Care manager as a medical information source for elderly people

Main Article Content

Yoshihisa Hirakawa


The designation of "care manager" was created in year 2000, with the implementation of Japan’s long-term care insurance system. Under the system, the role of care managers is to help individual elderly clients, families and other caregivers adjust and cope with the challenges of aging or disability by: conducting care-planning assessments to identify needs, problems and eligibility for assistance; screening, coordinating and monitoring home care services; providing client and family education and advocacy; offering counseling and support. Care managers are expected to have extensive knowledge about the costs, quality, and availability of services in their communities. Care managers are also expected to take responsibility of medical mediation and to collaborate with other service providers including physicians and nurses as part of a community-based integrated care system.

Although meeting the needs of clients and their families as well as the expectations of physicians is a challenging task for an important number of care managers, there has been an increase in the number of care managers who become licensed caregivers but who lack the skills to communicate effectively with physicians and nurses or to handle medical problems. A previous study revealed that care managers were frequently used as information source for family caregivers of elderly people needing support or care, while television and newspapers have traditionally been common sources of health information among the general population. This paper discusses the current situation of care managers as information source for elderly people and explores strategies to maximize their role, minimize their strain to avoid burnout, and improve their communication with physicians and nurses.  It concluded that community-based medical education for care managers would allow them to acquire the knowledge about medical care and services needed to act as efficient information sources.

Article Details

How to Cite
HIRAKAWA, Yoshihisa. Care manager as a medical information source for elderly people. Medical Research Archives, [S.l.], v. 4, n. 5, sep. 2016. ISSN 2375-1924. Available at: <>. Date accessed: 21 july 2024.
Information needs, information source, care manager, education, multidisciplinary case conference
Review Articles


Abe Y, Morita T. A measure to quantify the quality of communication and cooperation among medical, nursing, and welfare services in a region. Palliat Care Res 2014; 9(1): 114−20
Abe Y, Horigome A, Utijima M, Morita T. Care Café effects on local integration: using mixed method. Palliative Care Research 2015;10(1):134-140. (in Japanese)
Awata S, Sugiyama M, Ito K, Ura C, Miyamae F, Sakuma N, Niikawa H, Okamura T, Inagaki H, Ijuin M. Development of the dementia assessment sheet for community-based integrated care system. Geriatr Gerontol Int, 2016;16(Suppl) :123-131.
Detering KM, Hancock AD, Reade MC, William Silvester. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ, 2010;340:c1345.
Galvin JE, Valois L, Zweig Y. Collaborative transdisciplinary team approach for dementia care. Neurodegener Dis Manag 2014;4(6):455-469.
Hirakawa Y, Kuzuya M, Enoki H, Uemura K. Information needs and sources of family caregivers of home elderly patients. Arch Gerontol Geriatr 2011;52(2):202-205.
Hirakawa Y, Uemura K. Community-based education concerning palliative care for the elderly in Japan. Caregivers: Challenges, Practices and Cultural influences, Adrianna Thurgood and Kasha Schuldt (Ed.), ISBN: 978-1-62618-030-7, Nova Science Publishers, NY, 2013a; 207-216
Hirakawa Y, Kimata T, Uemura K. Short- and long-term effects of workshop-style educational program on long-term care leaders’ attitudes toward facility end-of-life care. J Community Med Health Educ 2013b;3: 234.
Hirakawa Y, Uemura K. Non-medical care managers’ attitudes towards reporting to, contacting, and consulting physicians. Ann Gerontol Geriatric Res 2014a;1(4):1018.
Hirakawa Y, Abe Y. Effects of inter-professional end-of-life care workshop: A questionnaire survey.Kanwa Kea (Palliative care) 2014b;24(1):40-42. (in Japanese)
Hirakawa Y, Kimata T. Trials to improve care managers’ medical knowledge management. Nippon Ronen Igakkai Zasshi 2014c;51(5):470. (in Japanese)
Hirakawa Y. Trial for the writing sample letters to physicians by care managers.Nihon Noson Igakkai Zassi 2014d;63(1):83-85. (in Japanese)
Hirakawa Y. Trial for the nationwide promotion of a multidisciplinary community-based end-of-life care educational program: a facilitation training program.Community Caring 2016;18(7):104-105. (in Japanese)
Igarashi A, Ishibashi T, Shinozaki T, Yamamoto-Mitani N. Combinations of long-term care insurance services and associated factors in Japan: a classification tree model. BMC Health Serv Res 2014;14:382.  
Japan Care Manager Association. Report on chief care manager training program. Available from (in Japanese)
Kimata T, Hirakawa Y. Inter-professional case conference “Waigaya”. Hosupisu Kea to Zaitaku Kea (Hospice care and home care) 2016;24(1): (in Japanese) (in press)
Maeda W, Uemura K, Hirakawa Y. Anatomy education for care managers. Hosupisu Kea to Zaitaku Kea (Hospice care and home care) 2014a;22(3):334-335. (in Japanese)
Maeda W, Uemura K, Hirakawa Y. Trial of Medical Café for care managers.Hosupisu Kea to Zaitaku Kea (Hospice care and home care) 2014b;22(3): 278 -279. (in Japanese)
Ministry of Health, Labour and Welfare. Care manager License renewal training program. Available from
Ministry of Health, Labour and Welfare. A new plan to deal with the increasing number of dementia patients: New Orange Plan. Available from (in Japanese)
Nevin CR, Westfall AO, Rodriguez JM, Dempsey DM, Cherrington A, Roy B, Patel M, Willig JH. Gamification as a tool for enhancing graduate medical education. Postgrad Med J 2014;90:685-693.
Reuben DB, Evertson LC, Wenger NS, Serrano K, Chodosh J, Ercoli L, Tan ZS. The University of California at Los Angeles Alzheimer's and Dementia Care program for comprehensive, coordinated, patient-centered care: preliminary data. J Am Geriatr Soc 2013;61(12):2214-2218.
Yamada M, Hagihara A, Nobutomo K. Family caregivers and care manager support under long-term care insurance in rural Japan. Psychol Health Med 2009;14(1):73-85.