주요국 노인복지관련법의 비교법적 검토

노재철 단국대학교법학연구소 2013 법학논총 Vol.37 No.2

Legislation policy of welfare for the aged by population aging is becoming important problem. This study reserched that Germany, Japan, France examine how responded welfare for the aged by Corresponding countermeasures by law and would like to derive problems on legislation policy and reflect to our country welfare act for the aged. Welfare legislation act for the aged have close connection with each country in society?politics?economy?culture. Because the traditional cultural custom and systematic difference in every country differs, there is limit to objectively compare welfare act for the aged of every country. Basically, France and Germany do active policy intervention of the country with welfare legislation on social security, but our country and Japan are principally the responsibility with family and individual. Every country have the restriction on welfare cost for the aged. In the case of public assistance, we have experienced that general welfare policy brought the results finance aggravation in some European country, therefore we must base on selective welfare policy. Public pension need to improve system based on intergenerational dependent elements with strong element in the generation of pay-as-you-go. Welfare system for the aged of our country is low in the level of comprehensive benefit than advanced nation and limited in the target. Welfare act for the aged have to be effective in a manner that problems of the aged recognize distinctively and compose new rights, and be expanded step-by-step in a variety of aspects. That is, there are the need of enlargement enforcement for housing welfare, medical treatment welfare, education welfare for the aged, funeral ceremonies welfare, furtherance of living environments for the aged etc. For example, Korea should be considered for the introduction of the introduction of Japan's "Act to secure stable residence for the aged", "Act to secure the health for the aged", "Act of medical treatment security for the aged", "ct on elder abuse prevention and support for elderly dependents" etc. And our country need the legislation policy for connection jobs policy and pension policy. And our country be considered "Growth and Employment Promotion Act" for the educational welfare of the aged in Germany, "adult guardianship system" for the living environment of the aged, "Act on the promotion of physical disability, such as facilitation of travel by public transport for the aged", in Japan etc. And to expand social welfare to grave by sequence of life, our country be considered the "cemetery and cemetery management Act", "property management Act for the aged", "replacement or complementary of property Act for the aged" in Germany, etc.

Study on age-related changes of knee flexor muscle strength in middle-aged and elderly people

Shengjie Liu,Chengfei Zhang,Lu Zhang 아시아건강운동학회 2019 Journal of Asian Society for Health & Exercise Vol.1 No.1

PURPOSE: To investigate the age-related changes of knee flexor muscle strength in middle-aged and elderly people aged 45-64 years in China; to study the effects of different physical exercise habits on the age-related changes of knee flexor muscle strength in middle-aged and elderly people. METHODS: The knee flexor muscle strength test was performed on the middle-aged and elderly people aged 45-64 by using the intelligent isometric muscle strength test system. The statistical analysis software spss21.0 was used for descriptive statistical analysis of the test data, age-related trend analysis, independent sample T-test analysis, analysis of variance and multiple comparisons were performed. Finally, regression analysis was used to analyze the influencing factors of age-related trends. RESULTS: It can be seen from Table 2 that there is a gender difference in the maximum muscle strength of the right and left lateral knee flexors, but the difference is not obvious. Among them, the average age of male middle-aged and older people is above 180N, and the females are all below 150N. The muscle strength of male middle-aged and older people is generally larger than that of female middle-aged and elderly. CONCLUSIONS: (1) there was gender difference in the maximum muscle strength of knee flexor in middle-aged and elderly people, but there was no difference between left and right (p<0.01). The gender difference shows that the mean muscle strength of the male is greater than that of the female, and the mean muscle strength of the male in each age group is about 1.5-2 times of that of the female corresponding age group, but the range of variation of the female muscle strength is more stable than that of the male (p<0.01). (2) The maximal muscle strength of the knee flexor of the male and female middle-aged groups showed a gradual decline in the overall age (p<0.01). And before the age of 60-64, the aging decline of female muscle strength is faster than that of male. Moreover, women showed a small upward trend in the 60-64 age group, but this phenomenon did not occur in male middle-aged people (p<0.01).

초고령사회의 도래에 따른 노인소득과 고용분야의 문제점과 개선방안

이지원 가천대학교 법학연구소 2017 가천법학 Vol.10 No.3

Our society now experiences the senior citizen society which means that the aged over 65 years old make up more than 7% in a whole country population, and there is some prediction that it will be more than 20% within 30 years. In the social circumstances, although it hasn't observed till now yet, the aged's problem will be an important problem in our society. Such the aged's problem may appear various forms(for instances, health, leisure, education, and so on), and there are a lot of solution, but most of all, the aged's original problem is the basic income security. Our the aged's income security types includes not only the brivate supporting system such as a retiring allowance, land speculation, private pension, and sons & daughters's support but also the public supporting system such as public pension, public assistance, and so on. But the changes of social consciousness and structure doubt whether the private supporting system plays an important role in approaching senior citizen society, and at the same time many developed countries change their the aged's income security system from the private section to the public section by degrees. In this respects, this study aims at suggesting some policy alternatives for improving income policies for the aged. In order to attaining this goal, this study reviews the relevant literature to elderly people's problems and their welfare needs and examines the welfare programs for improving income in advanced nations. As results of this study, policy alternatives for improving income policies for the aged are suggested as follow: First, it is necessary to expand the elderly pension and establish the pension system to assure the elderly of their income. Second, it is also necessary to operate a job replacement program for the elderly and enact an elderly employment law to provide the elderly with more job opportunities and thereby, use their ability and experiences productively. Third, it is deemed necessary to extend or readjust the age of retirement using Human Resource Pool of the aged. Fourth, the social services need to be extended to ordinary elderly people. In addition, the home welfare services should be extended to the middle-class or higher-income elderly. Moreover, it is necessary to develop and operate a variety of professional programs in preparation for the information-intensive society in consideration of elderly people's conditions, and expand the leisure facilities productively for them. The conclusion of this study presents that our the aged's public income security system is lacking in the side of system and consciousness. However, to make improvement it, above all, the Government and other public administration must play an important role in improving this system. and at the same time, people(including the aged) also change consciousness about aged's income security. 저출산·고령화로 인하여 노인인구가 급증하면서 10∼20년 후에는 전세계적으로 많은 국가가 초고령사회에 진입할 것으로 예상되고 있다. 초고령사회에서는 소수의 생산가능인구가 다수의 노인을 부양해야 하는 부담이 크게 증대되어 국가적으로 경제성장률이 둔화되고 경쟁력이 떨어질 가능성이 매우 높다. 더욱이 많은 노인들이 제대로 노년기를 준비하지 못하고, 빈곤의 늪에 빠져 고통을 겪으며 인간다운 삶을 누리지 못하는 상황에 직면하게 될 것이다. 이러한 사회적 배경 하에서 지금까지 그리 큰 주목을 받지 못했던 노인문제는 앞으로는 그 구성비율이 높아짐에 따라 새로운 사회문제로 대두될 것으로 예상된다. 이런 노인문제는 보건, 여가, 교육 등 다양한 형태로 나타날 수 있으며, 또한 해결방안도 여러 가지 있겠지만, 무엇보다도 가장 근본적인 노인문제는 바로 노인 이전에 인간으로서 살아갈 수 있는 기본적인 소득이 보장되어야 한다는 것이다. 이러한 소득보장방법으로는 지금의 노인소득보장제도의 가장 큰 비중을 차지하는 퇴직금, 부동산 등의 사적 부 축적, 사적연금, 자녀로부터의 보조 등과 같은 사적이전제도가 있는 반면에 국민연금을 비롯한 공적연금, 공적부조제도 등을 비롯한 각종 공적이전제도가 있다. 그렇지만 지금의 핵가족화를 비롯한 사회의식 및 구조의 변화는 전통적인 사적이전제도가 앞으로의 고령화 사회에서도 지금과 같은 역할을 할 것인지에 대해서 의문을 갖게 만들고 있으며, 다른 선진국들처럼 점차 사적인 차원보다는 공적인 차원에서 노인들의 소득보장제도가 그 주류를 이루어야 되지만, 지금의 공적 노인소득보장제도로서는 그 한계점이 있는 것이 사실이다. 노인복지문제는 관련분야의 모든 영역에 대한 종합적인 대책이 마련되어야 하지만 그 중에서도 가장 중심이 되고 시급히 해결되어야 할 문제는 노인 빈곤문제이다. 노년기의 경제적 빈곤은 기본적인 생존 유지와 노년기의 적응기능을 저해하는 중요한 요인들 중의 하나이므로, 이를 해결하고 보다 나은 노후 생활을 보장하려는 적극적인 노력이 필요하다. 이러한 점에서 노인 빈곤에 대한 사회적 차원의 대책인 소득보장 정책은 매우 중요한 의미를 갖는다. 따라서 본 연구는 앞으로의 공적 차원에서 노인들의 소득보장을 위한 지금의 제도들이 지니고 있는 문제점들과, 이런 문제점을 개선하기 위해서는 앞으로 어떤 방향으로 발전을 해야 하는가에 대해 바람직한 노인소득보장 방안을 모색하여 제시하고자 한다.

一部地域 老人들의 主權的 建康水潗에 영향을 미치는 IADL에 관한 硏究

김근조,박흥기,권혁수,배수찬 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1

This research have been made to define how the IADL (Instrumental Activity of Daily Living) performance and the subjective health index of the Aged are affected by their residential circumstance, gender and age, and how deeply these two factors are related and interact. For the period of June 1 to July 31, 2000, we had conducted a questionnaire and direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent area, grouping into three different residential types The Aged living at home, The Aged living at welfare facilities and The Aged living alone, and studied on how the IADL performance and the subjective health index of the Aged are influenced and interact as per their characteristics, daily activity and mentality. We had analyzed all the data obtained through this research by the method of : - analysis of frequency as per specific factors by SPSS 10.0/PC+, - x^2 test, - t - test, - ANOVA, - multiple regression analysis by factors. The research concludes followings : a. It appears that the three (3) factors such as gender, age and residential circumstance of the Aged deeply affect the IADL performance and subjective health index of the Aged. (p<0.01) b. With regard to IADL performance of the Aged by the gender, it was analyzed that the female-Aged gains 23.8 point on average, which shows the performance of the female-Aged is less independent. (p<0.01). In addition, it was also found that the IADL performance is becoming less and less independent following their age increasing. In analyzing IADL performance by the residential type, it appears that the Aged living at welfare facilities gains the lowest 21.5 points and is least independent. It was also found that the Aged living at welfare facilities need some assistances from others for their performing IADL. (20-24 point) (p<0.001) c. With regard to the subjective health index of the all-Aged participated in this research, the analysis indicates 8.8 point and this is considered as a point of general standard (7-10 point). In analyzing this index by the gender, the female-Aged gains only 8.6 point which explains a lot of female-Aged consider they are not really healthy. (p<0.001) In analyzing this index by the residential type, the Aged living at welfare facilities and the Aged living alone gain the comparatively lower point, - respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged living at these two residential types express they are obviously in a bad situation of health. (p<0.001) d. With regard to the factors affecting the IADL performance and the subjective health index of the Aged, it was analyzed that the IADL performance can largely be affected by the factors such as depression, frequency of going-out and age rising, and that the subject health index can also deeply be affected by depression, pain and by how much they are satisfied with their current living conditions. e. It was analyzed that the interacting between the IADL performance and the subjective health index is not that strong but even weak. As a result, we were able to conclude that the IADL performances is less independent in case of the female-Aged, the Aged living at welfare facilities, and following the age rising. As for the subjective health state the Aged themselves are aware of, we concluded that the female-Aged, the Aged living at welfare facilities and the Aged living alone, are more critical about their health. From this research, we were able to realize that, when the OMT (Orthopedic Manual Therapy) needed, the physical therapists are really required to have a correct and cautious understanding of the situation in which the aged persons are, and take care of them with more concerns and more improved treatment.

특집 : 서양 역사 속의 노년 ; 근대 프랑스 사회에서의 노인에 대한 사회적 인식 변화 -17∼18세기의 노인 부조 정책을 중심으로-

이성재 ( Sung Jae Lee ) 한국서양사학회 2012 西洋史論 Vol.0 No.114

The medieval people looked at the aged with a double point of view. That is, the aged were considered as the wise existence and the mean existence at the same time. The attitude held during the Middle Ages toward the aged reminds us of the dual conflicting attitudes of that period toward the poor: Holy Jesus or the lazy people. However, the aid system for the aged didn`t exist in the medieval period contrary to the already established aid system for the poor. Even in the 16th century and the early 17th century, the historical documents didn`t testify to the recognition of the difficulty or poverty of the aged. The documents of charity organizations placed the aged into the category of the ``sick poor`` and didn`t provide special treatment for them. Some change started to appear around the middle of 17th century. That is, several hospitals made efforts to secure a larger space to the aged. This was mainly due to the increase of the aged among the poor. Society started to pay attention to the miserable situation of the aged. At last, in the 18th century French society experienced more dramatic changes in the size of the aged in the total population and the attitude toward the aged. The number of aged increased more rapidly in the total population, the image of the aged changed to a positive one, and the hospitals more actively assumed the role of the hospice. The hospitals gradually got rid of the role of the poor camp under the support of the State and assumed the responsibility to secure the quality of life of the aged. The aid system for the aged started to be firmly established with the change of the attitude toward the aged.

중ㆍ노년층 급성 심근경색증 환자의 생활습관

김미정 ( Kim Mi Jeong ),김계하 ( Kim Kye Ha ) 한국보건사회연구원 2012 保健社會硏究 Vol.32 No.1

본 연구는 일 대학병원에 내원하여 급성 심근경색증으로 진단받고 치료받은 환자 총 136명을 대상으로 중년층과 노년층의 질병관련특성, 흡연, 음주, 체질량지수(BMI), 운 동이 포함된 생활습관을 조사하여 연령층에 따른 발병 전과 치료 후의 생활습관 행태를 비교하기 위해 시도된 서술적 비교 연구이다. 연구대상자는 광주, 전남지역에 거주하면 서 2009년 1월부터 2010년 12월까지 24개월 동안 일 상급종합병원에 내원하여 급성 심근경색증으로 진단받고 치료받은 대상자로 외래를 통해 추후 관리를 받고 있으며, 자발적으로 연구참여 동의를 밝힌 대상자 136명(40-88세)을 대상으로 하였다. 본 연구 결과, 중년층과 노년층은 생활습관에 있어 차이를 보였다. 즉, 중년층은 흡연과 음주를 많이 하고 있었고, 노년층은 운동이 부족한 것으로 나타났다. 또한 중년층과 노년층에 서 모두 발병 전에 흡연하던 대상자들 중 치료 후에는 절반이 금연을 하고 있는 것으로 나타났다. 생활습관 변화를 위한 노력은 중 ? 노년층 모두 시행해야 할 필요가 있는 데 연구결과를 근거로 연령층에 따라 차별화된 생활습관 관리교육 프로그램의 개발이 필요하리라 여겨진다. The purpose of this study was to compare differences in lifestyle between middle-aged and old-aged patients of myocardial infarction. This study covers a group of 136 subjects, aged between 40 and 88, who were diagnosed as afflicted with acute myocardial infarction and treated accordingly at a hospital in G city during the period between January 2009 and December 2010. SPSS Win 17.0 was used for descriptive analyses, chi-square test and independent t-test. The average hospital stay was 7.22 days the middle-aged subjects and 8.97 days for the old-aged subjects. The average time spent to get into hospital from the onset of symptoms was 10.1 hours for the old-aged subjects, which was significantly longer than the 5.5 hours for the middle-aged subjects. Hazardous lifestyle factors, such as smoking and drinking, and obesity, were found among the middle-aged subjects. Those who continued their smoking habit after treatment accounted for 28.1% of the middle-aged, and only for 12.5% of the old-aged subjects. A whopping 92.1% of the middle-aged subjects were found to do some form of exercise, while only 75.7% of the old-aged did. There were significant differences in lifestyle between the middle-aged and old-aged subjects diagnosed with myocardial infarction. To improve lifestyles of patients with acute myocardial infarction, nurses need to pay close attention to age-appropriate management and education of such differences.

老人福祉制度에 관한 比較法的 硏究 : 美國·英國·日本을 中心으로

김교숙,박원태 釜山外國語大學校 比較法硏究所 2010 比較法學 Vol.21 No.-

For a welfare system for the aged in the Republic of Korea, it is expected to bε a very serious social problem in a short time. It is keenly needed that the government fully understands this phenomenon, and that every ministry cooperates to deal with the problem. In particular, in order to minimize trial and error of the welfare measures for the aged in the coming aging society, actual conditions of the aged should be regularly checked up on whether thεre is any aged person who needs long term medical care, or who has desires to receive benefits from welfare system. Based on its result, it is necessary to review the current welfare policy for the elderly, to work out a Comprehensive Plan for the Welfare of the Aged Welfare(CPWA), to better the system to carry on, to expand and improve facilities, and to nurture professionals. The Welfare Policy for the Aged(WPA) and the Welfare Law for the Aged(WLA) have been developed in various ways according to each country’s social, economic and political conditions. The Korean government has enforced a medical insurance system since 1977, and it has declared it would realize practical policies for the aged by revising the WLA on June 5, 1981. The WLA is usually divided into at least five sectors: an income security system, a medical insurance system, an in-home welfare system, a facility protection system, and a preference system for the aged. In spite of these systems, however, only a few efforts have been madε to deal with problems of the elderly and to make out a plan for the welfare for the aged. What is worse, even the current welfare policies have tumεd out to have little effect. In other countries, most elder1y get benefits from income security of the public pension system. These are thanks to each government’ s effort to tackle the poverty problem of the aged through practical income security policy in order to satisfy desires for welfare against economic difficulties, and to find out ways to make the elderly independent. The U.S. government secures a variety of income for the aged according to their levels of income, allowing those above 65 years old to get benefits from an income security policy. The U.K. government secures income for all the citizens with a national insurance system. The Japanese government carries out a public pension system targeting all the elderly, allowing those with even a little bit of economic power to get the benefits from a public pension starting from the age of 65. The Korean government, however, does not satisfy the desire for welfare of the aged suffering from economic difficulties, and even worse, it has failed to deal with the economic difficulties of poor and low income families, weakening the situation. Therefore, with the aging society in the 21st century, it is a social and governmental task to make the elderly live a better life in the future, and to lessen its burden on family responsibility, enhancing the quality of life of people. Now is the time for the Korean government to carry out a public pension system for the aged above 65 years old as seen in the other countries’ cases, and to put its whole energy into developing welfare policies and services for the aged.

노인복지현장의 직무분석에 따른 노인복지 교육과정 분석

이은정,마은경 한국노인복지학회 2014 노인복지연구 Vol.0 No.63

This study analyzed how the welfare of the aged curriculum has been operated focusing on the lecture plan, textbook on welfare of the aged, instruction on welfare of the aged of Korea National Council on Social Welfares and how jobs of social worker at the field of welfare of the aged have been operated through precedent studies. For importance of the field of welfare of the aged on the welfare of the aged curriculum, focus group interview was conducted on the professionals at the field of welfare of the aged. As a result of analysis, contents of education regarded very important at the field of welfare of the aged are found to include desire of the aged, their problems and case management. Based on study results, this study proposes improvement plans regarding how welfare education for the aged should be conducted at the university. 본 연구는 노인복지현장의 사회복지사 직무는 선행연구를 통해서 그리고 노인복지 교육과정은 한국사회복지교육협의회의 노인복지론 교과목 지침서와 노인복지론 교재, 강의계획서를 중심으로 대학에서 어떻게 운용되고 있는지를 분석하였다. 노인복지 교육과정에 대한 노인복지현장의 중요도는 노인복지현장 전문가를 대상으로 포커스그룹 면접조사를 실시하였다. 분석결과 노인복지 교육과정 중에서 노인복지현장에서 매우 중요하다고 인식된 교육내용은 노인의 욕구와 문제, 그리고 사례관리로 나타났다. 이러한 연구결과를 바탕으로 대학에서 노인복지교육이 어떻게 이루어져야 하는 지에 대한 개선방안을 제시하였다.

동양사상의 관점에서 본 한국 노인복지의 현주소

이현지(Lee, Hyun-Ji) 동양사회사상학회 2010 사회사상과 문화 Vol.22 No.-

오늘날 평균 수명이 지속적으로 늘어남에 따라 삶에서 노년기가 차지하는 비중이 급속히 증가하고 있다. 이에 따라서 노인복지에 대한 연구의 필요성 역시 증가하고 있다. 지금까지 현대 노인복지 패러다임은 노인복지제도와 노인복지 수준의 향상에 기여한 바가 크다. 그러나 현대 노인복지 패러다임에 기초한 노인복지제도 및 정책은 노인복지를 위한 필요조건을 충족시킬 수는 있지만 충분조건이 되기에는 부족함이 있다. 이에 과거에 비해 다양한 노인복지 서비스가 제공되고 있음에도 불구하고 오늘날 노인소외 문제는 해소되지 않고 있다. 이런 문제의식을 바탕으로 본 논문은 현대 노인복지의 실태와 성과 그리고 한계를 살펴보고, 동양사상을 바탕으로 하는 새로운 노인복지의 목표와 내용을 구상해 보았다. 현대 노인복지의 실태를 첫째, 노인복지 시설의 현황, 둘째, 노인복지 예산 규모의 변화, 셋째, 노인복지 프로그램의 내용을 중심으로 살펴보았다. 그 결과 현대 노인복지의 성과는 첫째, 노인의 삶의 질을 높이는데 기여했고, 둘째, 노인의 경제생활을 개선했으며, 셋째, 사회적 약자로서의 노인을 보호하는 다양한 서비스를 제공했다는 것이다. 그러나 현대 노인복지는 다음과 같은 한계를 가지고 있다. 첫째, 늙음을 극복하거나 지연하는 것을 목표로 한다. 둘째, 노인 일자리 마련과 같은 노동력을 가진 존재로서 노인의 지위를 확보하려는 목표를 가지고 있다. 셋째, 노인을 복지의 대상으로 전락시키고 무능하고 보호받아야 할 대상으로 인식하는 경향이 있다. 이상의 문제를 극복하기 위한 새로운 노인복지의 목표는 다음과 같다. 첫째, 늙어감에 대한 새로운 관점을 정립하는 것이다. 둘째, 노인이 복지 주체로 재탄생하는 것이다. 셋째, 변화한 개인 노인을 통해서 사회복지를 이루는 것이다. 새로운 노인복지의 목표를 달성하기 위한 노인복지의 내용은 첫째, ‘제3의 탄생’으로서의 노년기에 대한 새로운 비전을 제시하는 것이다. 둘째, 새로운 노인상을 제시하는 것이다. 셋째, 노인의 자기 변화를 위한 기회를 제공하는 것이다. The percentage of the aged is rapidly growing by the consistent increase of average life expectancy. Therefore, the need of research for the welfare of the aged is also increasing. The current paradigm of the welfare of the aged has contributed the enhancement of the welfare of the aged. It can fulfill the necessary condition for the welfare of the aged. But it cannot fulfill the sufficient condition for the welfare of the aged. Still the Korean aged people is seriously alienated. In this paper, the current situation of the welfare of the aged is reviewed, and a new paradigm of the welfare of the aged is sketched. The current paradigm of the welfare of the aged has the limitations as follow. First, it sees aging itself as negative phenomenon. Second, it tries to provide a job to the aged people. Third, it sees the aged people as an object of welfare. The new paradigm of the welfare of the aged which is based on East Asian thoughts is as follow. First, it sees aging itself as positive phenomenon. Second, it sees the aged people as an subject of welfare. Third, it tries to build the social welfare through the change of individual.

동양사상의 관점에서 본 한국 노인복지의 현주소

이현지 동양사회사상학회 2010 사회사상과 문화 Vol.22 No.-

The percentage of the aged is rapidly growing by the consistent increase of average life expectancy. Therefore, the need of research for the welfare of the aged is also increasing. The current paradigm of the welfare of the aged has contributed the enhancement of the welfare of the aged. It can fulfill the necessary condition for the welfare of the aged. But it cannot fulfill the sufficient condition for the welfare of the aged. Still the Korean aged people is seriously alienated. In this paper, the current situation of the welfare of the aged is reviewed, and a new paradigm of the welfare of the aged is sketched. The current paradigm of the welfare of the aged has the limitations as follow. First, it sees aging itself as negative phenomenon. Second, it tries to provide a job to the aged people. Third, it sees the aged people as an object of welfare. The new paradigm of the welfare of the aged which is based on East Asian thoughts is as follow. First, it sees aging itself as positive phenomenon. Second, it sees the aged people as an subject of welfare. Third, it tries to build the social welfare through the change of individual. 오늘날 평균 수명이 지속적으로 늘어남에 따라 삶에서 노년기가 차지하는 비중이 급속히 증가하고 있다. 이에 따라서 노인복지에 대한 연구의 필요성 역시 증가하고 있다. 지금까지 현대 노인복지 패러다임은 노인복지제도와 노인복지 수준의 향상에 기여한 바가 크다. 그러나 현대 노인복지 패러다임에 기초한 노인복지제도 및 정책은 노인복지를 위한 필요조건을 충족시킬 수는 있지만 충분조건이 되기에는 부족함이 있다. 이에 과거에 비해 다양한 노인복지 서비스가 제공되고 있음에도 불구하고 오늘날 노인소외 문제는 해소되지 않고 있다. 이런 문제의식을 바탕으로 본 논문은 현대 노인복지의 실태와 성과 그리고 한계를 살펴보고, 동양사상을 바탕으로 하는 새로운 노인복지의 목표와 내용을 구상해 보았다. 현대 노인복지의 실태를 첫째, 노인복지 시설의 현황, 둘째, 노인복지 예산 규모의 변화, 셋째, 노인복지 프로그램의 내용을 중심으로 살펴보았다. 그 결과 현대 노인복지의 성과는 첫째, 노인의 삶의 질을 높이는데 기여했고, 둘째, 노인의 경제생활을 개선했으며, 셋째, 사회적 약자로서의 노인을 보호하는 다양한 서비스를 제공했다는 것이다. 그러나 현대 노인복지는 다음과 같은 한계를 가지고 있다. 첫째, 늙음을 극복하거나 지연하는 것을 목표로 한다. 둘째, 노인 일자리 마련과 같은 노동력을 가진 존재로서 노인의 지위를 확보하려는 목표를 가지고 있다. 셋째, 노인을 복지의 대상으로 전락시키고 무능하고 보호받아야 할 대상으로 인식하는 경향이 있다. 이상의 문제를 극복하기 위한 새로운 노인복지의 목표는 다음과 같다. 첫째, 늙어감에 대한 새로운 관점을 정립하는 것이다. 둘째, 노인이 복지 주체로 재탄생하는 것이다. 셋째, 변화한 개인 노인을 통해서 사회복지를 이루는 것이다. 새로운 노인복지의 목표를 달성하기 위한 노인복지의 내용은 첫째, ‘제3의 탄생’으로서의 노년기에 대한 새로운 비전을 제시하는 것이다. 둘째, 새로운 노인상을 제시하는 것이다. 셋째, 노인의 자기 변화를 위한 기회를 제공하는 것이다.