介護保険におけるケアプランへの言語聴覚士の組み入れ—実態と関連要因の検討

Inclusion of speech-language-hearing therapists into care plans in long-term care insurance:An examination of actual conditions and related factors

　地域包括ケアシステムが推進されるなか，多職種協働の体制が求められている．本研究の目的は介護保険利用者に対するケアプランへの言語聴覚士の組み入れと関連する要因を検討することである．対象は岡山県内の地域包括支援センター・高齢者支援センター，居宅介護支援事業所の675施設に在籍する2,010名の介護支援専門員とし，アンケート調査による情報収集を行った．その結果，ケアプランへの言語聴覚士の組み入れには言語聴覚士が在籍する事業所を知っているか，介護支援専門員の勤務地域，言語聴覚士との過去の協働経験の有無，主任介護支援専門員資格取得の有無が関連していた．本研究の結果から，今後は介護支援専門員に対し，言語聴覚士が在籍する事業所や，実際の業務内容を始めとした言語聴覚士の職務範囲に関して，情報提供を行っていく必要性が示唆された．

　As community-based comprehensive care systems are promoted, there is a need for multidisciplinary collaboration. The purpose of this study was to examine factors related to the inclusion of speech-language-hearing therapists (SLHTs) in care plans for users of long-term care insurance. The subjects were 2,010 care managers working at 675 facilities in Okayama Prefecture, including community comprehensive support centers, elderly support centers and home care support offices, and the information was collected via a questionnaire survey. The results showed that the inclusion of SLHTs in care plans was related to the region where the care managers worked, whether or not they knew of facilities with SLHTs, whether or not they had worked with SLHTs in the past, and whether or not they had obtained certification as a chief care manager. The results of this study suggest that in order to promote the inclusion of SLHTs in care plans in the future, it is necessary to provide information to care managers regarding the scope of practice of SLHTs, such as where they are employed and what kind of service they can provide.