재가노인 복지서비스 지역사회 연계에 관한 연구 : 농촌지역 노인장기요양 등급외자 중심으로 = A Study of community networking of welfare service for the home-staying aged people

다국어 초록 (Multilingual Abstract)

ABSTRACT

A Study on community networks of welfare services for the home-staying aged


Lim, Sun Hee
Department of Social Welfare
The Graduate School of Social Welfare,
Cheongju University
Directed by Professor
Kim, Hun Jin


Since July 2008, the elderly long-term care insurance system has been valid and effective last three years. It is the time of stable settlement after trial and error. The system has been given complaints because of limited services considering people's financial burden and insurance finance. At the end of 2008, 380,000 elderly who occupied 7.4% of 65 years old or more elderly in the nation applied to rating to be given the service, and 120,000 elderly were given out of rating to exclude them from the service. The application itself says that the elderly themselves and their family are worrying about stroke, dementia and other degenerative diseases. The government shall control and manage the elderly who have been given out of rating.
The purpose of the study was to investigate connection with community resources of the elderly who were not given elderly long-term care service despite their application, and to find out efficient and effective service connection and control.
At first, the study introduced background of the introduction of the elderly long-term care insurance as well as concept of the insurance system, and examined connection with community health and welfare service of the elderly who were given out of rating, in particular, in the rural areas that were short of various kinds of service infrastructures. The author interviewed the elderly at Goisan-gun Chungcheongbuk-do 2 to 3 times who were given out of rating, and investigated the elderly's cognition on community resources and their connection systems.
The study gave connection model that the elderly out of rating of long term care insurance system could live daily lives and keep healthy, and suggested supply of the services:
Firstly, the elderly long-term care insurance system shall employ case manager who can connect, coordinate, inform and cooperate health and welfare services, and shall put care and prevention of the elderly out of rating into practice.
Secondly, either the central government or local government shall get budget to expand project scale, and to adjust service use time and to give the elderly more services. And, the government shall keep professionalism and publicity of the elderly health and welfare that have put an emphasis upon preventative services from long-term point of view, and shall elevate quantity and quality of services for the elderly out of rating.
Thirdly, the elderly health and welfare service of consumer society that has put an emphasis upon consumer oriented approach shall develop and supply various kinds of services enough to satisfy the elderly's desire of health and welfare in accordance with rise of the elderly population.
In conclusion, the government shall provide the elderly out of rating with services continuously and systematically by elderly long-term care services to elevate the elderly's life quality and to alleviate burden of family as well as community, and to stabilize finance. And, the government shall assign functions between elderly health and welfare service organizations to set up connection system and to make use of community resources efficiently.

목차 (Table of Contents)

• 목 차
• 제 1장 서론 …………………………………………………………… 1
• 제1절 문제제기 및 연구목적 …………………………………………… 1
• 제2절 연구문제 ………………………………………………………… 6
• 제3절 연구의 한계 ……………………………………………………… 6
• 제 2장 이론적 배경 ………………………………………………… 8
• 제1절 노인장기요양보험의 개념 ……………………………………… 8
• 제2절 노인장기요양보험에서의 등급외 판정대상자 ………………… 14
• 제3절 서비스 연계의 개념 ………………………………………………16
• 제4절 등급외판정자에 대한 지역보건복지 서비스 …………………… 18
• 제 3장 연구방법 ……………………………………………………… 23
• 제1절 연구모형 ………………………………………………………… 23
• 제2절 조사대상 및 자료수집 방법 …………………………………… 25
• 제3절 자료 분석방법 …………………………………………………… 25
• 제4절 선행연구 ………………………………………………………… 26
• 제 4장 등급외판정자 지역사회 연계 실태 ……………………… 29
• 제1절 장기요양 등급외자에 대한 지역사회 서비스 제공체계 ……… 29
• 제2절 장기요양 등급외판정자 현황 ………………………………… 30
• 제3절 장기요양 등급외자 서비스 연계 현황 ………………………… 32
• 제4절 지역별 연계 실태분석 …………………………………………… 34
• 제 5장 분석결과 ……………………………………………………… 35
• 제1절 괴산군의 지역사회특성 ………………………………………… 35
• 제2절 질적 연구의 분석결과 ………………………………………… 39
• 제 6장 등급외판정자 지역사회 연계 개선방안 ………………… 50
• 제1절 주체간 협조․연계체계 구축과 연계모형 ……………………… 50
• 제2절 기본방향 ………………………………………………………… 52
• 제3절 서비스 제공 측면 ……………………………………………… 53
• 제 7장 결론 및 제언 ………………………………………………… 56
• 참고문헌 ……………………………………………………………… 59
• ABSTRACT …………………………………………………………… 66