@article{oai:cur-ren.repo.nii.ac.jp:00001169, author = {Han, Jae-do and Han, Jae-do}, journal = {CHUGOKUGAKUEN Journal, CHUGOKUGAKUEN Journal}, month = {}, note = {The purpose of this study is to clarify the current status and issues of implementation of medical care (sputum suction · tube feeding) by care workers at the Long-Term Care Insurance Facilities in A prefecture. As for the survey method, a questionnaire was mailed to the care workers, nurses, and managers of each facility regarding the implementation status of medical care, and respondents were obtained using the enclosed return envelope to send it back. The result shows that the acceptance of users requiring medical care was 91% at the Intensive Care Homes for the elderly, 83% at the Long-Term Care Health Facilities, and 100% at the Medical Long-Term Care Sanatorium. At the Intensive Care Homes for the elderly, 46% of the respondents perform “sputum suction” and 36% perform “tube feeding”. At the Long-Term Care Health Facility and the Medical Long-Term Care Sanatorium, neither “sputum suction” nor “tube feeding” is carried out by care workers. Regarding the implementation of “sputum suction” by care workers in Intensive Care Homes for the elderly, 67% of care workers’ respondents, 46% of nurses’, and 36% of managers’ show that they feel “anxiety”. Regarding “tube feeding,” it is shown that 29% of care workers’ respondents, 36% of nurses’, and 23% of managers’ feel “anxiety.” The factors of anxiety about the medical care implementation of care workers is that there are few opportunities for care workers to be carried out because it is done by the nurses. Another factor is that there are few users who need the implementation of medical care by care workers. This survey suggests lack of knowledge and insufficient experience in medical care make it anxious for the care workers to offer the implementation to the elderly. It can be said that it is foremost important for care workers to offer suitable training plans such as steady follow-up programs in order to reduce anxiety of care workers and respond properly when to conduct safe medical care to the elderly users with confidence. It is urgently needed to establish a secured training and follow-up systems, so that a safe and secure environmental conditions are built in the Long‐Term Care Insurance Facilities to both the care workers and users.}, pages = {7--16}, title = {The Current Status and Issues of ❝Medical Care❞ Implementation at the Long-Term Care Insurance Facilities: Focusing on the Care Workers in Prefecture A}, volume = {20}, year = {2021} }