36th Exam (Jan 2024) Morning Q12 Kaigo Fukushishi
Question (original Japanese)
次のうち、介護保険法に基づき、都道府県・指定都市・中核市が指定（許可）、監督を行うサービスとして、正しいものを1つ選びなさい。
- 1地域密着型介護サービス
- 2居宅介護支援
- 3施設サービス
- 4夜間対応型訪問介護
- 5介護予防支援
Show answer
Correct answer 3
Key pointDesignation/permission and supervision of long-term care insurance facilities = prefectures (designated cities, core cities).
Explanation
Facility services, such as designation of welfare facilities for the elderly requiring long-term care and permission for long-term care health facilities and integrated facilities for medical and long-term care, are designated (permitted) and supervised by prefectures, designated cities, and core cities, so 3 is correct.
- 1: Community-based services are designated and supervised by municipalities, so it is wrong.
- 2: In-home care support has been designated by municipalities since fiscal 2018, so it is wrong.
- 4: Night-time home-visit care is a community-based service designated by municipalities, so it is wrong.
- 5: Preventive care support is designated by municipalities, so it is wrong.
Explanation in Japanese
介護老人福祉施設の指定、介護老人保健施設・介護医療院の許可などの施設サービスは、都道府県・指定都市・中核市が指定（許可）と監督を行うので3が正しい。
- 1：地域密着型サービスは市町村が指定・監督するので誤り。
- 2：居宅介護支援は2018年度から市町村の指定になったので誤り。
- 4：夜間対応型訪問介護は地域密着型サービスで市町村が指定するので誤り。
- 5：介護予防支援は市町村が指定するので誤り。