全国の特別養護老人ホームの建設費と土地取得費の実態に関する研究

摘要

The purpose of this paper is to clarify the required costs for the acquisition of the land and construction of nursing homes for the elderly, and method to raise money for each, using statistical analysis of nationwide questionnaire.The results are following. 1. The method of fund-raising for construction cost has changed; smaller part of expenses is afforded by subsidies from government, and larger part is afforded by borrowings. 2. Basic Costs of Residence has to be increased largely for business stability considering the construction cost per bed, calculated by the result of this article. Under the current system, if Basic Costs of Residence is 10,000 yen, institution management will not be able to be stabilized even in case of the multi-beds room.3. The nursing homes in Tokyo were relying on subsidies for the land acquisition provided by the Tokyo metropolitan government from 1985 to 2008. These supports were helpful as the average of land cost per bed in Tokyo was larger prominently than the other area.%1963年の制度化以降、長く要介護者の入所施設としての役割を果たしてきた特別養護老人ホーム（以下、特養）は、多床室から倆室へ、集団ケアから個別ケアへといった介護保険の理念に掲げられた尊厳の保持と自立支援に基づく試みを経て、2003年以降、新設施設は原則としてユニット型が建設されることとなった。現在は、ユニット型制度化以前の多床室が中心の従来型とよばれる施設と、ュニット型施設が混在している状況であり、2012年10月時点ではュニット型および一部ュニット型の占める割合は全体の36.1%となっている。