• Korean Journal of Gerontological Social Welfare
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• v.74 no.1
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• pp.61-90
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• 2019

본 연구의 목적은 Anderson의 행동모형에 따라 설계된 예측요인들 중 가능성요인이 노인들의 돌봄 유형 선호에 미치는 영향을 분석하는 것이다. 노인들의 돌봄 유형은 돌봄 제공주체자에 따라 '자기 돌봄', '가족 돌봄', '전문적 돌봄'으로 구분하였고, 전국 노인 2,064명을 대상으로 실시된 설문자료를 다항로지스틱회귀분석을 통해 분석하였다. 분석 결과는 다음과 같다. 각각의 돌봄 유형 선호에 영향을 미치는 요인에 대한 분석을 실시한 결과, 노인의 돌봄 유형 선호를 결정하는 데 있어 주요하게 작용하는 공통적인 가능성요인은 동거 가족 수와 사회관계망으로 나타났다. 구체적으로 배우자 유무와 동거 가족 수, 사회관계망은 가족 돌봄 선호와 자기 돌봄 선호를 구분하는 요인으로 확인되었으며, 배우자 유무와 동거 가족 수, 사회적지지, 사회관계망이 가족 돌봄 선호와 전문적 돌봄 선호를 구분하는 요인으로 확인되었다. 또한 동거 가족 수와 거주 지역, 사회관계망이 자기 돌봄 선호와 전문적 돌봄 선호를 구분하는 요인으로 확인되었다. 이러한 연구결과를 토대로 체계적이고 효과적인 지역사회 통합 돌봄 정책설계를 위한 정책적 시사점을 제시하였다.

• Journal of Convergence for Information Technology
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• v.11 no.9
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• pp.50-57
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• 2021

The purpose of this study was to typology the integrated care needs of communitydwelling elderly, explore the socio-demographic characteristics of each type, and determine their effects on depression. The secondary data analyses using the 2017 National Survey of the elderly were conducted. The research results are as follows: First, as a result of typology patterns of care needs of the elderly based on the number of chronic diseases, ADL/IADL, dwelling satisfaction, social activities, and social support networks, three clusters were derived; 'low care needs group (LCN), 'high social needs group (HSN)' and 'complex care needs group (CCN)'. Second, compared to HSN, CCN was characterized by older, women, low educational level and urban residence. Third, the level of depression in LCN was lower than that of the HSN, and the depression level of CCN was higher. The practical and policy implications of the results were discussed.

• Journal of Society of Preventive Korean Medicine
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• v.27 no.1
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• pp.29-42
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• 2023

목적 : 노인 인구가 급격히 증가하면서 노인 돌봄에 대한 관심이 높아지고 있다. 본 연구의 목적은 한국, 일본, 대만, 중국의 노인들을 위한 지역사회 돌봄 시스템을 비교하는 것이다. 방법 : 본 연구는 PubMed를 포함한 다양한 데이터베이스를 사용하여 4개국의 커뮤니티 케어 시스템을 파악했다. 검색은 지역사회 돌봄, 통합 돌봄, 노인 돌봄 등 다양한 용어를 사용해 이뤄졌으며 연구는 제외 및 포함 기준에 따라 식별되었다. 결과 : 본 연구에는 총 77개의 연구가 포함되었다. 이 연구는 4개국의 지역사회 돌봄체계를 분석했다. 그리고 의료정책에 초점을 맞춰 "퇴원지원"과 "방문의료"의 시스템과 운영사례를 비교하였다. 결론 : 지역사회 돌봄에서 적절한 한의 홈 헬스케어 서비스를 제공하기 위해서는 한의사에 대한 인식 제고와 예산 증액이 필요하며, 본 연구는 향후 보다 발전된 노인돌봄정책 수립에 활용될 수 있다.

• Journal of Family Resource Management and Policy Review
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• v.25 no.3
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• pp.31-45
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• 2021

Despite efforts to expand public care services as social demands increase, the problem of the after-school self-care of elementary school students who were in the situation of care cliff remains. Thus, this study focused on community-based childcare to solve the issue of school-age childcare in Korea. The purpose of this study was to explore the experience of community-based childcare of participants who had school-aged children who lived in Seoul and GyeongGi province (Korea). Focus group interviews were conducted with ten married working mothers among clients of a community-based childcare provider that has been operating for more than five years. Based on the findings of this study, it is clear that community-based childcare is a useful welfare resource. In addition, the results of this study can be used as data for developing policies and programs for school-age childcare or the after-school self-care of elementary school students. Furthermore, it may broaden the horizons of research related to community-based childcare.

• Journal of the Korean Applied Science and Technology
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• v.36 no.4
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• pp.1373-1384
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• 2019

This study is a descriptive research to analyze the factors affecting the care burden of dementia patients in the community. The data was collected from 223 dementia patients in the community for 10 days from November 30 to December 9, 2018. The results showed that there was a statistically significant difference in caring burden according to demographic characteristics according to the age group of the main caregivers, the relationship with dementia patients, the duration of caring for dementia patients, and the difficulty of caring for dementia patients. Had a negative correlation with dementia knowledge(r=-.145, p=.030). The factors affecting the care burden of dementia patients were as follows: dementia care period(β=.408, p=.006), difficulty in caring for dementia patients(β=-.307, p=.023), relationship with dementia patients(β=-.299, p=.013), and age group of primary caregivers of dementia patients(β=-.265, p=.007). Therefore, in order to alleviate the burden of caring for dementia patients in the community, a practical and continuous care intervention program is needed

• Korean Journal of Gerontological Social Welfare
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• v.74 no.2
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• pp.219-253
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• 2019

The study explored the University Based Retirement Community (UBRC) program, which is suggested as an alternative to sustainable care in crisis of caring for our society. UBRC is one of the specific community care programs based on the philosophy of the Aging in Place (AIP). The UBRC is a program for retirees to be linked by senior housing complexes and universities to meet their intellectual, social and physical needs. Currently, the UBRC is being conducted as a pilot project at Y University in Yongin in Korea. The study explored the characteristic, effectiveness, ustainability of care in the UBRC program conducted at Y University through qualitative research. Characteristic was defined as university-based integration program, university association program, and community-adult program. The effects of the UBRC program increased the ability of the elderly in general, including satisfaction, health, interaction between generations, relaxation of loneliness and depression, and satisfying intellectual self-esteem. The study participants were positive in that UBRC contributed to the sustainability of care. Although the UBRC is still in its early stages, if the UBRC were to be institutionalized in the future, it would contribute in terms of efficient use of resources, revitalization of areas, community building and increasing community care systems. In Korea, the Act on Long-term Care Insurance, which was enacted in 2007, is based on the principle of priority, but it has not yet been implemented due to the relatively large number of facility users. If the UBRC program is activated, it will contribute not only to the principle of the Long-term Care Insurance Act, but also to the efficient use of resources as well as to increasing social solidarity.

• Journal of agricultural medicine and community health
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• v.47 no.3
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• pp.143-153
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• 2022

목적: 병원에서 재가 및 시설로 퇴원한 환자가 지역사회에서 건강을 유지하기 위해서는 전환기 돌봄서비스(Transitional care services)가 필요하다. 이를 위해 지역사회 내 의료서비스와 자원을 연계하는 주치의의 역할이 중요시된다. 본 연구에서는 선행연구를 바탕으로 일차진료 의사들의 환자중심성에 대한 인식을 파악하여 환자중심 기반의 서비스 제공을 위해 필요한 정책을 제시하였다. 또한 Transitional Care Service에 대한 일차진료 의사들의 인식을 확인하고 인구사회학적 요인과의 관계를 확인함으로써 서비스 우선순위를 도출하고자 하였다. 방법: 본 연구는 전국의 가정의학과, 내과, 신경과 등 노인 질환과 관련 있는 과의 전문의 자격증이 있으며 자발적으로 온라인 설문조사에 참여할 의사를 표현한 일차진료 의사 259명을 대상으로 수행되었다. 환자중심성 및 전환기 돌봄서비스에 대한 인식을 살펴보기 위해 구조화된 설문지를 개발하였으며, 조사전문업체를 통해 2019년 10월 28일부터 2019년 11월 22일까지 온라인으로 설문조사를 수행하였다. 결과: 본 연구에 대한 주요 결과는 다음과 같다. 첫째, 일차진료 의사들을 대상으로 9가지 전환기 돌봄서비스 인식에 대해 살펴본 결과 "입원 시 진단, 건강상태, 치료계획 및 결과 에 대한 설명(4.4)"과 "퇴원 후 자가 건강관리를 위한 정보 및 훈련 (4.2)"에 대한 필요성이 높게 나타났다. 둘째, 35세 이상 일차진료 의사가 34세 이하 일차진료 의사보다 전환기 돌봄서비스에 대한 인식이 높게 나타났다(F=7.3, p<0.01). 또한, 환자중심성에 대한 인식이 높을수록, 연령이 높을수록, 서울 외 지역에서 근무할수록 전환기 돌봄서비스에 대한 인식이 높게 나타났다. 결론: 본 연구에서는 일차의료를 제공하는 의료진들을 위한 교육프로그램과 지역사회에서 일차의료 의사들을 중심으로 하는 지역 연계 방안을 제시하였다는 점에서 의의가 있다.

• Korean Journal of Social Welfare Studies
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• v.41 no.1
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• pp.227-249
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• 2010

The purposes of this article are to criticize social services, and to consider alternative caring policies and social economic regime to cope with caring blank, in the view point of A. Gorz. According to Gorz, in the value of growth of capitalism, people who are in charge of household affairs and caring work make inroads into the wage market. At this point, as caring blank is occured, social services are emerged. These new aspects are 'Commodification and Rationalization of Private Life'. This article suggests alternative ideas to these aspects. First, universal care giver·breadwinner model, second, the dominance of eco-reason and shorter working hours.

• 한국노년학
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• v.38 no.4
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• pp.1057-1081
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• 2018

This study analyzed the case of elderly care cluster in Gwangjin-gu to explore the possibilities of social economy as a provider of community-based social services. Community-based means the approach by which community organizations build a voluntary and collaborative network to enhance collective problem-solving abilities. Therefore, it is very likely that the social economy that emphasizes people, labor, community, and democratic principles can contribute to community-based social services. This study analyzed social economic network by using four characteristics of social economy suggested by OECD community economy and employment program as an analysis framework. The results of this study are as follows: First, it is found that social economy would hardly supply community-based social services through network cooperation because of a large variation in community identity, investment to new product, and labor protection. Second, community users are not the consumers of the social economy and the products of the social economy stay in market products only for the organizations in social economy. In order to create good services that meet the needs of residents, community development approaches are required at the same time. The importance of community space where local residents and social economy meet is derived. Third, public support such as purchasing support has weakened the ecosystem of social economy by making the distinction between public economy and social economy more obscure. On the other hand, public investment in community infrastructure is an indirect aid to social economy to communicate with residents and to promote good supply and consumption. In the end, community-based social services need a platform where the social economy and the people meet. This type of public investment can create the ecosystem of the social economy.

• 한국노년학
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• v.31 no.2
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• pp.195-209
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• 2011

This study examined the prevalence of and factors associated with unmet care need among community-dwelling middle-aged and older people in Korea. Data were from the 2006 Korean Longitudinal Study on Ageing (KLoSA), a national survey of 10,254 non-institutionalized adults aged 45 or older. Having unmet care needs was defined as needing personal assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) but having no available helper. Weighted logistic regressions were fitted to examine factors associated with unmet care needs. Overall, 7.3%, 14.5%, and 41.8% of subjects among the middle-aged, younger old, and older old, respectively, reported care needs of these, 34%, 33%,and 24% had unmet needs. Factors associated with unmet needs differed among the three groups: Education and income level were negatively associated with unmet needs among the middle-aged, but living alone was the only factor positively associated with unmet needs in both the younger and older old. The prevalence of and factors associated with unmet care needs differ by life-stage. Needed are home- and community-based care and services to meet the need for personal assistance among the elderly living alone in a community.