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    노인 장기요양서비스의 질 측정상의 쟁점에 대한 고찰 = A Study on Measurement Issues of the Quality of Long-term Care Services for Older Adults

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    https://www.riss.kr/link?id=A104189642

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    This study identified measurement issues of the quality of long-term care services through literature review, and suggested implications for evaluating the quality of long-term care services in Korea. First, the theoretical definitions of the quality of care and quality assessment frameworks were reviewed, and differences of quality assessment between institutional and home-based care were examined. Measurement issues of the quality of care included process versus outcome, outcome issues (consumer satisfaction and quality of life), selection of interviewees (older adults versus proxy), and other issues of reporting statistics. Based on the literature review, this study identified the problems of quality assessment of the long-term care services in Korea, and provided the following implications for quality assessment: the conceptualization of the quality of care, construction of differential indicators for the quality of care between institutional and home-based care, improvement of structure-process indicators, improvement of outcome indicators, performing consumer-centered evaluation, and alternative methods of reporting statistics. In conclusion, this study addressed the need to conduct empirical studies on the quality of care and collecting longitudinal data for quality of care.
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    This study identified measurement issues of the quality of long-term care services through literature review, and suggested implications for evaluating the quality of long-term care services in Korea. First, the theoretical definitions of the quality ...

    This study identified measurement issues of the quality of long-term care services through literature review, and suggested implications for evaluating the quality of long-term care services in Korea. First, the theoretical definitions of the quality of care and quality assessment frameworks were reviewed, and differences of quality assessment between institutional and home-based care were examined. Measurement issues of the quality of care included process versus outcome, outcome issues (consumer satisfaction and quality of life), selection of interviewees (older adults versus proxy), and other issues of reporting statistics. Based on the literature review, this study identified the problems of quality assessment of the long-term care services in Korea, and provided the following implications for quality assessment: the conceptualization of the quality of care, construction of differential indicators for the quality of care between institutional and home-based care, improvement of structure-process indicators, improvement of outcome indicators, performing consumer-centered evaluation, and alternative methods of reporting statistics. In conclusion, this study addressed the need to conduct empirical studies on the quality of care and collecting longitudinal data for quality of care.

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    참고문헌 (Reference)

    1 조혜숙, "한국노인간호요양시설의 질 관리 지표(QMI) 개발" 15 (15): 174-189, 2006

    2 선우덕, "정부 정책의 방향 설정을 위한 노인장기요양보험제도의 개선방안" 168 : 16-24, 2010

    3 강혜규, "사회서비스 활성화를 통한 품질 및 성과관리체계 구축방안(요약본)" 23-48, 2008

    4 김학주, "사회서비스 품질관리체계의 해외 동향 및 개혁방안" 한국사회복지정책학회 36 (36): 237-261, 2009

    5 김은정, "사회서비스 재정지원방식의 변화와 품질관리를 위한 정책 과제" 한국사회복지정책학회 (35) : 141-168, 2008

    6 김조자, "방문간호서비스 질 평가도구 개발" 한국노년학회 28 (28): 377-394, 2008

    7 권진희, "노인장기요양서비스 질 평가체계 구축방안" 국민건강

    8 전용호, "노인장기요양보험의 서비스 질 관리 개선에 관한 연구:영국의 질 관리 시스템과 그 시사점을 중심으로" 한국사회복지정책학회 (33) : 335-361, 2008

    9 김문실, "노인요양시설의 서비스 질 평가 지표 개발 및 적용: 구조-과정 측면의 질 평가" 간호행정학회 14 (14): 131-143, 2008

    10 정제인, "노인요양시설의 간호서비스 질 평가 지표 개발 및 적용" 한국간호과학회 37 (37): 401-413, 2007

    1 조혜숙, "한국노인간호요양시설의 질 관리 지표(QMI) 개발" 15 (15): 174-189, 2006

    2 선우덕, "정부 정책의 방향 설정을 위한 노인장기요양보험제도의 개선방안" 168 : 16-24, 2010

    3 강혜규, "사회서비스 활성화를 통한 품질 및 성과관리체계 구축방안(요약본)" 23-48, 2008

    4 김학주, "사회서비스 품질관리체계의 해외 동향 및 개혁방안" 한국사회복지정책학회 36 (36): 237-261, 2009

    5 김은정, "사회서비스 재정지원방식의 변화와 품질관리를 위한 정책 과제" 한국사회복지정책학회 (35) : 141-168, 2008

    6 김조자, "방문간호서비스 질 평가도구 개발" 한국노년학회 28 (28): 377-394, 2008

    7 권진희, "노인장기요양서비스 질 평가체계 구축방안" 국민건강

    8 전용호, "노인장기요양보험의 서비스 질 관리 개선에 관한 연구:영국의 질 관리 시스템과 그 시사점을 중심으로" 한국사회복지정책학회 (33) : 335-361, 2008

    9 김문실, "노인요양시설의 서비스 질 평가 지표 개발 및 적용: 구조-과정 측면의 질 평가" 간호행정학회 14 (14): 131-143, 2008

    10 정제인, "노인요양시설의 간호서비스 질 평가 지표 개발 및 적용" 한국간호과학회 37 (37): 401-413, 2007

    11 최희경, "노인에 대한 사회적 돌봄과 돌봄서비스의 질 보장" 집문당 2009

    12 Qureshi, H, "people's definitions of quality services" Joseph Rownthree Foundation 2000

    13 Kemper, Peter, "What Do Direct Care Workers Say Would Improve Their Jobs?Differences across Settings" 48 (48): 17-25, 2008

    14 Carson, Paula Phillips, "Toward Understanding thePatient's Perception of Quality" 16 (16): 36-42, 1998

    15 Netten, A, "The costs of what? Measuring services and quality of care" 6 (6): 397-409, 2007

    16 Kleinsorge, Ilene K., "The Silent Customers: Measuring CustomerSatisfaction in Nursing Homes" 11 (11): 2-13, 1991

    17 Geron, Scott Miyake, "The Quality of Consumer-Directed Long-Term Care" 24 (24): 66-73, 2000

    18 Donabedeian, Avedis, "The Quality of Care: How Can it Be Assessed" 260 (260): 1743-1748, 1988

    19 Orrell, M., "The Needs of People with Dementia in Care Homes: the Perspectives of Users, Staff,and Family Caregivers" 20 (20): 941-951, 2008

    20 Geron, Scott Miyake, "The Home Care Satisfaction Measure: A Client-Centered Approach toAssessing the Satisfaction of Frail Older Adults with Home Care Services" 55B (55B): S259-S270, 2000

    21 Rubin, Haya R., "The Advantages and Disadvantages ofProcess-Based Measures of Health Care Quality" 13 (13): 469-474, 2001

    22 McGlynn, Elizabeth A, "Six Challenges in Measuring the Quality of Health Care" 16 (16): 7-21,

    23 Parasuraman, A., "SERVQUAL: A Multiple-Item Scalefor Measuring Consumer Perceptions of Service Quality" 64 (64): 12-40, 1988

    24 김은정, "SERVQUAL 모형에 근거한 사회서비스 품질의구성차원과 서비스 만족도: 노인돌보미 바우처서비스를 중심으로" 한국사회복지정책학회 36 (36): 191-217, 2009

    25 Dalby, Dawn M., "Risk Adjustment Methods for HomeCare Quality Indicators (HCQIs) Based on the Minimum Dataset for Home Care" 5 (5): 2005

    26 Gasquet, Isabelle, "Regular Visitors Are NotGood Substitutes for Assessment of Elderly Patient Satisfaction with Nursing Home Careand Services" 58A (58A): 1036-1041, 2003

    27 Francis, Jennifer, "Raising the Quality of Home Care: A Study of ServiceUsers' Views" 38 (38): 290-305, 2004

    28 Donabedeian, Avedis, "Quality Assessment and Assurance: Unity of Purpose, Diversity ofMeans" 25 : 173-192, 1988

    29 Glendding, "Progress and Problems in Developing Outcomes-Focused Social Care Services forOlder People in England" 16 (16): 54-63, 2008

    30 Degenholtz, Howard B, "Predicting Nursing Facility Residents' Quality of Life Using ExternalIndicators" 41 (41): 335-356, 2006

    31 Meister, Carli, "Perceptions of Quality in Long-Term Care: A SatisfactionSurvey" 10 (10): 40-47, 1996

    32 Larsson, Bodil Wilde, "Patients' Views on Quality of Care: Do TheyMerely Reflect Their Sense of Coherence" 30 (30): 33-39, 1999

    33 Qureshi, Hazel., "Outcomes inCommunity Care Practice" Social Policy Research Unit, University of York 1998

    34 Rantz, M. J., "NursingHome Care Quality: A Multidimensional Theoretical Model Integrating the Views ofConsumers and Providers" 14 (14): 16-37, 1999

    35 Henwood, M., "Listening to Users of Domiciliary CareServices" Nuffield Institute for Health 1998

    36 Davies, Allyson Ross, "Involving Consumers in Quality of CareAssessment" 7 : 33-48, 1988

    37 Rantz, M., "International Field Test Results of the Observable Indicators of NursingHome Care Quality Instrument" 49 : 234-242, 2002

    38 Institute of Medicine, "Improving the Quality of Care in Nursing Homes" National Academy Press 1986

    39 Rayness, N., "Identifying and ImplementingOlder People's Views of Quality in Home Care Services" 5 (5): 24-31, 2001

    40 Edebalk, Per Gunnar, "How Elderly People Rank-Order the Quality Characteristics of Home Services" 15 : 83-102, 1995

    41 Hirdes, John P., "Home Care QualityIndicators (HCQIs) Based on the MDS―HC" 44 (44): 665-679, 2004

    42 Cleary, Paul D, "Health Care Quality: Incorporating ConsumerPerspectives" 278 (278): 1608-1612, 1997

    43 Grau, "Family Members'Perception of the Quality of Nursing Home Care" 10 : 787-796, 1995

    44 Donabedeian, "Explorations in Quality Assessment and Monitoring, Vol 1: The Definitionof Quality and Approaches to its Assessment" Health Administration Press 1980

    45 Roe, Brenda, "Elders' Perceptionsof Formal and Informal Care: Aspects of Getting and Receiving Help for TheirActivities of Daily Living" 10 : 398-405, 2001

    46 Straker, "Developingand Testing a Satisfaction Survey for Nursing Home Residents: the Ohio Experience" 19 (19): 83-105, 2007

    47 Ejaz, Farida K., "Developing aSatisfaction Survey for Families of Ohio's Nursing Home Residents" 43 (43): 447-458, 2003

    48 Zimmerman, "Dementia Care and Qualityof Life in Assisted Living and Nursing Homes" 45 (45): 133-146, 2005

    49 Kane, Rosalie A, "Definition, Measurement, and Correlates of Quality of Life in NursingHomes: Toward a Reasonable Practice, Research, and Policy Agenda" 43 (43): 28-36, 2003

    50 Bowers, Barbara J., "Care-as-Service, Care-as-Relating,Care-as-Comfort: Understanding Nursing Home Residents' Definitions of Quality" 41 (41): 539-545, 2001

    51 Groenewoud, A. Stef, "Building QualityReport Cards for Geriatric Care in The Netherlands: Using Concept Mapping to Identify theAppropriate “Building Blocks” From the Consumer's Perspective" 48 (48): 79-92, 2008

    52 Mor, Vincent, "Benchmarking and Qualityin Residential and Nursing Homes: Lessons from the US" 18 : 258-266, 2003

    53 Woodruff, Lisa, "Assuring the Quality of In-Home SupportiveServices: A Consumer Perspective" 10 (10): 157-169, 1996

    54 Lawton, M. Powell, "Assessing Quality of Life in Alzheimer Disease Research" 11 (11): 91-99, 1997

    55 Teresi, "Assessing Quality of Care amongChronic Care Populations: Conceptual and Statistical Modeling Issues in The Many Dimensions of Aging" Springer Publishing Company 68-115, 2000

    56 Larizgoitia, Itziar, "Approaches to Evaluating LTC Systems in Key Policy Issues in Long-termCare" WHO 227-244, 2003

    57 Castle, N, "A Review of Satisfaction Instruments Used in Long-Term Care Settings" 19 (19): 9-41, 2007

    58 Qureshi, Hazel, "A Response to Dempster and Donnelly 'Outcome Measurement andService Evaluation-a Note on Research Design': The Importance of UnderstandingSocial Care Outcomes" 33 : 117-120, 2003

    59 National Citizens' Coalition for Nursing Home Reform, "A Consumer Perspective OnQuality Care: The Residents' Point of View" Author 1985

    60 Duffy, Jo Ann, "A Comparative Study ofResident, Family, and Administrator Expectations for Service Quality in NursingHomes" 26 (26): 75-85, 2001

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    연월일 이력구분 이력상세 등재구분
    2027 평가 재인증평가 신청대상 (재인증)
    2021-01-01 등재 등재학술지 유지 (재인증) KCI등재
    2018-01-01 등재 등재학술지 유지 (등재유지) KCI등재
    2015-01-01 등재 등재학술지 유지 (등재유지) KCI등재
    2011-01-01 등재 등재학술지 유지 (등재유지) KCI등재
    2009-01-01 등재 등재학술지 유지 (등재유지) KCI등재
    2006-01-01 등재 등재학술지 선정 (등재후보2차) KCI등재
    2005-05-27 학술지명변경 한글명 : 사회복지정책 18집 -> 사회복지정책 KCI등재후보
    2005-01-01 등재 등재후보 1차 PASS (등재후보1차) KCI등재후보
    2003-01-01 등재 등재후보학술지 선정 (신규평가) KCI등재후보
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    기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
    2016 1.43 1.43 1.27
    KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
    1.34 1.42 1.617 0.44
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