• Title/Summary/Keyword: 공식 돌봄

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The Impact of the Korean Long-Term Care Insurance System on its Family Caregivers: Focusing on Family Caregiving Arrangement (노인장기요양보험제도에서 재가노인돌봄의 변화에 대한 연구)

  • Yang, Nanjoo;Choi, In-Hee
    • Korean Journal of Social Welfare Studies
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    • v.44 no.3
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    • pp.31-56
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    • 2013
  • The purpose of this study was to investigate the changes that family caregivers have experienced since using the Korean Long-Term Care Insurance(LTCI) system. In-depth interviews were conducted to determine how the services offered within the LTCI program had affected family caregiving and what changes they had incurred. Results from the qualitative content analysis show that the LTCI program significantly reduced the caregiving burden among family caregivers although burdens that family caregiver perceived varied greatly depending on the types of service that the family selected, and assigned family caregivers different identities and diverse roles(i.e., service user, family caregiver, certified care provider) depending on the service they use. The phenomenon of 'certified family care provider', which was not an intention of LTCI, demonstrates the practical need of elderly persons who require both care and the comfort of family and economic status of the family. Despite the positive impact of the LTCI policy on the family caregivers' burden and family relationship, the current LTCI system should be modified in order to better meet the needs of beneficiaries and their family caregivers.

Policy Supports for Informal Caregivers: Focusing on Policy Changes in the United States and United Kingdom (비공식 돌봄자를 위한 정책 지원 비교 연구: 미국과 영국 최근 정책 동향 고찰 중심으로)

  • Rhee, YongJoo
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.389-399
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    • 2020
  • Diverse official policies in community are available for caregivers to take care of the elderly in the US and the UK. This study aims to examine the recent changes in government supports based on The Recognize, Assist, Include Support and Engage (RAISE) in the US, and those by Carer Act 2014 in the UK, to take any good lessons for Korean policy. Caregivers will play a new role to develop innovative treatment for patient-centered care. The UK strengthens to provide various efforts for working carers while assuring economic efficiency in labor market with empirical evidence. The major four ways to support carers were developed agreed with the acknowledge of caregiving value and their human right; financial support, direct services for carers, flexible work time, and advocacy. Korean supports policies for carers in long-term care and social welfare will be more effective in community care system if more evidence based policies are prepared.

Care for the Individuals with Disability: focusing on care Sufficiency and Service Use (장애인의 돌봄충족과 돌봄서비스 이용실태 및 결정변인)

  • Lee, Hyo-Sung;Ko, Greene
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.207-219
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    • 2014
  • Recognizing the lack of empirical study that evaluates the influence of social care services on care sufficiency of individuals with disability, we have focused our study on the following research questions: What is the level of care sufficiency for individuals with disability?, What is the profile of care for individuals with disability from both formal and informal providers?, What are the service use conditions and determinants of social care service use?. This study analyzed data of 1204 individuals with disability who needed daily assistance from 5th wave of Korea Welfare Panel Study. Results showed that 50% of the respondents experienced care deficit. 77% of the respondents received no care from informal care providers and 90% from formal care providers. Despite social care services brought by the expansion of socialization of care, the average number of social service use on care was less than 1, which suggests that socialization of care did not significantly contribute to care sufficiency. In addition, for people who are 64 or younger, social care services was substituted by care from informal care providers and for those who are 65 or older, social care services supplemented care from informal care providers.

The Effect of Care Burden of Elderly Spouses Caring for Dementia Elderly on Life Satisfaction: The Moderating Effect of Social Support (치매 노인을 돌보는 노년기 배우자의 돌봄 부담감이 생활만족도에 미치는 영향: 사회적지지의 조절효과)

  • Park, Ju-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.4
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    • pp.43-54
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    • 2021
  • The purpose of this study was to explore the effects of perceived care-related burden and social support on life satisfaction and the moderating effect of social support from elderly spouses caring for their elderly partners with dementia. The subjects were 165 spouses aged over 60 years, caring for their elderly partners afflicted with dementia, and living in Seoul and Gyeonggi Province. The analysis results are as follows: First, the quantified total care-related burden shouldered by the participant spouses was 3.76 points (SD = .57), which was slightly higher than the median value. In the case of social support, informal support was scored 2.65 (SD = .78), and formal support was scored 2.60 (SD = .77), which was lower than the median value. Life satisfaction earned a score of 3.11 points (SD = .78), which somewhat exceeded the median. Second, subjective health status, income level, burden from social activity, and informal support influenced life satisfaction. Put differently, the higher the subjective health status of a caring spouse, the higher the income level, the lower the social activity burden, the stronger the informal support, and the greater the life satisfaction. Third, the interaction terms of social activity burden and informal support were significant. Therefore, informal support had a moderating effect on the relationship between social activity burden and life satisfaction among the elderly with dementia. In other words, even though the caring spouses experienced a burden from social activities, the higher the frequency with which they accessed informal support, the lower the decrease in life satisfaction.

Influencing Factors of Family Caregiving Time (성인가족 돌봄시간의 영향요인)

  • Noh, Hye Jin
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.2
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    • pp.1-12
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    • 2021
  • This study aims to elucidate the actual state of family care on the basis of the exact amount of time, and to verify its influencing factors and results. To this end, family caregiving was analyzed using the 2019 Korean Time Use Survey. The analysis results were as follows. First, the average time spent on adult family care was 115 minutes per day, a large proportion of family caregivers were women, the average age was relatively high, there were many unemployed, and household income was relatively low. Second, the analysis of influencing factors revealed that those who were women, older, married, and of a low household income had a considerable likelihood of becoming a family caregiver and had a longer caring time. Third, analysis of the relationship between family care and other activities showed that the family caregiving time was in a substitute relationship with paid work or leisure time, but it was in a complementary relationship with housework time, which was more evident in the case of high-intensity family caregiving. On the basis of these results, this study proposes the implementation of regular family care surveys, expansion of family care support policies, and modification of support for caring time according to the nature, goals, and attributes of caregivers.

Daily health, family support and the aged's life quality (일상적 건강성 및 가족 지지와 고령자 삶의 질)

  • Lee, mi-ran
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.329-330
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    • 2015
  • 전지구적인 고령화시대를 살아가는 인류에게 행복한 노년기 삶의 질에 관한 유용한 방안은 매우 중요한 과제가 되고 있다. 특히, 고령노인의 건강은 삶의 최우선 순위가 될 뿐만 아니라, 가족과 사회 그리고 국가의 다양한 정책과 제도적 시스템을 조절하는 요인으로서 작용한다. 또한 공적 시스템과 비공식적 지원체계는 노년후기 가족의 삶의 질에 큰 영향력을 가질 뿐만 아니라, 노인에 대한 가족 지원을 조절하기 때문에 전방위적으로 구축되어야 한다. 본 연구는 노인의 일상적 건강성을 향상시키고, 노인에 대한 가족지원체계를 보완하며, 성공적이고 행복한 삶의 질에 대하여 파악하고자 한다. 노인의 삶의 질 향상은 노년기 삶의 긍정적 마무리 및 행복감과 관련성이 높다. 따라서, 노년기 공식적 비공식적 지원체계의 다양한 지원과 동시에 가족 지지의 대처자원을 발굴하고, 보완가능한 대체가족 지원시스템을 개발, 강화시켜 독거노인과 돌봄노인의 케어시스템을 다차원적으로 확충해 나가야 할 것이다.

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The Effect of Long-Term Care Insurance on Labor Supply (노인장기요양보험제도의 노동공급효과 분석 - 부양가구원과 여성가구원을 중심으로-)

  • Kwon, Hyunjung;Ko, Jiyoung
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.279-299
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    • 2015
  • This study examines the impact of Long-Term Care Insurance(LTCI) on family caregivers(especially focused on female household members) labor supply in South Korea. When public care and informal care are substitutes, LTCI will change allocation of time of family caregivers to spend more time to paid work. The impact of LTCI on labor supply depends on each country's institutional level of public care services. If public care can not substitute for informal care, labor supply of family caregivers will not rise significantly. The conclusions of vigorous empirical study from western countries' are incompatible and problem of endogeneity in terms of methodology has been raised consistently. The dataset of this study are used the third and ninth waves of Korea Welfare Panel. As a result, the introduction of LTCI had no effect on labor supply of household members. Robust findings suggest the positive effects of caregiving on labor market outcomes in simple comparison t-test, but not in fixed-effect regression. Compared with western countries, South Korea's public care services can be interpreted as a supplement to only part that remained at the level does not substitute informal care. These findings may suggest that if LTCI become much more prevalent in the future, senior citizens and family members will be able to choose the LTCI arrangement that best suits their needs.

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The effect of informal grandparent-provided child care and support on married women's additional birth plans: A panel data analysis (조부모에 의한 비공식 자녀돌봄 및 지원이 기혼여성의 추가출산 계획에 미치는 영향: 패널분석 방법을 이용하여)

  • Han, Young-Sun;Lee, Yon-Suk
    • Journal of Family Resource Management and Policy Review
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    • v.18 no.2
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    • pp.163-182
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    • 2014
  • This study examined the effects of informal grandparent-provided child care and support on married women's additional birth plans. This study applied panel data analysis to three waves of the Korean Longitudinal Survey of Women and Family (KLoWF) and obtained two major findings, as follows. First, having a mother-in-law and co-residing with parents-in-law had a positive influence on married working women's additional birth plans. Child care provision from the parents of a married working woman also positively influenced her additional birth plans. Second, the analysis showed that housework assistance from a woman's mother-in-law or mother had no effect on her birth plans in both models investigated: the additional birth plan model for all women, both employed and unemployed, and the additional birth plan model for only working women. In conclusion, the findings of this study demonstrated that child care availability, with grandparents as the trusted providers, is a more important factor in married women's additional birth plans than housework assistance from their mothers-in-law and mothers.

Factors Affecting Subjective Life Expectancy of The Elderly: A Comparison Three Age Groups (노인의 주관적 기대여명에 영향을 미치는 요인: 연령집단별 개입요인 비교)

  • Kim, Yeon Gyeong;Kim, Clara Tammy
    • 한국노년학
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    • v.39 no.4
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    • pp.699-721
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    • 2019
  • The purpose of this study was to examine and compare factors affecting the subjective life expectancy among the elderly, and to suggest health practice and social welfare service implications for later life. A total of 4,483 seniors from the 6th wave(2016) of the Korean Longitudinal Study on Aging (KLoSA) were used for analysis. The subjects were divided into three age groups: the young-old (n=2,106, 65~74 years), middle-old (n=1,803, 75~84 years), and oldest-old (n=574, 85 years and older). Control variables were sociodemographic factors and health status factors. Independent variables were health promotion behavior, cognition of public care, participating social activity, economic activity, and receiving basic pension. The data were analyzed using hierarchical multiple regression. The main results were as follows. Health promotion behavior was associated with the young-old. Social activities and economic activity were associated with the young-old and middle-old. Receiving basic pension had a significant impact on all age groups. In the middle-old, significant results were focused on socio-demographic and health status factors compared to other groups. The results of this study will provide basic data for the elderly policy and welfare service and will help to find and improve the important factors for the life of the elderly.

Case Study on Informal Care for Rural Elderly by Neighbors in Korea (농촌마을의 비공식적 노인돌봄에 대한 사례연구)

  • Yoon, Soon-Duck;Chae, Chae-Hye
    • The Korean Journal of Community Living Science
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    • v.19 no.2
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    • pp.297-308
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    • 2008
  • Previous research on elderly care in rural areas has focused on inter-generational support, ignoring the possibility of elderly care among community members in the rural areas of Korea. This study attempts to explore the roles and potentials of community-based elderly care in rural areas where nearby family or formal services are unavailable. For this purpose, data was collected from the elderly in three Korean rural villages using qualitative case study methods. Each village was studied as a separate case study and in-depth interviews with the elderly in each village were conducted. All interviews were tape-recorded and transcribed verbatim for the analysis. The data was analyzed using the Reflective Qualitative Analytic Technique. Results showed that rural elderly in all three villages had lunch, talked, and played together; almost everyday in the winter. However, the nature of care among rural elderly varied depending on the characteristics of the rural community (the traditional rural, the rural mixed with the urban, and the neighboring rural with the urban). Specifically, the use of mutual aids (providing food, repairing housing, and checking personal safety by telephone or visit, etc.) was most consistent at the traditional rural village. Because both the rural village mixed with the urban and the neighboring rural village with urban have better access to many aids and programs from formal institutions, mutual aids among community members decreased compared with the traditional rural village. However, regular group activities such as sports, dancing or debate help to provide pleasure and integrate the community. These results suggest that community relationships as a substitution for social support provide by family or formal services can be utilized in rural areas.

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