Top > ご連絡など > ケアマネジャーの介護保険NEWS > 【介護支援専門員 NEWS】高専賃での居宅介護支援、集中減算に批判―高齢者集合住宅研究大会
【介護支援専門員 NEWS】高専賃での居宅介護支援、集中減算に批判―高齢者集合住宅研究大会
シンポジウムでは、高専賃を運営する企業関係者や、厚生労働省老健局振興課の菊池芳久課長補佐、日本介護支援専門員協会の木村隆次会長らが、「高齢者集合住宅におけるケアの在り方」をテーマに議論した。
木村会長は「(ケアプラン作成時に)自社の高専賃に(自社の)介護サービスを提供することから(最初に)考えていいのか」と述べ、ケアマネジメントの中立性について問題提起した。
これに対し、学研ココファンホールディングスの小早川仁社長は、サービスの囲い込み防止や質の向上を目的とした特定事業所集中減算に触れ、「高専賃併設の居宅介護支援事業所と他の事業所では、ケアプランの組み方が違う。高専賃に慣れたケアマネジャーによるケアプランの方が、利用者と事業者の双方にとっていい」と主張した上で、「高専賃への(集中減算の)適用は、本来の目的と矛盾する。おかしい」と批判した。
メッセージの折野千恵・執行役員教育研修部長は、「(高専賃で必要とする)夜間対応型訪問介護をやっている事業所は少ない。高専賃併設の居宅介護支援事業所によるケアプランに集中せざるを得ない」と訴えた。
また、導入が検討されている24時間地域巡回型訪問サービスについて、「人手不足にならないのか」など実現を不安視する声が上がった。これを受け菊池課長補佐は、2006年度から新たに導入された介護サービスに言及し、「夜間対応型訪問介護で失敗している。同じ轍を踏まないようにしたい」と述べた。
夜間対応型訪問介護をめぐっては、今年10月に会計検査院が、休止や廃止を含めた利用割合30%未満の事業所が7割以上あるとして、厚労省に改善を求めている。
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【介護支援専門員 NEWS】高専賃での居宅介護支援、集中減算に批判―高齢者集合住宅研究大会
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