The Reform of Long-term Care Insurance System And the Current Status and Tasks of Care Prevention Service in Japan - Centering on the Analyses of community comprehensive support center -

The purpose of this thesis is to examine status and characteristics of care system for the elderly in Japan centering on the analyses of community comprehensive support center and to review the future prospects and tasks. Community Comprehensive Support Center, which was established in 2006 after the reform of Long-term Care Insurance system, aims to construct the care prevention service system and to comprehensively provide services responsive to the needs of the elderly in community. However, at present after elapse of three years of implementation, various problems like inequality among communities and the tasks of care prevention management have been raised for while the community comprehensive support center failed to play community-based linking roles. It is suggested to be improved by reviewing the implementation of care management by the regional characteristics and by connecting in-home care support centers and wide area long-term care insurance association.