Aged Care Policies Supporting Ageing-in-place in Australia and their Implications for Korean Aged Care Policy

정용문(Jung, Yong Moon) 한국노년학회 2013 한국노년학 Vol.33 No.4

최근 국제 노인 정책은 소극적인 보호 제공에서 적극적인 그리고 생산적인 노후로 패러다임 전환을 경험하고 있으며, 이에 따라 가정 및 지역사회에 기반한 노인복지 정책에 대한 관심이 증가해 왔다. 즉, 노인시설에 입소하기 전에 가급적 오랫동안 가정과 지역사회에 머물도록 노후 서비스를 제공하는 '현거주지에서의 노화 (ageing-in-place)'에 정책적 지원의 증가는 노인정책의 새로운 국제적 흐름이 되어왔다. 호주는 한국보다 앞서 인구고령화를 경험해 왔고, 현 거주지에서의 노화 개념에 기반한 노인복지정책들을 오랫동안 시행해 왔다. 최근 한국도 장기요양보험제도를 도입함으로써 노인복지에 대한 정책적 지원 증가와 함께 현 거주지에서의 노화를 지원할 수 있는 정책적 발판을 마련한 것으로 평가된다. 이러한 정책적 진전에도 불구하고, 한국은 여전히 급속한 인구고령화에 따른 노인복지 수요 급증 및 이에 대처할 재정적, 제도적 기반 미비라는 정책 과제들에 직면해 있다. 호주는 현 거주지에서의 노화 정책을 통해 인구고령화가 제기하는 정책과제에 효과적으로 대처해 오고 있는 것으로 평가되고 있으며, 지역사회에 기반한 노화 지원 정책은 앞으로도 장기적으로 지속가능한 노인 정책으로 강조될 것으로 예상된다. 한국 역시 급증하는 노인복지 수요에 효과적으로 대응하기 위한 장기 전략으로서 현 거주지에서의 노화 개념을 노인복지 정책에 적극적으로 반영할 필요가 있을 것으로 보인다. 본 연구는 현재 호주의 재가 및 지역사회 노인복지 정책과 체계의 주요 특징을 검토 및 평가하여 한국의 노인복지 정책수립에 참고할 만한 시사점을 제공하고자 한다. With a paradigm shift in the aged care policy framework from passive protection to active and positive ageing, there has been an increased attention to home and community-based aged care services. As a forerunner that has experienced population ageing, Australia has had long policy engagements that have been aligned with the concept of 'ageing-in-place', which refers to supporting old people to live in their home and community as long as possible before entering aged care facilities. Australia has continued this policy as part of sustainable aged care. By the recent introduction of Long-term Care Insurance Scheme, South Korea has made a significant forward step to keep pace with the global trend of aged care policy. However, it is understood by this research that current aged care system of South Korea needs an early review for the establishment of strategic direction for future development. The primary aim of this research is to provide an overview of the features of policy arrangements of the Australian aged care system. Its strengths and the current policy issues are further explored in terms of the policy efficacy in supporting ageing-in-place. This research utilizes the policy review of Australian aged care to draw implications for Korean aged care policy.

노인돌봄체계의 개선방안에 관한 법적 고찰 - 재가(가정방문형)서비스를 중심으로 -

장봉석,박정연 전북대학교 부설법학연구소 2018 法學硏究 Vol.58 No.-

After the announcement of National Responsibility System for Dementia, Ministry of Health and Welfare is recently presenting new welfare policies, such as establishment of Social Services Institute, the Second Long-term Care Fundamental Plan and Community Care. For the successful implementation of these policies, study on improving the problems of current system has to be preceded. Therefore, this study intends to analyze the problems of current elderly care system and propose some improvement plans in terms of range of recipients, the contents of service, delivery system and financial aspect focusing on home care service. There are diverse home care services such as elderly care basic service, visiting care service, home care service for the elderly, long-term care service(esp. home care service) for the aged, elderly caring integrated service and community resources associated service under the current legal system, but it is imperative to set up an improvement plan due to the complexity, redundancy and abstruseness of these services. Problems of current home care service system for the elderly are overlapping of the range of the recipients between elderly caring basic service and elderly caring integrated service and overlapping of the contents of services between visiting care services under Welfare of the Aged Act and Act on Long-Term Care Insurance for the Aged. Also, there is a hierarchical problem of community resources associated service due to the overlapping and similarity between visiting care services. Furthermore, delivery system problem between theelderly caring basic service and elderly caring integrated service as well as the matter of regional unbalance in finance of home care service for the elderly has been raised. To solve these problems, first, under the dual system of preventive care and post care, related services should be integrated and adjusted focusing on recipients and the contents of service. Second, elderly caring basic service and home care service for the elderly should integrate focusing on home care service for the elderly, and it is appropriate to specify the special care for the senior citizens who live alone within the home care service for the elderly. Third, it is proper to eliminate the visiting care service under Welfare of the Aged Act upon consideration of the relationship with Long term care service for the elderly. Last, it is necessary to embrace the elderly caring integrated service into Long-term care service and establish new provision on community resources associated service. Elderly care service within the Community Care must reflect social, physical and emotional needs that the elderly has throughout all areas and the system should meet the needs. Through the prompt reorganization of the related legal system, home care service for the elderly ought to properly carry out its function and role within the social security area. 최근 보건복지부는 치매국가책임제 발표 이후 사회서비스원의 설립, 제2차 장기요양기본계획 및 커뮤니티 케어(Community Care) 등 새로운 복지정책들을 제시하고 있는바, 이러한 정책들이 성공을 거두기 위해서는 현행 관련제도의 문제점을 살펴보고 그 개선방안을 마련하기위한 연구가 선행되어야 한다. 본고는 이와 같은 문제의식 하에 특히 재가서비스를 중심으로 수급자 범위, 급여내용, 전달체계 및 재정의 측면에서 현행 노인돌봄체계의 문제점과 개선방안을 제시하고자 한다. 현행 재가서비스로는 「노인복지법」상 노인돌봄기본서비스·재가노인복지서비스로서의 방문요양서비스·재가노인지원서비스, 「노인장기요양보험법」상 재가급여, 「사회서비스이용권법」상 노인돌봄종합서비스 및 지역사회자원연계서비스가 있는데, 서비스의 중복성·복잡성·난해성으로 인해 혼선이 야기되고 있어 개선방안 마련이 시급하기 때문이다. 현행 재가노인돌봄체계의 문제점을 살펴보면, 먼저 수급자 범위에 있어서 노인돌봄기본서비스와 재가노인지원서비스 간의 중복, 「노인복지법」상 방문요양과 「노인장기요양보험법」상 방문요양서비스 간의 중복이 나타나고 있다. 또한 급여 내용에 있어서는 「노인복지법」상방문요양과 「노인장기요양보험법」상 방문요양서비스 간의 중복, 노인장기요양서비스와 노인돌봄종합서비스 간의 중복 및 급여의 유사성으로 인한 지역사회자원연계서비스의 위계 문제등이 제기된다. 나아가 노인돌봄기본서비스와 노인돌봄종합서비스의 전달체계 상 문제점과재가노인돌봄 재정에 있어서 지역적 불균형 문제도 제기된다. 이러한 문제점을 개선하기 위해서는, 첫째 사전예방적 돌봄과 사후적 돌봄이라는 이원적 체계 하에서 수급자 및 급여내용을 중심으로 관련 서비스를 통합·조정해야 한다. 둘째, 노인돌봄기본서비스와 재가노인지원서비스는 재가노인지원서비스를 중심으로 서비스를 통합하되, 독거노인에 대한 특별한 돌봄사업의 필요성은 재가노인지원서비스 내에서 구체화하는 것이 타당하다. 셋째, 「노인복지법」상 방문요양서비스는 노인장기요양서비스와 관계를 고려하여 삭제하는 것이 바람직하다. 마지막으로, 노인돌봄종합서비스를 장기요양서비스에 포섭하고 지역사회자원연계사업에 관한 명문 규정을 신설할 필요가 있다. 커뮤니티 케어에서의 노인돌봄은 노인의 사회적·신체적·정신적 기능 등 모든 영역에 걸쳐이들이 가진 문제나 욕구를 반영하고 그에 따른 대응체계를 갖추어야 한다. 관련 법제도의 신속한 정비를 통해 사회보장영역에서 재가노인돌봄서비스가 그 기능과 역할을 제대로 수행할수 있도록 해야 할 것이다.

노화의 공포와 공생 지향의 상상력 -구비설화 ‘고려장이 없어진 유래’(436-11유형)를 중심으로-

최기숙 한국여성문학학회 2013 여성문학연구 Vol.29 No.-

This paper analyzed a type of Korean folk tales, ‘The Motivation of Abolishing Goryeojang (an imagined custom which is dropped out the aged person in the mountain to be died)’, a folklore type No.436-11 collected in Hankuk Gubimunhak Daegye, focusing on the fear of the aged’s and their hopeful imagination toward the symbiotic society.; How the story was made a reasonable and persuasive clue for symbiotic life with the aged? Why the society members should take care of the aged?In pre-researches, this type folk tales were divided into two sub-categories as like ‘quiz-type’ and ‘jige(a Korean A-frame carrier)-type’ focusing on the topic of filial duty. However this research newly divided these into four sub-categories including two typies like ‘affection-type’ which was emphasized the changeless maternity regardless of undutiful child and ‘self-help type’ which was dealt with the social independence of the aged parents focusing on the reason of the social survival of aged persons and on their social demand for caring and its cultural/literary meanings. First, the types of ‘quiz’ and ‘self-help’ were reflected on their social need to get a reasonable social membership through proving their social value and potentiality. Second, the type of ‘jige’ persued the reflective orientation which was surpassing the concept of usefulness. Third, the type of ‘affection’ showed the affective influence to the child-generation. All these types reflected anxiety and fear for aging of all social members regardless of age. However the fact that the biggest group was the ‘quiz-type showed that the aged generation desired to prove their social value through getting recognition about their wisdom, experience and knowledge, etc. Because most narrators of the folklore were aged people (over 64% of them were 60~90 years of age), it can be possible to interpret that the aged wish to get a social membership in their community through being recognized as useful and affective persons. But the behind of these dimensions, this type stories were reflected their instable social position and their psychological stress because they should prove their value of existence anytime. The type of ’jige’ was reflected their psychological demand, as it were, they desired to be recognized as general respectable human-beings from the society rather than regarded as only aged persons who should be cared as the weak persons. Finally this research suggested the ground of social discourse;what is the reasonable perspective and practical attitude of the contemporary people who are living in this (super-aged) aging society toward the ‘aging’. 이 논문은 『한국구비문학대계』의 ‘고려장이 없어진 유래(436-11)’ 유형을 대상으로 ‘쓸모없는 존재’가 되어 언제든 버려질 수 있다는 노인의 공포와 위기의식이 어떻게 이야기 형식으로 재현되어 공감대를 형성했는지, 그리고 노인 스스로 자신의 사회적 존재 가치를 증명하기 위해 어떠한 설득의 방법을 모색했는지를 분석했다. 선행 연구에서 해당 유형의 하위 범주는 ‘문제형’과 ‘지게형’으로 분류되었는데, 이 논문에서는 부모의 자애에 감동한 아들이 불효를 거두는 ‘자애형’과 노인 부모의 사회적 독립을 강조한 ‘자립형’을 포함한 네가지 범주로 유형화하여, 노인의 사회적 생존을 위한 설득의 방법과 공생 지향의 성찰적 상상력을 분석했다. ‘문제형’과 ‘자립형’이 노인의 쓸모와 능력을 입증하는 방식으로, 사회구성원으로서의 자격 기준을 제시한 사회적 기대에 부응한 것이라면, ‘지게형’은 ‘쓸모’라는 가치 기준을 넘어선 성찰적 지향을 추구했다는 점에서, ‘자애형’은 정서적 감응을 인간적 삶의 가능성으로 상정했다는 점에서 차이를 보였다. 이러한 네 가지 대응 방식은 노인과 노화를 바라보는 사회 구성원의 공포와 불안을 반영하지만, 가장 큰 양적 비중을 차지하고 있는 것이 ‘문제형’이라는 것은 지혜와 경험, 지식 등 노인의 ‘쓸모’를 입증하는 방식으로 노인의 문화적 위치가 확보되는 과정에 대한 사회적 공감대가 우세하게 작동했음을 의미한다. 설화 구연자의 대부분이 노인층(60~97세. 64%)인 것을 고려하면, 이는 노인 자신이 사회에 쓸모있는 존재로 인정받고 싶다는 사회적 인정 욕구를 표출한 결과로 해석할 여지가 충분하다. 그러나 그 이면에는 언제든 사회적 가치를 입증해야만 사회적 존재로서의 문화적 위치를 확보할 수 있다는 생존의 스트레스가 반영되어 있다. ‘지게형’에는 노년층 부모가 자식에 대한 무조건적인 효를 기대하기보다는 자신들을 보편적인 인간 존재로 바라보고 존중해주기를 기대하는 심리적 요구가 투영되어 있었다. 이 설화 유형은 ‘장유유서’나 ‘효’라는 윤리적 차원이 아니라, 누구나 늙는다는 생물학적 자연을 인정하는 방향에서 ‘공생’과 ‘돌봄’의 문화가 필요하다는 요청을 담고 있었다. 고려장이 폐기되는 맥락에 대한 서사적 상상력은 자녀의 부모에 대한 효도라는 윤리적이고 이념적인 차원을 강조하기보다는, 노인(가족)과 공생해야 하는 현실적이고 합리적인 지점을 모색하고, 인간은 언젠가 모두 노인이 된다는 자기성찰성의 문제를 형성했다는 특징을 보여주었다.

농촌노인의 케어실태와 케어욕구에 관한 연구

박병관 원광대학교 대학원 2007 論文集 Vol.39 No.-

Compared with other developed countries, the speed of ageing rate of Korea is unprecedentedly high. Rapid ageing society means that the old age period is delaying and the aged must prepare the provisions for their long lives, especially the needs of care. However, Korean strong tradition of family support for the aged has weakened due to social changes such as urbanization and women's participation in economic activities. Therefore, the aged face the need of care and support for senility, chronic illness and income maintenance. Meanwhile, the speed of aged rate is serious in rural areas. Some rural areas have already become the super-aged society. In addition, the aged in rural areas are very difficult to be cared by their families because their sons and daughters who have ability to support their parents had moved to the cities. The purpose of this study was to empirically survey the family relationship and care need of the aged in rural areas, and compare it with the nationwide scale researched by the National Population and Health Institution in 2004. For the purpose, 117 old aged in Imsil County which has the highest aged rate in Jeonbuk Province were sampled and interviewed to collect informations about the family relationship and care needs of the aged for a questionnaire. On the basis of previous studies on current conditions of the aged, the questionnaire consists of 36 items. In conclusion, this survey made clear that the aged in rural areas have substantial needs of care, but are not cared at all. The major reason is that their children are living in cities far from their parents.

노인복지 관련법제의 발전방향

박지순 한국법제연구원 2011 법제연구 Vol.- No.41

Korea is expected to become an ‘aged society’ with more than 14 percent of the public aged 65 years or more by 2018. The rapid aging is giving rise to various problems within the society along with falling birthrate in a short period of time. In this context, the role and function of laws on welfare for the aged must be particularly emphasized. Also the Senior Citizens Welfare Act is of great importance as it provides social welfare service on the basis of functional connection with social insurance and public assistance. First, this paper looks into the history of laws related to welfare for the elderly such as the Senior Welfare Act, the Act on Long-term Care Insurance for Senior Citizens and the Basic Old Age Pension Act as well as the findings of earlier studies. In the second place, it will break down such laws by main components aiming to examine details of the laws and questions raised regarding them and to seek ways to achieve improvement with an emphasis on health care, old age income security, housing welfare(assisted living facilities), job security for the aged. The Senior Welfare Act offers substance of social welfare service for the elderly. Income security, health and medical care, welfare measures through long-term care and assisted living facilities, social participation by working are the key elements and all of them should be closely associated to ensure citizens get sufficient public support in their old age. For this purpose, the Senior Welfare Act is under a normative network with laws such as Act on Long-term Care Insurance for Senior Citizens and Basic Old Age Pension Act. Current laws on welfare for the aged including Senior Welfare Act are not sufficiently responsive to the aged society of the 21st century. Income security combined with decent social participation, health and medical care closely connected with long-term care system, efficient expense sharing between government and local government, enhancement of effectiveness of welfare measures can be considered as means to improve current welfare system so that the elderly can enjoy their old age with dignity and respect. 평균수명의 증가 및 출산율의 저하와 함께 수반되는 급격한 인구고령화는 단기간에 우리나라의 경제ㆍ사회ㆍ문화 전 분야에 걸쳐 중대한 변화를 야기하고 있다. 단순히 노인의 비율이 늘어나는 것뿐만 아니라 평균수명이 계속해서 증가하여 많은 국민들이 장기간의 노후생활을 영위해야 하는 상황이다. 이와 같은 배경에서 노인들이 인간으로서의 존엄과 가치를 유지하면서 품위 있게 인생을 마무리할 수 있도록 노인복지 관련법제의 역할과 기능이 특별히 강조될 수밖에 없으며, 사회보험 및 공공부조와 기능적 연계성을 토대로 사회복지서비스를 목적으로 하는 노인복지법의 역할도 점차 중요해지고 있다. 노인복지법은 노인을 위한 사회복지서비스의 내용을 제시하고 있는데, 그중에서도 소득보장, 보건의료서비스, 요양 및 주거복지를 중심으로 하는 복지조치 그리고 일자리 등 사회참여지원 등을 핵심요소로 하며, 그와 같은 복지서비스의 유기적 결합을 통하여 노인이 살아가는데 적합한 생활조건을 실현할 수 있게 된다. 이를 위하여 노인복지법은 기초노령연금법과 노인장기요양보험법 등 관련법제와 밀접한 규범적 네트워크를 형성하면서 효율적인 노인복지시스템을 구축하게 된다. 그러나 우리 현행 노인복지법 및 관련법제는 21세기의 고령사회, 장수사회를 대비하는데 여전히 미흡하다고 하지 않을 수 없다. 노후소득보장과 다양하고 수준 높은 노인의 사회참여의 결합, 보건ㆍ의료와 요양의 효율적 연계 및 국가 또는 지방자치단체의 비용부담수준, 복지조치의 효과성 제고를 통한 품위 있고 존중받는 노인복지의 실현을 위해 더 많은 노인들을 포괄할 수 있는 다양하고 구체적인 개선방안이 마련되어야 할 것이다.

고령화 사회의 노인보호에 대한 법적 고찰

권정희(Jung-hee Kwon) 한국가족법학회 2006 가족법연구 Vol.20 No.1

  The status of the aged has changed by their controllable resources, functions and social structure in the industrial society. Weakness of productivity, property and control power, family traditional link, mutual dependence, and public relationship caused by urbanization makes the position of the aged attenuate. On the other hand, dramatic changes in product system, development of medical treatment and health technology, urbanization, and popularization of education have also changed the social position of the aged.<BR>  (1) Taking a new lease on life and increasing of the aged population become possible by development of medical treatment and health technology.<BR>  (2) Changes on production technology and system lead to the decline of birth rate and labors. The aged can not compete with other generations. Even though there are new job opportunities, they will be ignored because of the lack of knowledge. These problems will cause the shortage of income of the aged. After all, it will bring the problems of the care and protection of the welfare of the aged.<BR>  (3) Popularization of education makes new generation have much more knowledge than the aged. It also brings us different socialization and the lack of the knowledge of the aged. It can also cause the conflict between generations.<BR>  (4) There are social and geographical movements through the urbanization. Family structure makes a nuclear family and isolated social space to the aged in the family. There are psychological isolation and negligence of the aged in family and society.<BR>  The aged has many physical problems caused by the age, such as serious illness of senile dementia. Traditional home care is no longer an appropriate way to care them, so the government should help them. They need a special care and consideration on the law in the view of the welfare for them.<BR>  Korean existing Civil Law chooses the private supporting system for the aged. Only social welfare system exists for the poor aged who don"t have any relatives in the family. It could be a serious problem in an aging society. Therefore we need to strengthen the aged welfare system and the personal care system for the aged. The revision of the Succession Law and the Supporting Law in Civil Law is needed in an aging society. For example people who has abused the aged can not inherit as a successor.<BR>  The draft of the revised Civil Law include somewhat of supporting regulation to add share of succession to people who has supported the aged. There is also a way to put the reason on the civil law not to succeed of the aged because of the negligence of the obligation of supporting and abusing of the aged.<BR>  Because of a nuclear family and the growing rate of the aged, the private supporting system in a traditional society is not enough for the welfare of the aged. Therefore, the government should strongly support the aged by expanding the job opportunities and revising the law for the aged.

중·고령자의 부모돌봄 영향요인에 대한 종단분석

문용필 ( Moon Yong Pil ),이호용 ( Lee Ho Yong ),김도훈 ( Kim Do Hoon ) 한국장기요양학회 2015 장기요양연구 Vol.3 No.1

본 연구의 목적은 중·고령자의 부모돌봄에 영향을 미치는 요인에 대한 분석을 통하여 정책적 함의를 모색하는데 있다. 이를 위해 OECD 장기요양보호 정의에 따른 비공식적 돌봄으로써 부모돌봄에 대한 관련요인들에 대해 종단분석을 실시하였다. 분석결과, 인구사회학적 요인으로 연령이 높을수록, 가구원수이 많을수록, 경제적 요인에서는 저축이 있을수록, 사적이전소득이 있을수록, 가계총지출액이 높을수록, 부동산소득이 있을수록 중고령자의 부모를 돌보는 확률이 높게 나타났다. 특히 우리나라의 현 중고령자의 부모돌봄은 경제적 요인에 영향을 받게 나타났다. 경제적 요인이 취약한 중고령자의 경우, 부모돌봄에 미흡할 가능성이 있다. 따라서 중고령자의 특성을 고려한 비공식적 돌봄에 대한 정책적 보완이 요구되고, 또한 비공식적 돌봄과 공식적 돌봄간의 연계강화가 필요하다. The purpose of this study is to explore factors determining care about parents for the middle-aged and elderly for policy implications. For the purpose with OECD long term care standard measures, I analyzed causal relations and relevant factors of care for parents of informal care by longitudinal analysis. As a result, it is shown that the middle-aged and elderly's influence factors on there are about parents are age, household members. And savings, private transfers, household total expenditure, real estate income in economic factors influence in the middle-aged and elderly's on care for parents. In particular, care about parents for Korea's current the middle-aged and elderly are affected by economic factors. If the middle-aged and elderly have fragile economic factors, they'll be likely to be lack of care for parents. Therefore, care about parents in the consideration of the middle-aged and elderly's characteristics is required to complement informal cares for the middle-aged and elderly, but also informal care is needed to strengthen the links between informal care and formal care.

시설퇴소 청년들의 자립지원교육에 대한 요구

안희란,이용교 한국청소년복지학회 2020 청소년복지연구 Vol.22 No.2

Previous studies about the independence experience of the youth who aged out from institutional care show that support education for the independence of the youth aging out of institutional care does not provide any practical help. Unlike previous studies focusing on the actual situation of the independence of the youth aging out of institutional care, this study examined support education for the independence of the youth in institutional care, which is currently being conducted. Youths who aged out from institutional care were interviewed so as to find out what can be improved in support education for the independence of the youth. Since the youth aging out of institutional care have experienced difficulties independently living, it is assumed that they would be well aware of the lack of support education for the independence of the youth. In-depth interviews as a qualitative research method were conducted. Participants were 25 youths who aged out of institutional care. Participants hoped that support education for the independence of the youth aging out of institutional care would be provided after aging out of institutional care, and those who had aged out from institutional care would be allowed to participate in the support education to extend the boundary of the educators. Besides, they demanded that support education should not be simply carried out through the text but be actually performed in institution care. They also wanted support education to provide them with rehearsing a situation where they have to expend from their own income after aging out of the institutional care. As a result of this, they hoped to learn how to adapt to being independent. Lastly, because the existing support education for the independence of the youth aging out of institutional care do not cover contents related to finance, law, and lifestyle, the youth in institutional care asked to receive practical financial education that provides basic knowledge about how to save money after they move out of the institution, legal knowledge to protect their property, and adult lifestyle which needs to be taught by adults in order to be effectively acquainted. In particular, the result of the study revealed that the youth in or aged out of institutional care could lose a large fortune if they have insufficient 1egal knowledge as for legal representatives or lease deposits. Therefore, support education should include ‘education about legal representatives’ and ‘education about lease deposits.’ Also, the maximum age for the youth to be in institutional care should be raised from 18 to 19, so the youth ‘can master independent living skills.’ As for the ‘training of living alone for 3 months in the same circumstance as after aging out of the institutional care,’ the administrator should check the level of independence by conducting regular visits and counselling them. Hence, a local support facility for the independence of the youth aging out of institutional care should be established. 퇴소 청소년의 자립경험을 다룬 기존의 연구결과들은 퇴소 전에 이루어진 자립지원교육이 퇴소자에게 실질적인 도움이 되지 못하였음을 보여준다. 이에 본 연구에서는 퇴소 전 아동의 자립준비 실태에 초점을 맞춘 기존 연구들과는 달리, 퇴소 후 자립과정에서 어려움을 겪었기에 자립지원교육의 부족한 점에 대한 식견이 생겼다고 볼 수 있는 ‘퇴소자’를 대상으로 현재 실시되고 있는 자립지원교육이 어떠한 부분에서 보완되어야 하는지, 그들의 목소리를 들어보았다. 이를 위해 심층면접을 활용한 질적 연구방법을 사용하였다. 연구참여자는 총 25명의 시설퇴소자들이다. 연구참여자들은 현행의 자립지원교육이 퇴소한 선배를 강사로 섭외하여 교육자의 외연을 확대하고, 퇴소 후에도 받을 수 있도록 시기가 연장되기를 바랐다. 또한 교육방식이 텍스트적으로만 진행되지 아니하고 시설생활에서 실천으로 연결되기를 요구하였다. 그리고 퇴소 후 겪을 혼자 있으면서, 스스로 번 돈으로 지출해야 하는 상황을 설정, 이에 적응하는 방식을 습득하도록 진행되기를 바랐다. 마지막으로 기존 자립지원교육 내용에는 빠져 있지만 퇴소 후 돈을 모을 수 있는 기초지식을 제공하는 실용적인 금융교육과 재산을 지킬 수 있는 법률 지식, 그리고 성인이 되면 하게 되는 생활양식이면서도 그 내용을 숙지하기 위해서는 어른들로부터의 가르침이 필요한 내용이 다루어지기를 요구하였다. 특히 법정대리인이나 임차보증금 관련 법률지식이 부족할 경우, 시설아동이나 퇴소청소년은 큰 액수의 재산을 잃게 되는 경우가 발생할 수 있음이 본 연구결과 드러났다. 이에 자립지원교육 내용에 ‘법정대리인 관련 교육’과 ‘임차보증금 관련 교육’이 포함되어야 한다. 또한 ‘몸에 배도록 자립기술 습관들이기’ 를 위해서는 퇴소연령을 현행의 18세가 아닌 19세로 상향하여야 한다. 그리고 연구참여자들이 요구한 ‘퇴소 후와 같은 상황에서 3개월 정도 혼자 살아보는 훈련’을 위해서는 관리자가 정기적으로 방문하고 상담하면서 자립 정도를 확인하여야 하기에 지역 자립지원전담기관이 설립되어야 한다.

발표논문(發表論文) : 우리나라 노인복지법제의 현황과 과제

이호용 ( Ho Yong Lee ) 단국대학교 법학연구소 2011 법학논총 Vol.35 No.2

The one of the most epoch-making changes of 21 century society is aged of population. This country is as very speedy of an increasing rate of population as can`t inquire into the origin of it in the world. In 2010 the aging rate of Korea is over 11%. It is more immediate than others to prepare for aged society that have so many social and political problems. If I inquire into social welfare legislation for the elderly in Korea as fields of welfare as following. First, as social insurance law, National Pension Act, Long-term Care Insurance Act for the Aged, Employment Insurance Act, second as public assistance law, Basic Pension Act for Aged, National Basic Living Security Act. Medical Care Assistance Act, third as social welfare service law welfare law for Aged, including Welfare of the aged Act, Act on the Promotion and Guarantee of Access for the Disabled, the Aged, and Pregnant Women to Facilities and Information, Employment Promotion for the Aged Act, and as the acts about relating welfare system, Senior Product Industry Promotion Act, the Falling Birthrate and the Aging of Society Basic Act and so on. But social welfare law system for elderly of Korea is partially and separately because these are made up as taking measures suited to the occasions. These law system for elderly as being temporary means are criticised that this law system have not solved social needs of social welfare supply systemically and all aroundly. In this side, reform of welfare law system is main work to solve imminently in elderly society. After the law for the welfare of the aged is established in 1981, social welfare laws for the aged are in various sides, especially going into 2000 the legislation for the welfare of the aged of Korea is developed epochally because Korea entered aging society as UN population standard. At the present time there is nothing to speak of basic law about welfare for the aged. Welfare of the aged Act is just welfare service law for the aged focusing on facilities welfare and about care for the aged Long-term Care Insurance Act for the Aged plays an important part, and so it can not be called the basic law about welfare for the aged, Thus it is urgently to establish the basic law about welfare for the aged.

세종 대 宮中 養老宴의 성립과 의미

한정수(Han, Jung-Soo) 서울시립대학교 서울학연구소 2013 서울학연구 Vol.- No.53

This paper aims to search the backgrounds and contents of court banquets for the aged in the period of Sejong. In this search, we can understand how these banquets performed for the formation of social order for virtuous and courteous politics which King Sejong designed. The banquet for the aged was the symbol of the royal politics which was thought as ideal Confucian politics. In these banquets, king was able to show his courtesy by treating the aged, emulate the good behavior of them and listen the good advice from them. Taking care of the aged by king was able to be the good example for the whole country. By this example, it is thought that courteous society in which seniors were respected and the aged were well taken care of and the filial piety and brotherly love were prevalent could be come true. New political order was established after Taejong. In this situation, the banquet for the aged received attention as the mechanism which could enlarge the filial piety and brotherly love and realize the road of sage king. Sejong held court banquet for the aged over 80 of Hanseongbu (Capital Prefecture). The features of this banquet were as follows. This banquet was not Taehak banquet for the aged in which appeared in the ancient statute but court banquet for the aged. The objects of this banquet were expanded to male and female seniors over 80 of Hanseongbu including seniors of lowest class. King and queen hold the banquet in different time, in Geunjeongjeon (Grand Audience Hall) and Sajeongjeon (Council Hall) of Gyeongbokgung respectively. Furthermore, Sejong ordered to hold banquets for the aged in the regions and tried to edify through these banquets by expanding objects to barbarians (Yeojin tribe). The banquet for the aged in the period of Sejong in which the king, vassal and people were participated was realization of the gracious politics by respecting for and taking care of the elderly with Hanseongbu as the center. The king and queen were able to be the central figures of the Confucian edification and the courteous order through this process. The banquet for the aged in the period of Sejong was thought as attempt to realize the royal politics with Confucianism in which the king, vassal, people and barbarian got along amicably and the filial piety and brotherly love were prevalent.