サービス付き高齢者向け住宅の整備方針確立に向けた基礎的研究

摘要

In this study, based on the statistical data and future estimates, the number of the elderly who are likely to use elderly housing with life support service ("elderly" hereinafter is used in this context) in 2025 was calculated, and the derivation method of basis for estimating the quantity of elderly housing needed to be constructed or improved was demonstrated as an essay. In addition, by specifying the minimum living expense in case of living in elderly housing and by comparing this figure to the data of income levels used as bases for determining premiums for long-term care insurance, the balance between the number of elderly housing in need for public financial support, such as housing benefit or construction aid, and the number of the same deemed possible to be developed in the market was examined. The trial calculations in this study were made with the cooperation of 7 local municipalities, most of which are in the Tokyo metropolitan area that is supposed to have high demand for elderly housing.rnThe result showed that, as elderly people's situation is greatly different area to area, it is necessary to establish a standard on elderly housing construction and improvement on a municipality-by-municipality basis taking into account the local circumstance of each area.%我が国では，中量度者向けの住まい（介護保険施設，認知症高齢者グループホーム，特定施設等；以下高齢者施設）に比べて軽中庭者向けの住まい（生活支援サービス付き高専賃，ケアハウスなど；以下高齢者住宅）の整備が遅れている．これを踏まえ，国はサービス付き高齢者向け住宅の整備に向けた施策展開に着手した注）．サービス付き高齢者向け住宅の特徴は，①賃貸借契約に基づくバリアフリー対応の集合住宅，②安否確認・緊急時対応・生活相談などの生活支援サービスを附帯，③多くの事例で食事サービスを附帯（ただし利用の選択権は居住者にある），④介護サービスや医療サービスは個々の利用者の意向や状態像に応じて，建物に併設された事業所や地域の事業所のサービスを組み合わせて利用，の4点にある．これらが保障されることで，高齢者施設と比べて安心を備えつつも自由度が高い暮らしが実現可能とされている．