Abstract
In Japan’s Long-term Care Insurance System, importance is given to medical and care team approaches as part of care management.
This study aimed to clarify the structure of Transdisciplinary approaches (TA) coordinated by care managers(CM), and performed through collaboration among team members, including home care service coordinators (HC) belonging to home-visit care aging and home-visiting nursing(HN) in long-term care insurance system in Japan.
Using the database Wamnet, 800 CM registered with this system and located in randomly selected prefectures were targeted as potential study facilities.A mail questionnaire survey was conducted, involving an CM of each potential study facility within the period between March 20 and April 20, 2015. Excluding missing values, responses from 202 (valid response rate: 25.2%) were analyzed. For 45 TA-related items, The research design factor analysis was the exploratory and confirmatory factor analysis about TA.The reliability of each item was examined using Cronbach’s alpha.
Through the exploratory analysis, the following 3 factors were extracted: 1: approaches that support and strengthen of role (α=0.950), 2: approaches for role relief within a team(α=0.875), 3:that contribute to expansion of role(α=0.933). Result of the exploratory and confirmatory factor analysis, It showed a fit index of GFI=0.836, AGFI=0.802,CFI=0.933, RMSEA=0.071, sugeesting the model is within the accepted range.
CM was practicing 3 keywords(“support and role strengthen”, “role expansion”,”role relief”）of TA.