노인돌봄종합서비스 공급주체의 효과적 역할분담 방안에 관한 연구 = (A) study on developing an effective role sharing of supply systems in the elderly care service

다국어 초록 (Multilingual Abstract)

This study is to examine role sharing based on supply system, fiscal burden, and supply type in the elderly care services in order to respond how role sharing relationship between state and private sectors can be established.
This study provides standards of classification about role sharing of supply systems by examining existing studies on social service concept and role sharing of supply systems. The standards of classification are selected as follows: ➀ supply systems-the scale of services provided by supply systems such as government, non-profit or profit organizations; ➁ fiscal burden-the extent of fiscal burden provided by government and private sectors; ➂ supply types of services. This study applies these standards to the elderly care services, analyzes some problems of supply systems, and finds alternative methods.
At first, this study examines regional distribution of supply systems in the elderly care services. The result shows that the elderly care services in the central area are more actively operated than other areas. In addition, it is examined that central area chooses several types of service organizations in order to provide services which fit consumers' demand. However, In terms of other areas, most of service organizations are concentrated in some places. This means that the activation of elderly care services in other areas is not better than that of central area.
In terms of fiscal burden, the percentage of government aid and self-burden charge is 85% and 15%. In fact, despite the fact that the budget of social services is increasing every year, blind spot of consumers happens. This is because accessibility to some information related to services is low and there are some elders who do not receive family care at all. Through the problems mentioned above, three main points are found as follows: elderly care services include non-profit/private model; non-profit organizations are dominative supply system; non-profit/private supply and mixed fiscal supply model are dominative supply type.
This study finally provides alternative measures for cooperations among supply systems and their role promotion. Three ways can be needed to expand elderly care services. First, the role between central government and local government should be reestablished. Also, the partnership between non-profit organizations and profit organizations should be developed. Third, the role of supply systems should be strengthened. Some ways to relieve fiscal burden are as follows: to evaluate the beneficiaries for long-term care more strictly; to transfer some budget for third grade recipients into elderly care services by classifying third grade recipients as extra grade A, or B. These ways enable more elders to receive social services. Lastly, policy development to sustain elders care services can contribute to effective provision of services and management.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 의의 및 목적 1
• 2. 연구의 방법 5
• 3. 연구의 범위와 한계 5
• 4. 연구의 분석틀 7
• Ⅱ. 이론적 배경 10
• 1. 사회서비스의 개념과 특성 10
• 1) 개념 및 특징 10
• 2) 사회서비스 공급체계의 발달과 유형 13
• 2. 사회서비스 공급체계의 역할분담 구조와 역할 19
• 1) 역할분담의 근거 19
• 2) 공급내용 및 주체 22
• 3) 공급주체간 구조 및 역할 26
• 4) 공급의 전환 : 정부와 비영리민간 부분의 상호협력 34
• 3. 사회서비스 공급주체의 역할분담 모형 37
• 1) 국외 역할분담 모형 38
• 2) 국내 역할분담 모형 51
• 4. 노인돌봄종합서비스 제도의 개요 및 공급체계 56
• 1) 사업의 개요 56
• 2) 공급체계 57
• 5. 선행연구고찰 66
• Ⅲ. 노인돌봄종합서비스 공급주체의 역할 및 문제점 74
• 1. 노인돌봄종합서비스 현황 및 역할 74
• 1) 공급주체 74
• 2) 재정부담 80
• 3) 공급유형 82
• 2. 노인돌봄종합서비스 역할의 문제점 83
• 1) 공급주체 83
• 2) 재정부담 86
• 3) 공급유형 87
• Ⅳ. 노인돌봄종합서비스 공급주체의 효과적 역할분담 방안 89
• 1. 공급주체 89
• 2. 재정부담 92
• 3. 공급유형 93
• Ⅴ. 결론 95
• 참 고 문 헌 100
• Abstract 104