A study on structure to promote development of community-based programs: Based on a survey with community comprehensive support centers
Masakazu ShirasawaKazutaka MasudaRyousuke Hata
J.F.Oberlin UniversityThe International University of KagoshimaHokusei Gakuen University
摘要：Since the Long-Term Care Insurance Act was revised in 2005, there has been growing demand for development of community-based programs that meet the needs of a community; community comprehensive support centers have been assigned the role to promote these programs. To clarify the structure of functions carried out by community comprehensive support centers in development of community-based programs, the authors randomly selected 1,000 community comprehensive support centers, mailed the questionnaires to their administrators in February 2015, and received responses from 355 of them（response rate: 35.5%）. The authors conducted a factor analysis using a promax rotation regarding 37 items on functions carried out for development of community-based programs. The results show that development of community-based programs by community comprehensive support centers consists of five factors:（1） collecting information on the community,（2） identifying problems and needs facing the community,（3） planning community-based programs,（4） preparing for implementation of community-based programs, and（5） managing and monitoring community-based programs. The results suggest that community-based programs are promoted based on the factors consistent with the PDCA cycle; that is, identifying needs facing the community, promoting community-based programs to meet these needs, and monitoring the programs.