ケアサポート９／ケアマネージャー（介護支援専門員）試験／ＴＯＰへ

前年度比3.9％増の1兆7785億円―来年度老健局予算案

厚生労働省老健局は12月28日までに、2兆1966億円(今年度当初予算比4.7%増)となる来年度の老人保健福祉関係予算案をまとめた。このうち老健局の計上は1兆7785億円(同3.9%増)だった。

　内訳は、▽地域における介護基盤の整備(283億円)▽介護保険制度の円滑な運営(2兆1521億円)▽地域包括ケアの確立等(11億円)▽認知症施策の総合的な推進(36億円)―などとなっている。

　「地域における介護基盤の整備」では、「地域介護・福祉空間整備等施設整備交付金(ハード交付金)」に263億円を計上。介護施設内の保育所の整備に助成を行うほか、要介護度の比較的低い低所得高齢者の居住対策として、都市部を中心に、見守り機能を備えた軽費老人ホームの整備に助成する新規事業を行う。また、既存の小規模福祉施設にスプリンクラーを整備するための費用の支援も盛り込んでいる。このほか、地域での介護サービス基盤の整備に必要な設備やシステムに要する経費などを助成する「地域介護・福祉空間整備推進交付金(ソフト交付金)」には20億円を計上している。

　「介護保険制度の円滑な運営」では、介護給付に対する国の負担などに2兆763億円を計上。このうち、「介護給付費負担金」に1兆3002億円、「調整交付金」に3652億円、「財政安定化基金負担金」に6億円、「2号保険料国庫負担金」に4103億円をそれぞれ計上している。また、要支援になる前から介護予防サービスを提供し、効果的な介護予防事業システムを確立する「地域支援事業の着実な実施」には738億円、社会福祉法人による利用者負担減免措置など「低所得者への配慮」には19億円を充てている。

　「地域包括ケアの確立等」では、新規事業として、地域包括支援センターなどを活用し、高齢者の地域生活を支えるサービスなどに関する情報の収集や発信機能を強化するとともに、見守りなど地域のネットワークの構築を支援する「市町村地域包括ケア推進事業」に5.5億円を充当。また、市民による支え合いの基盤を整備するため、新たな住民参加サービスなどの担い手を養成する「生活・介護支援サポーター養成事業」に2.6億円、訪問看護サービスの安定的な供給を維持し、在宅療養の充実を図る「訪問看護支援事業」に2.5億円などを計上している。

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