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Nursing Research and Practice
Volume 2013, Article ID 630239, 11 pages
Research Article

Models for Designing Long-Term Care Service Plans and Care Programs for Older People

The University of Tokyo, Healthcare Social System Engineering Laboratory, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656, Japan

Received 14 December 2012; Revised 12 February 2013; Accepted 25 February 2013

Academic Editor: Kaja Põlluste

Copyright © 2013 Shogo Kato et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come. Under Japanese Long-term Care Insurance System, long-term care is provided based on long-term care programs, which were designed by care providers on the basis of long-term care service plans, which were designed by care managers. However, defined methodology for designing long-term care service plans and care programs has not been established yet. In this paper, we propose models for designing long-term care service plans and care programs for older people, both by incorporating the technical issues from previous studies and by redesigning the total methodology according to these studies. Our implementation model consists of “Function,” “Knowledge Structure,” and “Action Flow.” In addition, we developed the concrete knowledgebases based on the Knowledge Structure by visualizing, summarizing, and structuring the inherent knowledge of healthcare/welfare professionals. As the results of the workshop and retrospective verification, the adequacy of the models was suggested, while some further issues were pointed. Our models, knowledgebases, and application make it possible to ensure the quality of long-term care for older people.