• Journal of the Korean hospital association
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• v.33 no.4 s.290
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• pp.23-32
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• 2004

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.191-205
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• 2020

This study examined the possibility of utilizing next-generation technology, such as Virtual Reality or AI robots, in the long-term care facilities for the elderly. For the study, the Focus Group Interview was conducted in three different groups of 14 participants (care workers, social workers, and directors of long-term care facilities for the elderly). The analysis revealed a total of three topics, eight categories, and 26 sub-categories. The main results of the study showed that the use of next-generation technology could assist the psychological and emotional stability, provide curiosity and interest, and relieve the desire for physical activity for the elderly. In addition, for long-term care services staff, it could provide useful services for the elderly with physical constraints, facilitate effective management of the elderly roaming around, and enhance emotional support services. Finally, it could also help directors of long-term care facilities promote their services, educate staff, and keep up with current trends. Participants expressed concerns about the introduction of new technologies, but they generally expected that the application of next-generation technology would be positive for the elderly as well as for care workers and directors of long-term care facilities. Therefore, the use of next-generation technology in long-term care facilities for the elderly will also help develop gerontechnology.

• 한국노년학
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• v.31 no.2
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• pp.259-276
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• 2011

If frail elderly could use home care services adequately, quality of their life might improve and their costs of service would be decreased. The purpose of this study is to examine the factors on institutionalization of elderly using home care services in Korean long-term care insurance system. This study used the data of '2009 satisfaction survey of Korean long-term care system'. The survey proceeded using sampling data by region, level of long-term care need, and insurance type among beneficiaries from August 2009 to September 2010. The onset dates of institutionalization of 1,230 participants were ascertained from long-term care insurance claim data. This study calculated hazard ratio through Cox Proportional Hazard Model. The results showed that if elderly using home care services suffer a fracture, the hazard ratio of institutionalization is higher significantly. Although not significant, if older persons have more items of damaged cognitive functions, the hazard ratio of institutionalization is higher. The results have policy implications to supplement of home care service system and postpone institutionalization of elderly.

• 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.

• Journal of Industrial Convergence
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• v.21 no.10
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• pp.65-80
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• 2023

Through inductive content analysis, this study sought to examine the crisis experienced by the institution, the quality of service, and the distrust of the system and institution based on the experience of distrust in the home-visiting care service of bbeneficiary and guardians. FGI was conducted on five managers of institutions that provide home-visiting care services. As a result, the central phenomenon was found: deterioration of service quality, distrust of systems and institutions, and difficulties in opera-ting long-term care institutions. In order to improve the quality of home-visited care services and build trust in care workers and institutions, first, home-based associations or operating corporations should develop new education program plans and manuals to strengthen the capabilities of care workers and social workers. Second, the NHIS's monitoring system and the professional management system of care workers should be established. Third, it is necessary to improve awareness of the role, expertise, and rights of care workers, and fourth, improvement measures are required to reduce the turnover rate of care workers, which is the cause of the deterioration of the quality of long-term care services.

• Journal of Industrial Convergence
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• v.18 no.6
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• pp.155-163
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• 2020

The purpose of this study was to verify the effect of job stress of caregivers on service quality for improve the quality of elderly long-term care services and the mediating effect of organizational commitment in the process. To this end, 30 long-term care facilities were randomly sampled out of 1,705 long-term care facilities in Gyeonggi-do, and as a result of a questionnaire survey of 500 caregiver for one month in May 2020, 443 samples were collected, and a total of 415 samples were finally analyzed. As for the analysis method, SPSS WIN 21.0 was used to verify the mediation model using frequency analysis, descriptive analysis, correlation analysis, and regression analysis. As a result of the study, first, job stress had a negative effect on service quality and organizational commitment. Second, organizational commitment has a static effect on service quality. Third, organizational commitment was verified as a perfect mediating in the relationship between job stress and service quality. This suggested the importance of the effect of organizational commitment in the process between job stress and service quality of caregivers and sought a policy ways to to improve the service quality of caregivers.

• 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.

• The Journal of the Korea Contents Association
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• v.12 no.8
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• pp.283-299
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• 2012

The aim of this study is to develop strategies activating long-term care visiting nursing. The research design was a descriptive survey study, and the data were collected from the visiting nursing center managers, customers, and long-term care insurance staffs. The major results were as follows. To activate the long-term care visiting nursing, first, the basic nursing care for ensuring sustainable health management has to be included. Second, the visiting nursing must be designated as mandatory use in standard guideline for using long-term care services. Third, the insurance pricing of visiting nursing must be based on the cost of visiting nursing. And, last, using a visiting nursing must be possible without a doctor's order sheet, when it is required for the assessment of patient's health status.

• Proceedings of the Korean Society of Computer Information Conference
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• 2022.01a
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• pp.189-190
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• 2022

최근 노인관련 요양 문제는 이미 사회적 이슈로 떠오르면서 각 가정에서의 돌봄이 곤란한 어르신들이 요양원, 재가복지센터, 주간보호센터, 노인전문병원 등에서 요양보호사의 도움이 절대적으로 필요한 일상이 되었다. 무엇보다도 장기요양서비스를 이용하는 어르신 대부분은 노인성 질환 또는 치매를 앓고 있다. 이는 각 가정에서의 돌봄이 어려운 어르신들에게 직접서비스를 제공 하는 종사자인 요양보호사들은 다양한 치매어르신들의 문제행동을 안고 현장에서의 돌봄을 제공한다. 따라서, 요양보호사의 직무 관련 스트레스에 미치는 영향력 파악과 이와 더불어 직무스트레스가 치매어르신의 문제행동과 종사자의 소진 간의 매개 효과가 있는 지 규명하는 연구들이 활발하게 이루어 짐으로 이를 규명한 내용을 토대로 대안 마련을 위한 유익한 제언들이 필요하다.

• KDI Journal of Economic Policy
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• v.31 no.1
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• pp.139-167
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• 2009

A new public insurance for long-term care was introduced in July 2008 to provide for the rising demand for long-term care as the population is aging rapidly. The demand for long-term care is expected to rise further because more and more elderly are living alone or in households with only other elderly, such as his/her spouse, without informal care of their adult children. Even when the elderly are living together with their adult children, daughters and daughters in law, once the main informal care-givers, are not available because they choose to become economically active and work more over time. Experiences of countries such as Japan and Germany with similar public long-term care insurance scheme highlight the importance of detailed analysis on the demand for long-term care for the financial stability of the insurance scheme. Countries which had underestimated the demand for long-term care at the time of adopting the scheme went through financial instability of insurance schemes. This study analyzes the determinants of the demand for long-term care using data from the second demonstration project (April 2006~April 2007) of the long-term care insurance scheme for the elderly in Korea. Taking full advantage of detailed data on the long-term care, this paper analyzes the eligibility for the long-term care insurance scheme and its use. According to study results, even when common diseases among the elderly such as cancer, diabetes, arthritis, dementia, hypertension, etc. are controlled together with other individual and socioeconomic factors, limitations the elderly are faced with in their twelve activities of daily living significantly affect the eligibility for the Korean Long-term Care Insurance Scheme. This means that limitations in daily living activities are more critical than common diseases among the elderly are to the eligibility for the Korean Long-term Care Insurance Scheme. Bathing and toileting problems have been found to be the most important factor affecting the eligibility for the insurance scheme, followed by eating, dressing and moving around inside the house. Moreover, the choices of whether to use long-term care and which to use between home care and institutional care are found to be significantly influenced by health status and various socioeconomic factors of the elderly. In particular, those with more limitations in daily living activities and the female elderly are more likely to use long-term care and institutional care rather than home care. As for home care users, those living alone or with adult children and those with monthly household income of more than 500,000 won are more likely to use home care. Most importantly, even when the monthly household income of the elderly is controlled, the elderly recipients of the National Basic Living Security, who are not charged for long-term care, are more likely to choose home care. This implies that price as well as income is a critical factor for the decision to use long-term care. Further study on the duration of long-term care use will surely enhance the long-term care policy, when panel data is available for simultaneous analysis of the likelihood of long-term care use and its use duration.