小規模多機能型居宅介護施設の設置計画圏域および利用圏における広域化の発生構造

摘要

The purpose of this study is to obtain the principle of service area of small-scale multi-care facility for aged through investigation real utility area and critical consideration about the planning concept. The following facts have been clarified. The utility area of the most of facilities have extended beyond the planned service area and the concept of community based care service has been emasculated. The reasons for this phenomenon are few users, few facilities and excessive competition to get users. The most important causes are poor permeation to people concerned and ambiguity in the planning concept.%本研究は、小規模多機能型居宅介護事業所の望ましい設置計画圏域の指針を求めることを目的とし、福岡市、大牟田市および熊本市の事業所の利用圏における広域化の発生構造とその要因を解明すると共に、地域密着性の概念について論考を加え、以下の結果を得た。