働省０７年調査）。
　さらに、介護報酬の改定も大きく影響。３年ごとに見直される介護報酬は今年度、初めて３％引き上げられたが、これまでは０３年度２・３％、０６年度２・４％と連続して引き下げられていた。このため、介護ヘルパーの賃金も低く抑えられ、人手不足に拍車をかけた。ある事業所の経営幹部は「事業所が乱立し、競争が激しい。うちも採算ラインぎりぎり」と打ち明ける。
　東京商工リサーチ奈良支店の中西秀樹部長は「資本力が弱い企業の参入率が高く、放漫経営も多い。昨秋からの不況で利用控えも影響しているのではないか」と分析している。

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