@article{oai:n-seiryo.repo.nii.ac.jp:00001582,
 author = {茶谷, 利つ子 and Chatani, Ritsuko},
 issue = {2},
 journal = {新潟青陵学会誌},
 month = {Mar},
 note = {application/pdf, The 2005 revisions to the Long-Term Care Insurance Act introduced the Specified Facilities with Care-Service Outsourcing. These revisions increase the range of services offered by care facilities, as well as increase the number and variety of service providers. The intent seems to have been to reduce the disparity between the care offered in care facilities and that available to people living at home, as well as to make comparable services equally available to all, in whatever area they may live. The purposes of this paper are to clarify the establishment situation of the facilities of this new form, and the characteristic on management. Data was collected from the“WAM NET”care-service provider database, with particular reference to facilities outsourcing their care services. Analysis revealed that the number of newly-founded care-service companies has been less than the number of new specified facilities opened during the same period. Furthermore, over 80% of these care service providers appeared in 2005, the year the revisions were introduced, and their numbers have only slightly increased since then. 94.93% of these new care-service companies are connected to Care Facility for the Elderly. 97.6% of the companies providing home-visit services also include the possibility of outsourcing to other care-service providers, and 72.84% offer both outpatient care services and home-visit services. Many of their employees have professional duties in more than one field: 84.08% of the caregivers, 69.67% of the advisors and 77.18% of the care-planners also perform duties in fields other than their specialization., 2005年介護保険法改正で、外部サービス利用型特定施設が創設された。このサービス提供形態は施設サービスの細分化とサービス提供主体の多様化を進めるものであり、施設と在宅の格差を縮小し住む場に関わらず公平な公的サービスの利用を可能とする。本論の目的は、この新形態の施設の開設状況と経営上の特質を明らかにすることである。外部サービス型施設について『WAM NET』介護保険事業者情報などによりデータを収集し分析した。施設数は特定施設全体の施設数の増加を下回り制度創設年度に８割以上が開設した後は微増状態であり、養護老人ホームによる開設が94.93％を占めていた。外部サービスを委託可能な居宅介護事業所を自ら経営している法人が97.6％あり、訪問系・通所系ともに経営している法人が72.84％、職員の兼務状況をみると介護職員では84.08％、相談員では69.67％、計画作成担当者は77.18％が兼務者であるなどの状況が明らかとなった。},
 pages = {1--10},
 title = {介護保険外部サービス利用型特定施設の開設状況と経営上の特性},
 volume = {3},
 year = {2011}
}