The present study aimed to clarify information-gathering during the process of designing care plans regarding nutrition improvement in nursing care insurance services. A total of 2,000 nursing care insurance service providers were randomly selected from the nursing care insurance service networks throughout Japan, and an anonymous selfcompleted questionnaire survey was conducted care managers. This study identified a low rate of including nutrition indices as information-gathering items during the process of designing care plans regarding nutrition improvement. This was suggested to be attributable to the type of service, fundamental qualifications, and education. To design care plans aimed at nutrition improvement for older people requiring care, it is necessary to provide care managers with standardized education on nutrition indices and older people's independence. In addition, the need for education in basic professional education courses was suggested.

To promote care planning that prevents the progression of care dependency among care service users by improving their nutritional conditions, we examined the status of ICT use for such planning and contents of care plans, involving 714 care managers throughout Japan. Based on the results, we propose an ICT program to prevent the progression of care dependency among care service users by improving their nutritional conditions through interprofessional collaboration, adopting the following approaches: 1) standardizing assessment to create care plans that facilitate nutrition improvement, and organically reflecting challenges of such improvement on care plans, actively and effectively using ICT; 2) encouraging communities to share their care planning systems to promote the sharing of care plans for nutritional improvement with service providers; and 3) promoting interprofessional collaboration by sharing the systems. ＜Key-words＞ interprofessional collaboration, ICT program, nutrition improvement, prevention of the progression of care dependency

Japan's long-term care insurance system, which was put in place in 2000, is roughly divided into at-home care services and facility services. Facility services comprise three types: special nursing homes, geriatric health service facilities, and medical care facilities.To obtain useful findings for the promotion of discharge to home, this study analyzed the discharge-related data of a geriatric health services facility promoting home care. On examining the 52-month data (from 2012) of 541 users discharged from the facility, the energy intake was shown to most markedly influence the feasibility of discharge to home, followed by the duration of the time spent out of bed and nocturnal incontinence rate.The importance of mealtime assistance and necessity of prolonging the duration of the time spent out of bed by supporting diurnal arousal and independent urination during the night-time were also suggested as effective approaches to promote discharge to home. ＜Key-words＞Japan, geriatric health services facility, discharge-related data analysis, discharge to home, discriminant analysis kazutoshi-f@seirei.ac.jp(Kazutoshi FURUKAWA; Japan) Asian J Human Services, 2018, 14:1-10.

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