What is problems in long term dementia care? ~Questionnaire survey in aged japanese rural area community~

Introduction Japan is presently aging more rapidly than anywhere else in the world. The progress of the depopulation and aging is real problem in Japanese rural area. Dementia an elderly care in Japanese rural area are cutting edge in the world. Prolongation of mean of life span contributes increasing patients of cognitive disorder. By increases of cognitive disorder patient, medical and care cost will be a burden for social in future. In our country, KAIGO HOKEN (Long-Term Care Insurance) is national insurance system for care of elder and dementia person. It had started in 2000. “Care managers” have a license for planning of home care in the insurance. Their interviewed family and patient, caregiver, and medical staffs on patients conditions. Method We did a questionnaire survey to care managers in local community. Ask and judge an understanding for dementia with medical staffs, caregivers and family. Statistical analyze using Graph Pad Prism. Results Number of target for survey 143, Numbers responded 53, Response Rate was 36.3%. 87% of care managers answered that there were gaps between families on recognition of dementia. 72% of them answered that there were difficulties on communication between other professional staffs. Conclusion Collaborative care are based on dementia person. But our survey results showed it is not sufficient in our area. Interprofessional and inter institutional collaboration is not good work in our community. Family is important roles, but they could not be in care collaboration.