DOI QR코드

DOI QR Code

요양보호사의 기관 및 서비스 평가를 통한 재가노인서비스 품질 향상 방안

A Study on the Improvement of In-Home Care Service Quality through Evaluation of Services and Agency by Long-term Care Workers

  • 투고 : 2016.09.02
  • 심사 : 2016.10.20
  • 발행 : 2016.10.28

초록

본 연구의 목적은 서비스 공급자로서 재가요양서비스를 제공하고 있는 요양보호사의 서비스에 대한 평가를 통해 서비스 품질 개선 방안을 찾는 것이다. 이를 위해 부산에서 활동 중인 요양보호사 223명을 대상으로 직무 환경, 서비스 기관에 대한 평가, 재교육 등에 대한 내용을 중심으로 설문조사를 실시하였다. 조사결과 요양보호사는 학력은 낮지 않으나 연령대가 높고 불안정한 고용형태를 가진 이가 대다수였다. 더 나은 요양서비스를 위해 희망하는 슈퍼비전 내용은 서비스 이용자와의 관계성, 이용자 욕구 변화에 따른 대처 등이었다. 우선적으로 필요한 재교육 내용은 노년기 및 노인 가족에 대한 이해, 노인성 질환에 대한 보건 의료적 지식, 이용자 및 가족과의 상담기법 등으로 나타났다. 그리고 건강보험공단 등에 바라는 것은 이용자와 보호자의 인식 개선, 급여 인상, 그리고 전문성 강화 위한 교육 기회 확대 등이었다. 이상의 연구결과를 통해 요양보호서비스 향상을 위한 방안으로 서비스 공급구조적 측면에서의 개선과 요양보호사와 업무에 대한 인식개선, 적절한 슈퍼비전과 재교육 기회 제공 등을 제안하였다.

The objective of this study is to suggest methods to improve in-home service quality through service evaluation by long-term care workers. To achieve this objective, general characteristics of 223 long-term care workers, evaluation of service and agency, and retraining needs have been surveyed. An assessment of the survey results have resulted in the following conclusions. Though long-term care workers are not uneducated, the majority face unstable employment. And the content of supervision hoped for in producing improved long-term care services has been found to be based on the service-user's relationships. Moreover, among topics needing to be addressed for retraining, much attention has been shown for understanding of the elderly and their families, health care knowledge about geriatric diseases, and counseling techniques directed towards the affected person and their family. Findings from the research are as follow: enhancing the quality of long-term care requires a structural reassessment; upgrading the quality of care agencies requires the improvement of methods used to raise awareness of users and their guardians and the expansion of opportunities for education programs for professionalism.

키워드

참고문헌

  1. Ministry of Health and Welfare, http://www.mohw.go.kr
  2. Young-Suk kim, Case Management, p.232, Educational Studies Publisher, 2008.
  3. E. H. Shin, "The Effect of Role Conflict on Job Satisfaction of Care Helper", Korean Care Management Research, Vol. 9, pp.43-64. 2013.
  4. Yong-Jae Lee, Tae-Woo Gang, "Effect of Communication with a Guardian of a Recipient of a Long-term Care Program on Job Satisfaction of Care Helpers", Journal of the Korea Contents Society, Vol. 14, No. 5, pp.156-165, 2014.
  5. Soon-Lea Cho, Shin-Gon Kim, "A Research for the Relationship between Associated Activities of Home Care Workers and the Quality of the Service: Focusing on the Mediating Effect of Job Attitude", Public Society Research, Vol. 5, No. 3, pp.163-191, 2015.
  6. Gang-Sook Lim, Seong-Yong Kim, "A Study of factors that Influence Empowering of Home-based Caregivers", Critical Social Policy, Vol. 41. pp.151-188, 2013.
  7. Mee-Ryoung Kim, Jeong-Won Shim, "The Effect on Job Satisfaction of Home Health Care Workers' Stress and Care Receivers' Attributes", Health and Social Welfare Review, Vol. 31, No. 4, pp.193-228. 2011. https://doi.org/10.15709/hswr.2011.31.4.193
  8. National Health Insurance Service, Long Term Care, http://www.longtermcare.or.kr. 2016. 6. 20.
  9. S. H. Jung, J. K. Jung, "A Phenomenological Study of the Experience of User-Centered Services-Focusing on the Users of Comprehensive Care Service for the Aged", Korean Journal of social welfare, Vol. 65, No.1, pp. 325-346, 2013. https://doi.org/10.20970/kasw.2013.65.1.014
  10. Eun-Jeong Kim, So-Yon Jung, "The association between dimensions of social service quality and service user's satisfaction: Focused on domiciliary care services for the elderly", Journal of Social Welfare Policy, Vol. 36, No. 2. pp.191-217, 2009. https://doi.org/10.15855/swp.2009.36.2.191
  11. Eun-Suk Bae, Young-Ji Song, Byung-Hyun Park, "A Study on the Issues of Elderly Care Service Contents in the Service Providers' Point of Vie", Social Science Research, Vol. 28, No. 2, pp.101-125, 2012.
  12. Ki-Hyun Roh, "A study on the construction of a regional comprehensive care system in elderly welfare administration - Focusing on the contents of the revision of the Long-Term Care Insurance Act of Japan in June 2011", Journal of Korean Law, Vol. 54, No. 4, pp.229-259, 2013.
  13. Heami Park, "The Coordination and Mediation of Social, Health and Medical Services for In-home Elderly Persons: Focused on APA and CLIC in France". Journal of the Korean Gerontological Society, Vol. 35, No. 3. pp.569-588, 2015.
  14. S. D. Jung, the Strengths Model: Long-term Care for Elderly and Case Management, Zipmundang, 2005.
  15. Eun-Hee Lee, Bo-Kyoung Jung, " A Study on Eco-systemic Factors that affect the job satisfaction of the care givers who involved in long- term care service center", Journal of Digital Conversance , Vol. 10, No 10. pp.383-388, 2012.
  16. Chul-Hee Kang, Yu-Ha KIm, "A Study of the Relationship between Emotional Labor and Emotional Exhaustion: the Moderating Effect of Emotional Display Rule and Supportive Organizational System", Journal of Korean Social Welfare Administration, Vol. 18, No.2, pp.235-266. 2016.
  17. National Health Insurance Service, Long Term Care Insurance Statistics, http://www.nhis.or.kr