@article{oai:nsg.repo.nii.ac.jp:00004438, author = {Shimizu, Hiromi}, issue = {1}, journal = {Niigata journal of health and welfare, 1346-8782}, month = {}, note = {application/pdf, 論文(Article), There were two aims in this study: to clarify the issues and current status of cooperation and collaboration between care managers and community-based comprehensive support centers (CCSCs) on comprehensive and continuous care management in difficult support cases; and to consider the appropriate methods of comprehensive and continuous care management. The subjects were 96 staff members of 32 CCSCs in city A (3 occupational categories from each center: chief care manager, public health nurse, and certified social worker) and 283 care mangers from 113 home-based care support centers also in city A. The study was an anonymous postal survey using a self-administered questionnaire. The results showed that the current status of coordination and collaboration between CCSCs and care managers regarding comprehensive and continual care management involves mainly advice or guidance comprising “advice from an expert standpoint”, “psychological support”, and “provision of information about social resources”; the important care management processes of “care meetings”, “drawing up care plans”, “cooperation between staff in the three occupational categories”, and “creation of a support structure” are not being fully practiced; and the concept of comprehensive and continual care management is not properly understood. Consequently, for comprehensive and continual care management in the future, care managers and CCSCs need to further a proper understanding of the concept of comprehensive and continual care management, and they both need to establish specific care management methodologies rather than simply considering how to practice care management.}, pages = {1--19}, title = {Comprehensive and continuous care management for cases of support difficulties}, volume = {15}, year = {2015} }