Abstract Since the early 2000s, there has been considerable expansion of K orean welfare state. In particular, a new compulsory long‐term care insurance ( LTCI ) for older people was introduced in 2008, facilitating socialization LTC services at national level. This study aims to examine how state coped with increasing needs caused by introducing and implementing system reforming it. argues that designed meet limited objectives, such as providing minimal coverage affording private for‐profit...

Using a mixed-method study design, we examined the effects of socially assistive humanoid robot (SAHR), called Hyodol, on depressive symptoms and health-related quality life (HRQOL) low-income, isolated older adults (N = 180). Quantitative outcomes were assessed at baseline (before Hyodol deployment) 3 6 months after baseline. Results showed reduced improved HRQOL months; however, these positive did not extend to months. Ten focus group participants perceived be valuable companion especially...

This study aims to examine the characteristics of long-term care (LTC) financing in Organization for Economic Cooperation Development (OECD) countries. To this end, 26 OECD countries that have introduced LTC systems were classified into three types models: tax-based, health insurance, and insurance (LTCI) systems. Thereafter, these analyzed using Gilbert Terrell's policy analysis framework. The results indicated differences each type terms allocation, benefit provision, service delivery,...

Korea was the second Asian country to introduce universal long-term care insurance in an attempt meet challenges posed by its ageing population. This article presents overview of key issues that were involved designing and implementing new Korean system lessons have been learned. Although government reformed system, a number emerged, such as limited coverage unethical behavior service providers. These problems appear be closely associated with scheme's initial design flaws government's...

ABSTRACT To cope with the rapid growth in its aging population, Korean government introduced a new social long-term care insurance (LTCI) system for elderly people beginning July 2008. This study aims to understand how National Health Insurance Corporation (NHIC) staff and home-visiting service providers experienced evaluated delivery system. A total of 26 semistructured in-depth interviews were conducted NHIC primarily responsible functional assessment providing direct services clients. In...

One of the main reasons for reforming long-term care systems is a deficient existing service infrastructure elderly. This article provides an overview why and how Korean government expanded through introduction new compulsory insurance system, with particular focus on market-friendly policies used to expand infrastructure. Then, positive results expansion challenges that have emerged are examined. Finally, it argued should actively implement range practical interventions within system.

This study aimed to analyze the long-term care insurance for older adults in South Korea terms of community care. An analytical framework was designed study, focusing on comprehensiveness, adequacy, and integration. The findings suggest that Korean LTCI is significantly limited development First, use visiting nurses availability short-stay services have been reduced, supporting informal caregivers are at beginning stage their introduction. Second, quantity benefits, such as three four hours...

Abstract The aim of the study was to compare effects long‐term care and professionalization policies on development home infrastructure workforce in reference insurance systems adopted Germany Korea. A comparative analysis two policy allowed us examine distinct forms marketized service expansion. In both countries, opening‐up markets has brought about a significant expansion services through active participation mainly for‐profit providers. However, trade‐off between rate expansion, quality...

This study is to explore identifiable psychological differences and predictors for the subgroup of refugees who at a very early age moved from totalitarian country westernized democracy, ultimately improve policies reduce maladaptation new society. More specifically, it fill in significant gaps understanding predicting refugee tendencies toward depression, social withdrawal, aggression, posttraumatic growth. Latent class analysis was conducted identify subgroups based on symptom profiles...

To cope with a low birth rate and an aging population, some East Asian countries have actively reformed their care systems for children older people by adopting policies the marketization of services. This research aims to explore recent implementation childcare elderly services South Korean government, examine outcomes such policies. Owing services, number positive challenging results been reported. Similarities differences appeared in processes between child

This study investigated the patterns of intergenerational resources transfer between parents and children in South Korea, influence on depression by its patterns. To maintain this, seventh wave Korean Longitudinal Study Aging data were used. For analysis, Latent Class Analysis (LCA) was used with five sub-factor variables: direct indirect connections, receiving providing financial support, rearing grandchildren. additional crosstab, logistic Variance (ANOVA), multiple regression In results,...

ABSTRACT Although the proportion of older people using home care services has significantly increased in East Asian countries, issue relationships between and workers context received scant attention from scholars. This exploratory qualitative study aims to explore these under new Korean long-term insurance system. Semi-structured in-depth interviews were conducted with 22 family carers private-sector service providers (home provider managers). The findings show that while majority...

This study explored reasons for turnover intention among direct care workers under the Korean long-term insurance (LTCI) system. The author conducted semi-structured interviews with 19 workers. revealed four main themes underlying of to change or leave their jobs. Care struggled demanding working conditions, and salaries were low. Moreover, relationships directors supervisors was not good, since some felt that despised them gave inappropriate instructions, did complete administrative work...

본 연구의 목적은 옹진군 농어촌 노인돌봄욕구와 제공현황을 탐색하고 비공식돌봄과 공식사회적돌봄의 관계를 이해하는데 있다. 주요 결과로는 옹진군에서 비공식 돌봄과 공식 사회적 돌봄이 공존하고 있으며, 누적된 불평등으로 인해 적절한 돌봄을 받지 못하는 상황에서 직영으로 맞춤돌봄서비스를 제공하고 있었다.옹진군은 노부부중심가족에서 '제한된'위계적보상모델로 나타났으며, 영흥면과 백령면에서는 소수적 재가서비스 이용으로 '약한'보충모델로 나타났다. 제한되고 약한 돌봄은 자기돌봄과 관계가 있었으며, 자기돌봄의 한계와 재가서비스부족으로 바로 시설입소되는 '빠른대체모델'로 이러한 돌봄빈곤 현상으로 대체되는 현금중심과 사회참여강조의 한계를 극복하고 포용적이고 지속가능한 돌봄시스템을 구축해야 함을 제언하였다. 이 연구는 농어촌노인 돌봄의 실제모습을 파악하는 중요한 결과를 도출하였으며, 관련정책의 방향성을 제시하는데 의의가

본 논문의 목적은 시행 4년이 지난 한국 노인장기요양보험이 당면한 주요한 문제점을 점검하고 그 개선방안을 모색하는 데 있다. 이를 위해서 길버트와 테렐이 제시한 할당, 재정, 급여, 전달체계의 네 측면을 중심으로 노인장기요양보험의 주요 이슈를 분석했다. 연구는 문헌고찰과 국민건강보험공단의 직원, 서비스 제공기관의 시설장, 보호자 등과의 심층인터뷰를 통해서 이뤄졌다. 연구결과에 따르면, 노인장기요양보험은 여러 문제에 직면해 있는 것으로 나타냈다. 할당측면에서는 낮은 보장성과 등급사정 기준의 비공개적인 변경 등의 문제가 있고, 재정측면에서는 중장기 재정의 급증 우려가 분석됐다. 또, 급여의 측면에서는 요양보호사 인력의 대거 부족, 제공기관들의 폐업 제기됐고, 전달체계에서는 사정에서부터 서비스에 접근해서 이용하는 과정에서 각종 발생했다. 해결하기 정부는 시장에 이들 문제를 맡기기보다 공공성에 기반한 적극적인 역할 수행이 필요한

본 연구의 목적은 노인맞춤돌봄서비스 도입 초기 주요 이슈를 탐색하는 것이다. 이를 위해 지자체 공무원, 전담사회복지사, 중앙 및 광역 담당자, 생활지원사 등 네 그룹의 총 18명과 포커스그룹 인터뷰(FGI)를 실시하였다. 분석 결과, 노인맞춤돌봄서비스는 사업 운영의 전반적인 과정에서 여러 구조적인 난맥상에 직면한 것으로 나타났다. 첫째, 사업준비가 미흡한 상태에서 실시되면서 수행기관은 대상자 발굴에 어려움을 겪고, 지자체의 역할이 제기되었다. 둘째, 선정 측면에서 대상자에 대한 욕구사정과 중점대상자 우울한 노인이 증가하면서 중점대상자로의 포함과 특화서비스의 확대 제공의 필요성이 제기됐다. 셋째, 서비스 제공 수행기관 간 품질의 차이가 발생하고 셀프케어가 현장의 일부 수행기관에서는 이뤄지지 않는 장기요양기관의 겸업을 금지하는 사항에 모니터링도 분석됐다. 마지막으로 평가와 모니터링의 개선을 통한 제도의 개선이 필요하다는 의견이 제시됐다. 결과를 바탕으로 보건복지부,...

본 연구는 코로나19 시기 독거노인과 비독거노인이 경험한 우울이 일상생활수행능력과 삶의 만족도의 관계에 어떠한 영향을 미쳤는지를 검증하고 그 차이를 확인하고자 하였다. 이를 위해 2020년 노인실태조사 원데이터를 활용하여 독거노인 3,395명, 비독거노인 6,960명을 대상으로 Baron&Kenny(1986)의 이론에 근거하여 매개효과 검증을 실시하였다. 주요 연구결과는 다음과 같다. 첫째, 모두에서 ADL은 만족도에 정적인 미쳤다. 둘째, 비독거노인의 우울은 부적인 셋째, 우울에 미쳤으나 독거노인의 유의미한 미치지 않았다. 마지막으로 분석에서 비독거노인은 ADL과 만족도 관계에서 우울의 부분매개효과가 확인되었으나 독거노인에서는 매개효과가 나타나지 이러한 연구 결과를 바탕으로 이론적, 정책적 제언을 제시하였다.

To cope with the rapid increase in aging population, South Korean government introduced new long-term care insurance 2008 by using market forces and mechanisms of competition choice. The study explored effect marketization (LTC) services on provision under (LTCI) system. By adopting qualitative semi-structured in-depth interview methods, experiences 17 home visiting service provider managers were examined. results suggest that LTC faces several challenges. Some stakeholders field, such as...