• Proceedings of the Korean Society of Computer Information Conference
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• 한국컴퓨터정보학회 2010년도 제42차 하계학술발표논문집 18권2호
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• pp.357-360
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• 2010

본 연구의 논의의 전개는 오늘날 산업사회의 발달로 인해 고도의 경제성장과 의료기술의 발달로 평균 수명이 늘어나고 이로 인한 인구 고령화 현상이 급속히 진행되고 있다. 이러한 논의를 토대로 고령화 사회에서 재가노인복지서비스가 제대로 이루어지기 위해서 본 연구는 재가노인복지서비스가 전문적인 서비스 수준으로 이어져야 한다고 보고 있다. 이에 따라 재가노인복지서비스의 필요성, 재가노인복지 사업, 문제점 등에 대해서 개괄적으로 살펴보고 우리나라 재가노인복지서비스의 과제와 개선방안을 모색해보고자 한다.

• Korean Journal of Social Welfare
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• 제56권4호
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• pp.123-147
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• 2004

The purposes of this study are, 1) to explore the factors related to the family caregivers' preferences for service utilization both of the community-based welfare and health-care services, and 2) to examine the reasons why not want to use services analyzing a survey data obtained from family caregivers(n=1,000). Anderson and Newman's Behavior model was employed to examine the factors related to the preferences for service utilization. The main results are as follows. 1) Logistic regression analyses demonstrated that predisposing factor(such as age and relations with frail elderly) and enabling factor(such as economic status, secondary caregiver, informal informational support provider, etc) were significant predictor for caregivers' preference for service utilization. Contrary to an expectation, needs factor was negatively related to the preference for service. More specifically, the more they have service needs, the less they show their willingness to use community-based service both in welfare and health-care services except for care education program. 2) Caregiver identified 'family caregiving consciousness'(family should take care of frail elderly, elderly dislike be taken care of) as an important reason not want to use community services next to financial factor. These findings have several implications for policy making especially for 'public long-term care insurance' which was planned to start in 2007.

• Journal of Industrial Convergence
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• 제19권6호
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• pp.165-175
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• 2021

The purpose of this study was to identify the crisis perception of the existence on home support service for older people and to make policy and practical suggestions for the workers who provide the on home support service for older people. For data collection, in-depth interviews were conducted by sampling four voluntary participants recommended by the Korea Association of Community Care For The Elderly 00city in the metropolitan area. As a result of the analysis, the main crisis-related factors of the home support service center for older people were found to be three: psychological, policy, and role. First, in terms of policy, not only could they not actively accept policy changes, but there were limits to their efforts for change. Second, in the psychological aspect, identity confusion and negative perception in the community. Third, in terms of roles, there was a disappointment in the active roles and support of institutions, corporations, and associations.

• 한국노년학
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• 제29권3호
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• pp.917-933
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• 2009

This study examined the factors affecting forms of long-term care service use by elderly and the forms of use are classified facility care service, home care service, and unused. It is used data from the 2nd pilot program for the Long Term Care Insurance scheme and it is analysed 5,497 cases. Multi-nominal regression is used. According to the results, women use formal service more than man do, and wowen use facility care than home care. Those who eligible for National Basic Livelihood Security System(NBLSS) are shown to have higher use of formal care(especially facility care) than the middle income class, and the low income class than the middle income class has lower use of formal care. In addition, higher the family care is available, lower the taking part in the service. The big cities and mid sized cities than rural are used the formal service and moreover mid sized cities are used facility care than home care. Furthermore, the level of care need is determinants of service use and function of ADL, IADL, and abnormal behavior is also determinants of formal service(especially facility care). But nursing need and rehabilitation need are not determinants of formal service use. Based on the results, the recommendations are developed and implemented for the improvement the elderly long-term care insurance.

• 한국사회복지학회:학술대회논문집
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• 한국사회복지학회 2002년도 춘계학술대회
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• pp.573-604
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• 2002

우리나라도 2000년 들어 65세 이상의 노인인구는 7.2%를 넘어서서 본격적으로 고령화사회(aging society)에 들어섰다. "21세기는 고령자의 세기"가 된다고 해도 과언이 아니며, 2019년에는 14%가 넘어 고령사회(aged society)로 진입할 전망이다. 그러나 우리나라는 "고령자의 세기"라고 불릴 만큼 사회구조가 변화하고 있는 시점에서 노인 인구의 0.3%만이 시설에서 보호를 받고 있으며, 나머지 99.7%는 일반가정에서 생활하고 있다. 유교사회의 전통규범에 의해 99.7%의 노인들이 가족에 의해서 그들의 노년을 보내고 있으나, 핵가족화와 산업화에 따라 윤리규범이 깨어지고 있는 탈윤리시대에서, 더 이상 요보호 노인(와상노인, 중풍노인, 치매노인), 장애노인 등의 수발 및 보호는 윤리적 규범이나 가족, 가정에 의해서 충족되기는 점차 어렵게 되어 가고 있으며 극명한 한계를 보이고 있다. 이러한 사회적 상황과 가족부양체계의 변화는, 고령자를 대상으로 하는 각종 복지 시책 개발, 특히 재가노인 복지서비스의 필요성이 제기되고 있으나 우리나라는 아직 미미한 수준에 머물러 있다. 우리나라 재가노인을 위한 정책의 활성화와 서비스의 양적 확대 질적 고도화를 위해서는 첫째, 보편적으로 이용할 수 있도록 대상 범위를 확대해야 한다. 둘째, 의료서비스의 확충과 같은 전문적 서비스의 확대 실시가 요청된다. 셋째, 동일한 서비스내용에 대해서는 전달체계를 일원화할 필요가 있으며, 사업주체별로 역할을 분담하고 담당 인력별로 업무를 분담해서 전문성을 강화해야 한다. 넷째, 재가복지 서비스는 중앙과 지방의 분담에 의한 무료 서비스인 만큼 지원을 획기적으로 개선 나가며, 보편적 이용의 정도가 큰 서비스는 점차 정부지원의 서비스로 확대하되 저소득층에 대하여는 무료서비스를 제공하고 저소득층 이상에 대해서는 소득 수준에 따른 차등적 서비스 요금을 부과하는 것이 바람직하다. 그리고 보다 질 높은 서비스를 원하는 중산층 이상에 대하여는 시장 경제원리에 의한 실버산업이 활성화되어야 하며 일본에서 시행하고 있는 개호보험제의 도입방안도 적극적으로 검토되어야 할 것이다.

• Korean Journal of Social Welfare
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• 제56권3호
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• pp.183-205
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• 2004

This Study explored three issues in regard to the determinants of community service utilization among family caregivers of the dependent older persons. First, the differences between users and nonusers of community services were compared regarding to predisposing, enabling, need characteristics of the primary caregiver as well as the elder care recipient. Second, the variables which determined the contact of community services were examined. Third, the influence of the variables on duration of the community services among users was also examined. The data collected from 164 family caregivers were used for analyses. Findings suggest that community service users had higher education and higher emotional support, lower family income than nonusers. The level of cognitive impairment of the elder was also higher for users than nonusers. The entry into community services is more likely for elders cared for by caregivers who have higher educational attainment, lower family income and lower level of instrumental support. Once interaction terms for relationship between need factors and social support are entered, caregivers with poorer level of his/her perceived physical health and lower level of instrumental support are more likely to report use of community services. Among those reporting contact with services, more extensive use occurs for caregivers with lower emotional support and lower depression. The entry of interaction terms for relationship between need and support reveals that the combination of lower support(instrumental and emotional) and elder's greater physical impairment are associated with longer period of community service use. However, the effect of caregivers' depression followed the different pattern. For caregivers with greater depression, more supports are related with more service utilization. According to the results, implications for research and practice are discussed.

• 한국노년학
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• 제29권3호
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• pp.1063-1085
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• 2009

The purposes of this study were to investigate the transition of elderly's welfare service utilization and to examine the factors affecting their utilization as time passed. To solve these research questions, the behavioral model presented by Andersen and Newman(1973) was applied. Using Hallym Aging Panel data consisted of 3 waves from 2003 to 2007, autoregressive modeling and regression analysis were applied for research purposes. The results of this study were as follows; (1) The experiences of welfare service utilization were increasing gradually. The complimentary service for the aged was utilized generally, but leisure service and community service were not used in common. (2) Past experience of service affected service utilization in the following times. (3) The factors affecting older adult's service utilization were different among the types of services. Nonetheless, the factors affecting continuously during the periods were found: age as predisposing factor and area as enabling factor in the complimentary service; area and existence of spouse as enabling factor in leisure service; education as predisposing factor and service cognition as enabling factor in community service. Enabling factor has affected more consistently than other factors. The results showed that special attention should be paid to balanced regional arrangement for welfare resources and the public relation considering the elderly's intellectual level.

• 한국노년학
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• 제34권2호
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• pp.369-386
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• 2014

The purpose of this study was to develop the classification of home-based long-term care activities and to test its validity. In this study, the taxonomy of long-term care activities was structured according to the service domain and process. Two expert groups participated in making a draft of the taxonomy that was composed of 7 service domains, 22 care needs, 22 service objectives, and 114 activities. Reliability and validity of the taxonomy was tested in a sample of 152 elderly subjects who used the home-based long-term care services. Based on the factor analysis of 114 activities, 21 factors were extracted from 114 activities. Internal consistency of the factors was high. Content validity was confirmed by the CVI. Long-term care insurance grade was used to assess the criterion validity. Among 21 care needs, 12 cares needs were significantly different from their grade. The classification of home-based long-term care activities demonstrated reliability and validity. In conclusion, the use of this classification is recommended while communicating with the elderly subjects, service providers, and the 3rd party payers.

• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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• 제7권11호
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• pp.717-725
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• 2017

The purposes of this study are to find the difference in information literacy among the elderly home care service users and to identify the impact of information literacy on service quality and satisfaction among service users. To achieve the goals, this study used 466 responses from the elderly home care service recipients in Jeollabukdo providence, and conducted t-tests, ANOVA and a series of regression analyses. The results showed that there were significant differences in information literacy by gender, household type, residence area, education level and subjective health status among service users. The study also found that service users information literacy had a significant impact on service quality and satisfaction, and it confirms the importance of customized service. This study suggests that information literacy inequality exists among the elderly home care service users, therefore, the way to improve information delivery strategy should be developed for the information-poor elderly.

• Korean Journal of Social Welfare
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• 제54권
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• pp.273-294
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• 2003

The outcome of study has shown that team approach in case management in the community welfare center has shown a fair amount of effectiveness in increasing the quality of life for the elderly. 30 elderly people who had complex difficulties in life were selected and given case management for a 6 month period. The student volunteers supervised by a case manager visited the clients once a week and arranged a series of community resources following assessment of the clients' needs. A group of professionals active in the community was invited for supervision. Compared to the clients in the comparison group, those clients who case management showed the increase in the quality of life and life satisfaction scale. The results of the study suggest that face-to-face service for the elderly is one important factor for successful case management intervention. Also, a team approach in case management utilizing professionals and volunteers can be useful for the case manager in the community welfare center who is overwhelmed with too many case loads.