• 한국사회정책
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• v.20 no.2
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• pp.97-129
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• 2013

This study aims to investigate causes of the emergence of so-called 'family-care workers' in the Long-term Care Insurance system in Korea. The LTCI system introduced in 2008 financially support the utilization of formal care services for the eligible elderly with care needs by paying for services of their care workers. Interestingly, 38.4 percent of payments for the in-home services were claimed by family members registered as qualified long-term care workers in 2012. We interviewed ten family care workers in depth and analyzed the needs of the aged and their families to explain the emergence of family care workers. The emergence of family-care workers is an inevitable result of choice by family members who face a dual burden of living and caring; be the additional choice following discharge the duty to support the elderly; be the alternative choice to fulfill unaccepted needs for services. These results suggest the needs for a comprehensive public provision of both income and social service support for the aged and an introduction of financial support for family care complementing the formal care support in the LTCI in Korea.

• Journal of Family Resource Management and Policy Review
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• v.24 no.3
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• pp.55-77
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• 2020

This study aims to identify the concept of a family-friendly neighborhood environment and to present the findings to influence the goals of and directions for future policy. This qualitative research study was conducted based on interviews with six leaders in the child-care community residing in Jeju and Seogwipo, two cities in South Korea. First, the findings demonstrated that the subjects recognized the concept of family-friendly neighborhood environments as "environments in which communication is possible with all neighbors, neighbors take care of children, and all families enjoy neighborhood life." Second, family-friendly neighborhood environments were characterized as being safe, nature-friendly, and accessible. Third, participants identified family leisure cultural facilities and multipurpose facilities as the spaces that characterize family-friendly neighborhood environments. Lastly, the model of family-friendly neighborhoods needs to be composed of the following three factors: residence, leisure, and economy.

• 한국사회정책
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• v.20 no.2
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• pp.169-193
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• 2013

This paper examines how a social investment approach can be applied in a comparative analysis of childcare arrangements. We compared changes in Sweden, France, Germany, the UK, Japan and Korea during the 2000s, focusing on four dimensions of social investment: activation, gender equality, quality of care, and the degree of state's intervention in the family. We considered leave systems and the number of children enrolled in formal care and education facilities as indicators for labour market activation. For gender equality, women's position in employment is considered with respect to labour market participation rates, proportion of permanent employment, and wage-sex ratio. Quality of care concerns child-to-staff ratio and care provided with government quality control. The state's intervention was measured as social spending on families as proportions of GDP and total social spending. Our analysis provides empirical evidence that Sweden and France are pioneers in this arena and that the UK, Germany, Korea, and Japan are path-shifters in their care paradigms, albeit to varying degrees. Is the social investment approach an adequate paradigm for care? In a normative sense, this approach has potential. However, the following issues remain unaddressed: gender equality should be achieved through an expansion in good-quality jobs, fathers should be encouraged to take on childcare duties, and families should have universal access to good-quality childcare services controlled by the government.

• Proceedings of the KHMA Conference
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• 2013.05a
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• pp.372-372
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• 2013

• Korean Journal of Social Welfare
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• v.61 no.2
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• pp.325-348
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• 2009

This study intends to investigate the main and mediating effects which caregiving appraisal and positive reappraisal exert on quality of life (QOL) of primary family caregivers of cancer patient considering the relationship with social support. The processes of this study areas follows. First, the variables which research model were chosen on the basis of stress-appraisal-coping theory through reviews of the previous studies. Second, a survey was conducted upon 295 primary caregiver of patient with cancer at National Cancer Center. Collected data were analyzed by SPSS 12.0 and SEM (Structural Equation Modeling) method using AMOS 5.0. The summary of the result is as follows. First, the entire model including measurement and structural model shows sufficient fit index of CFI(.951), TLI(.940) and RMSEA(.062). Second, the results of analysis of direct effects among variables are as follows. The 'Social support' has statistically significant direct effect on the 'feeling of burden' and 'growth'. The 'feeling of burden' has statistically significant direct effect on the 'growth' and 'QOL-mental and physical'. The 'growth' has statistically significant direct effect on the 'QOL-mental'. Third, the results of analysis of mediating effects of the 'social support and QOL' and 'feeling of burden and QOL' are as follows. The effects of 'social support' on 'QOL-mental' are significantly mediated by the 'feeling of burden' and 'growth'. The effects of 'social support' on 'QOL-physical' are significantly mediated by the 'feeling of burden'. The effects of 'feeling of burden' on 'QOL-mental' are significantly mediated by 'growth'. Through this research, these implications in social work study and practice are found: (1) this study extended the scope of study in the caregiver's health area from negative sides into positive ones by using growth variables as positive reappraisalof caregiving in research model, which has not been tried on the Korean family caregivers of the cancer patient. (2) The effects of positive reappraisal on QOL-mental can provide a foundational necessity for social workers to help family caregivers find positive meaning in their caregiving experience. This approach of social work practice will improve QOL of family caregivers. (3) This study present a framework including social support, negative appraisal, positive reappraisal, and QOL variables available to social work practice and explaining affective relationships among these variables in various aspects.

• Journal of Digital Convergence
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• v.17 no.3
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• pp.291-304
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• 2019

The purpose of this study was to identify factors influencing family caregivers' reaction of persons with cancer. The study participants were 130 cancer patients and their family caregivers. Data on participant characteristics, caregiver reaction, perceived social support, and cancer related health literacy were collected from July 17 to November 7, 2018 using a structured questionnaire. Data were analyzed with the SPSS/WIN 23.0 program for descriptive statistics, using independent t-test, one-way analysis of variance, Pearson's correlation coefficient and enter multiple regression analysis. The determining factors affecting caregivers' reaction were in case of spouse of patient(${\beta}=.252$, p=.002), subjective health status(${\beta}=-.207$ p=.012), and health literacy (self-care, patient's needs and preference) (${\beta}=-.411$, p<.001; ${\beta}=.247$, p=.037 respectively), and their explanation power was about 37.9%. This finding underscores the need for developing and application of the individualized education program with health literacy improvement strategies for family caregivers of cancer patients.

• 한국노년학
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• v.40 no.1
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• pp.111-130
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• 2020

This qualitative study aims to understand family members' caregiving experience for middle-aged and elderly breast cancer survivors at early stages. A total of four families of breast cancer survivors were given focus group interviews(FGI), and an additional family was interviewed individually. The thematic analyses of the FGI and individual in-depth interview discussions revealed the following four themes: first, day-to-day feelings like walking on thin ice (entangled emotions with each treatment stage, regret of watching a survivor's pain, fear of recurrence and death, concerns of changes in family relationships, and various feelings experienced as a daughter), second, caregiving has become a mainstay in my life (unfamiliar and unskilled care, losing my life), third, beginning to recover and different experiences between a survivor and a family caregiver (not understanding a survivor's pain from the abyss, forgetting that the survivor is still a cancer patient and that treating him or her casually), and fourth, moving forward (hope that things will be better, taking care of myself to prevent exhaustion). Based on the results of this study, we proposed social welfare services and policy measures to reflect the psychosocial needs of family caregivers of breast cancer survivors and support family caregivers during the care process.

• Korean Journal of Social Welfare
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• v.58 no.3
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• pp.371-398
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• 2006

The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience. A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers, social rehabilitation facilities and day hospitals. Collected data were analysed by t-test, Oneway-ANOVA, hierachical multiple regression analysis, and so on. The results are as follows: 1) The mean of mother's caregiving satisfaction is 3.06 in 5 point scale. Among the total items of the caregiving satisfaction scale, the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others. 2) In the final regression model, statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered', 'perceived social support from family, significant others, and friends', 'marital status of mothers', and 'family income'. Better relationship quality between mothers and the adult children with mental disorder and higher social support from family, significant others, and friends explained higher caregiving satisfaction of mothers. The level of a widow or divorced mother's caregiving satisfaction is higher than married one. The less family income affected to higher caregiving satisfaction. Variables related to mental disorder of adult-children, such as social function, years of mental disorder and frequency of hospitalization were not statistically significant influencing factors to mother's caregiving satisfaction. Through this research, the implications of social work practice were suggested in many ways.

• 재활복지
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• v.20 no.1
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• pp.43-64
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• 2016

This study is to reveal the effects affecting mother' coping resources on caring stress of mothers caring for adult children with developmental disabilities. The research data was collected from the service users recruited from two disability organizations and the disabled community welfare centers in South Korea. The survey was limited to mothers caring for adult children with developmental disabilities over the age of 18. The samples of the study consisted of 119 mothers. The data were analysed through SPSS statistical program. It was used for the analysis method of Frequency analysis, T-test, ANOVA and Step wise regression. Analysis results are as follows: the family support and friend support of social coping resources is affecting in caring stress of mothers. Also, the mothers who is working are more caring stress than unemployed mothers and the mothers who is between 50age and 54age are more caring stress than the mothers of under 49 age. Based on these results, I proposed the idea of several programs for social work practice for community welfare centers based on the results.

• Journal of Digital Convergence
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• v.9 no.5
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• pp.45-54
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• 2011

The purpose of this research was to examine the whether to recognition of the long-term care insurance have affected on aged parent-supporting. The research method was used self-report questionnaire to 331 persons who was supported their parents. And I used the Frequency, simple linear regression as an analysis methods. The result demonstrated that Educational background, the emotional intimacy of the subjects, and the recognition degree of the long-term care service have significant influence on their physically parent supporting consciousness. The researchers suggest the need of family support system based on the result for decrease the parent-supporting burden in middle age generation.