DOI QR코드

DOI QR Code

Community care perceived by medical welfare service providers and residents dwelling in the community

보건의료복지 서비스제공자와 지역주민의 커뮤니티케어에 대한 인식

  • Son, Miseon (Department of Nursing, Konkuk University Glocal Campus) ;
  • Kim, Hyeongsu (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Cho, Jonghee (Integrated health & social care center, Seoul North Municipal Hospital) ;
  • Ko, Young (College of Nursing, Gachon University) ;
  • Kim, Miye (Department of Nursing, Konkuk University Glocal Campus)
  • 손미선 (건국대학교 일반대학원 간호학과) ;
  • 김형수 (건국대학교 의학전문대학원 예방의학교실) ;
  • 조종희 (서울특별시 북부병원 의료복지통합지원센터) ;
  • 고영 (가천대학교 간호학과) ;
  • 김미예 (건국대학교 일반대학원 간호학과)
  • Received : 2020.04.23
  • Accepted : 2020.06.20
  • Published : 2020.06.28

Abstract

The purpose of this study was to investigate and compare health, medical and welfare service providers' and local residents' perception on community care. The participants were 68 service providers and 95 local residents. The data were analyzed using independent t-test and chi-square test. The results showed that the degree of agreement of service providers on the need for policy, and visiting services were higher. Service providers' ability to link local residents with a need for care to community resources was higher, but in the activation of self-help group in community, local residents agreed more. In add budget of policy to health insurance, local residents agreed less. In perception on priority for community care policy, high priorities were preparation of financial resources and care culture. To effectively operate community care policy, it is necessary to establish a care culture through active exchanges for reducing differences in policy and opinions of recipients.

이 연구의 목적은 보건의료복지 서비스제공자와 정책대상자인 지역주민의 커뮤니티케어에 대한 인식을 파악 및 비교하는 것이다. 연구대상자는 서울시 J구의 보건의료복지 서비스제공자 68명과 지역주민 95명이었다. 자료 수집은 2018년 12월에 이루어졌으며, independent t-test, chi-square test를 이용하여 분석하였다. 분석 결과 서비스제공자가 지역주민에 비해 커뮤니티케어 정책의 필요성, 방문의료, 방문간호, 방문간병에 대한 동의 정도가 높았다. 돌봄이 필요한 지역주민을 지역사회자원에 연계해 줄 수 있는 정도에 대해서는 서비스제공자가 지각하는 수준이 높았으나, 자립생활을 위한 지역주민 간 자조모임의 활성화 정도는 지역주민이 높게 나타났다. 커뮤니티케어에 소요되는 비용을 위한 건강보험에 일정 보험료를 추가 방식에 대한 동의 정도는 지역주민에서 낮게 나타났다. 두 군 모두에서 커뮤니티케어 정책 실행을 위해 재원 마련과 지역공동체 돌봄 문화가 가장 중요하다고 인식하였다. 그러므로 커뮤니티케어 정책을 효과적으로 운영하기 위해 정책대상자인 지역주민의 인지 수준을 높이고, 정책현황과 정책대상자의 견해 차이를 줄이기 위한 활발한 교류를 통해 지역사회의 돌봄 문화를 정착해나가는 것이 필요하다.

Keywords

References

  1. S. Vasunilashorn, B. A. Steinman, P. S. Liebig, & J. Pynoos. (2012). Aging in place: Evolution of a research topic whose time has come. Journal of Aging Research, 2012, 1-6. DOI : 10.1155/2012/120952
  2. Y. H. Chon. (2012). A study on the experience of management and development of care management system in the UK. Korean Journal of Care Management, 7, 1-24.
  3. E. J. Kim. (2014). The public finance provision and quality management system on "home and community based social services" in the US: Implications on Korean social policy. The Korean Journal of Local Government Studies, 18(3), 335-354.
  4. S. W. Oh. (2015). The present conditions and tasks of long-term care insurance services for the construction of integrated community care systems in Japan : A focus on institutionalized, local community-based, and housing support services. The Journal of Long Term Care, 3(1), 58-90.
  5. Ministry of Health and Welfare. (2018). Basic plan for integrated community care (plan). Sejong : Ministry of Health and Welfare.
  6. G. Y. Choi. (2018). The role of nurses and the paradigm shift of nursing education : Focused on community care. The Journal of Korean Nursing Resarch, 2(4), 73-82.
  7. H. J. Kim. (2015). A study on a policy collaboration of health care and welfare sectors in community welfare service delivery scheme. Journal of Community Welfare, 54(3), 95-130. DOI : 10.15300/jcw.2015.54.3.95
  8. Y. S. Shin et al. (2017). Health policy and management. Seoul : Seoul National University.
  9. Ministry of Health and Welfare. (2018). Community care promotion for community-based welfare implementation. Sejong : Ministry of Health and Welfare.
  10. Y. Y. Kim & H. Y. Yoon. (2018). Case study of community care : Poilcy implications from Japan and UK. Journal of Critical Social Welfare, 60, 135-168. https://doi.org/10.47042/ACSW.2018.08.60.135
  11. K. N. Park. (2011). Policy for elderly care and the role of voluntary organizations in UK. Korea Social Policy Review, 18(1), 121-145. DOI : 10.17000/kspr.18.1.201103.121
  12. Y. D. Kim. (2018). Deinstitutionalization and building community-based personal social services: Community care that connects independence and interdependence. Health and Social Welfare Review, 38(3), 492-520. DOI : 10.15709/hswr.2018.38.3.492
  13. K. H. Roh. (2013). 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 -. Law Review, 54(4), 229-259.
  14. Y D. Kim. (2005). Issues on user participation in Korean disability services : Implications from UK community care. Korean Journal of Social Welfare, 57(3), 363-387.
  15. Ministry of Health and Welfare. (2016). The first public health care basic plan(2016-2020). Sejong : Ministry of Health and Welfare.
  16. K. S. Lee. (2018). Health care perspectives on community care. Journal of the Korean Medical Associatio, 61(10), 586-589. DOI : 10.5124/jkma.2018.61.10.586
  17. H. S. Ryu & K. Arita. (2015). Policy implications for home-visit nursing(HVN) of the Korean long term care insurance through the implications of the Japanese HVN. Journal of Korean Public Health Nursing, 29(3), 403-411. DOI : 10.5932/jkphn.2015.29.3.403
  18. S. B. Kang & H. S. Kim. (2014). The relationship between home-visit nursing services and health care utilization among nursing service recommended beneficiaries of the public long-term care insurance. Health Policy and Management, 24(3), 283-290. DOI : 10.4332/kjhpa.2014.24.3.283
  19. Y. I. Kim. (2018). Major statistics on long-term care insurance for the elderly in the first half of 2018. Wonju : National Health Insurance Service.
  20. Y. K. Lee et al. (2017). A study on establishment of the second long-term care plan. Sejong: Ministry of Health and Welfare, Korea Institute for Health and Social Affairs.
  21. S. Y. Kim, C. O. Oh, K. J. Moon, & J. C. Ryu. (2014). Analysis of the community building system. Journal of Community Welfare, 49(2), 337-381. DOI : 10.15300/jcw.2014.49.2.337