통합돌봄 이용자의 서비스 만족도와 지역사회 정착의도 간의 관계 : 정책신뢰 매개효과

다국어 초록 (Multilingual Abstract)

The Relationship between Community Care Service users' Satisfaction and Local Community Settlement Intention - Mediation Effect of Policy Trust - kang Wi won Advisor : Professor Lee Yong-gyo, Ph.D. Department of Social Welfare, Graduate School of Social Welfare, Gwangju University This study aims to empirically examine the structural relationships among service satisfaction, policy trust, and community settlement intention among users of community-based integrated care in Jeollanam-do, South Korea, in the context of a rapidly aging society. As the importance of aging in place and community-centered care systems have increased, this study focuses on identifying how the effects of integrated care policies extend beyond service provision to influence residents’long-term settlement intentions through psychological mechanisms, particularly policy trust. For this purpose, a survey was conducted with 300 older adults aged 60 and above who were using community-based integrated care services in Jeollanam-do. The collected data were analyzed using SPSS 26.0 and PROCESS Macro, including descriptive statistics, reliability and validity tests, regression analysis, and mediation analysis. The research model specified service satisfaction as the independent variable, policy trust as the mediating variable, and community settlement intention as the dependent variable. The results revealed that service satisfaction had a significant positive effect on community settlement intention. Service satisfaction also showed a significant positive effect on policy trust, indicating that positive service experiences contribute to greater trust in integrated care policies and the authorities implementing them. In addition, policy trust had a significant positive effect on community settlement intention. Furthermore, policy trust partially mediated the relationship between service satisfaction and community settlement intention. These findings suggest that the effects of integrated care policies operate not only through direct service satisfaction but also through the formation of policy trust, which reinforces residents’ intentions to remain in their communities. This study contributes to the literature by demonstrating that the outcomes of community-based integrated care should be understood as a process mediated by users’ perceptions and trust, rather than solely as direct service outcomes. The findings also imply that enhancing service quality and strengthening policy trust are essential strategies for promoting sustainable community settlement in aging regions. The results of this study provide practical implications for improving integrated care policies in Jeollanam-do and offer foundational evidence for the design and implementation of future community-based care systems. Keywords: Community-based Integrated Care, Service Satisfaction, Policy Trust, Community Settlement Intention, Jeollanam-do.

목차 (Table of Contents)

• 제 1 장 서 론 1
• 제 1 절 연구 필요성 1
• 제 2 절 연구 목적 4
• 제 3 절 용어 정리 6
• 제 2 장 이론적 배경 8
• 제 1 절 지역사회 통합 돌봄 8
• 제 2 절 통합 돌봄 서비스 만족도 19
• 제 3 절 정책신뢰 28
• 제 4 절 지역사회 정착의도 33
• 제 3 장 연구 방법 38
• 제 1 절 연구모형과 연구가설 38
• 제 2 절 측정도구· 42
• 제 3 절 연구 대상과 자료수집 48
• 제 4 절 자료분석 50
• 제 4 장 연구 결과 52
• 제 1 절 변인들의 일반적 특성 분석 52
• 제 2 절 가설검증 59
• 제 5 장 결론 70
• 제 1 절 연구결과 요약 70
• 제 2 절 논의 71
• 제 3 절 결론 73
• 참고문헌 76
• 부록(설문지) 83