노인 의료보장의 현안과 대안

박차상 한국노인복지학회 2011 한국노인복지학회 학술발표논문집 Vol.1 No.2

자원봉사활동의 지속성 확보방안 조사연구

박차상 제주한라대학 2001 論文集 Vol.25 No.-

The maintenance of volunteerism by recognition and rewards are necessary to support volunteerism. Inspite of volunteerism's importance in necessity to operate social welfare services, in fact, we do not solved the problems for the maintenance of volunteerism. The task, which should be most urgently solved for the development of the volunteerism, is preventing the dropout of volunteers and inducing them continue their activities more actively. In this context, this research has performed about the satisfaction, the dropout and the expectancy of volunteers. By exploring the consciousness of volunteers about recognition and rewards and the cases of them, I will develope the alternatives for the maintenance of volunteerism. The purpose of this research is to analyze the satisfaction, the dropout and the expectancy of volunteers in Jeju and propose alternatives or reformative measures for developing the alternatives for the maintenance of volunteerism. The structure of the implementation of this research objective is as the follows : Chapter one shall raise the problem of the dropout of volunteers. The environment of social welfare was changed, so the importance of volunteerism increase. But the citizens were not recognized the importance of it. Moreover the dropout of the volunteerism is not solved. Chapter two shall addressed method about the satisfaction, the dropout and the expectancy of volunteers in Jeju. It was divided into two parts ; the consciousness of volunteers about recognition, rewards and an activity of volunteers. The visitation and interviewing have been conducted from August 6 to August 12. The samples collected from 1066 questionnaire. Chapter three and four shall addressed the research findings in term of the theoretical foundation on maintenance of volunteerism by recognition and rewards such as expectancy theory, exchange theory. It investigated cases of motivating volunteers. The interpretation and summary of the research findings have been enumerated as follows : 1. It has been revealed that 32.5% of the volunteers agree that the volunteer service activities should be reflected in terms of recognition and rewards. 2. It has been revealed that 54.4% of the volunteers agree that the reason of the volunteer dropout is the shortage of their times. 3. It has been revealed that 50% of the volunteers agree that the satisfaction of the volunteer is the middle level. 4. The volunteers regard that the most importantly acting factor on the recognition and rewards is the psychic benfits such as concern and consideration by the person in charge. Chapter five shall conclude. I will propose the alternatives for the maintenance of volunteerism. The significances of this research encourage the successive research to affect the performance of volunteer's activities by the result of this research. We have to develop the potential energy of Jeju community for volunteerism in terms of short and long perspectives. It means to ensure the instruments and sources for enhancing the quality of life in Jeju.

학교폭력 예방을 위한 학교사회복지의 활성화 방안

박차상 제주간호보건전문대학 2006 論文集-논문집편집위원회 Vol.29 No.-

The purpose of this research is to apply the school social welfare practice for school,violence and propose alternatives or reformative measures. Chapter one shall raise the necessity of school social welfare at school. Because of the rapid growth and serial level of school violence, I shall raise the problem of school violence at school. It is necessary to introduce a new practical method, the school social welfare. Chapter two shall explain the theory of the school violence, that is the concept and cause and effect of it. At present, the needs of school social welfare for the students were increased rapidly by students, families, and the community. However, there is insufficient understanding on the necessity and communication system so we are not able to satisfy the needs and demands of the student. As a result, there are urgent demands of systematic and integrated approaches as to deal with school violence, to take care of them continuously. and to reduce the burden of the school teacher. Chapter three shall introduce the social welfare of the school. I defined the concept of school social welfare and explained the goal. function. I shall analize the cause and the countermeasures of school violence in terms of teacher and parents. It was divided into four parts. The main content is as are follows ① analysis of the countermeasures of school, violence in terms of teachers ② analysis of the countermeasures of school violence in terms of parents ③ analysis of the countermeasures of school violence in terms of teachers and parents ④ the social welfare of the school as countermeasures of school violence. Chapter four shall conclude that we have to expand school social welfare and have police officers in schools. Because it was an effective method for solving the problem of school violence. It mens to ensure an instruments for preventing the school violence. Therefore the government has to institutionalize facilities and professional human resources in order to raise the efficiency and responsibility of the school social welfare for the students. From now on it should be the social welfare of the school as a long-term care & shelter, including prevention and rehabilitation. Furthermore, it should be a model of whole personal service. In short, we will try to maintain the evaluation of the effective method for solving the problem of school violence more deeply. It is granted to prevent school violence.

한국 사회복지서비스 政策의 實態와 改善方案 : 부산지역 社會福祉館 서비스를 중심으로

朴且尙 동아대학교 부설 사회과학연구소 1996 사회과학논집 Vol.13 No.-

사회자본관점에서 본 조손가정 (祖孫家庭) 지원사업의 효율화 방안

박차상 濟州漢拏大學論文編輯委員會 2009 論文集-논문집편집위원회 Vol.32 No.-

The purpose of this study is to apply reformative measures to support projects forgrandparents-grandchildren families. Chapter one examines the necessity of support projects for grandparents-grandchildren families. There has been a rapid increase in the number of social problems in grandparents-grandchildren families. Chapter two explains the present supporting situation and the care needs and demands of grandparents-grandchildren families. Chapter three offers reform measures for the network of welfare resources for the provision of community-based services and programs. Both the public sector and the private sector should enhance their understanding of supporting projects for grandparents-grandchildren families. In order to raise the efficiency and responsibility of grandparents-grandchildren families, it is required to network the diverse service providers through social capital. In order to achieve this objective, a network system for grandparents-grandchildren families needs to be set up by social network institutions. Chapter four presents conclusions. This study contributes to networking the welfare resources for the provision of services and programs based on the needs of grandparents-grandchildren families. First, we have to develop supporting networking institutions through a team approach of diverse welfare delivery systems because the clients have diverse needs and multiple problems. Second, this study proposes that the main point of supporting projeds for grandparentsgrandchildren families is empowerment through networking. Third, it is proposed that we build social capital through supporting projects forgrandparents-grandchildren families because they are effective means for meeting diverse needs and solving the multiple problems of clients.

韓國 醫療保障制度에 나타난 老人福祉

朴且尙 東亞大學校 大學院 1989 大學院論文集 Vol.14 No.-

This articleisdesignedtoservetwoobjectives. ThefirstobjectiveistoanalysisKoreanmedicare.The national medical insurance on July 1, 1989 is practiced. This is the will of the government which is to expand the welfare of the nation. Thus I analysised the existing institution which was med ical insurance and medical aid. I found the problems of the existing institution and proposed the improved alternatives. The second objective is to serve medicare policy to improve the welbare of the old. The medicare is defined to secure medical service for nation in need which is cheap, easy, optimal service. For the medical cost of the old, then, is expensive, the burden of such a cost must be accompany with co-operative work to bear it. The central and local government are responsible to the welfare of the old in our law. They have respect for the old who bring up the descendant and contribute to development of the state and community. Therefore they have to secure the good life. These Ideology have to practice in our life. Especially the medicare of the old must be established by the central and local government. That is health examination, prevention, early cure, rehabilitation, after care.

노인자살 예방을 위한 효과적인 대안 모색

박차상 제주간호보건전문대학 2010 論文集-논문집편집위원회 Vol.33 No.-

The purpose of this research is to apply about reformative measures of the elderly suicide prevention in Korea Chapter one raises the necessity of reformative measures of elderly suicide in Korea. The rates and numbers of elderly suicide in Korea have increased since 1988. This indicates the seriousness of the problems with which the elderly are faced. So many late-life problems may push older people to the point of taking their own lives. Those in unbearable situations may call out for help, try to cope in various ways, or even commit suicide. Because it is widely believed that suicide among the elderly can be understood as a personal solution to late-life problems in old age, the elderly suicides seem to be an appropriate indicator in estimating the seriousness of late-life problems. A comparison of the history of suicide research in korea with other populations shows that several late-life problems have been found to place the eldery at risk for suicidal behaviors. Chapter two explains the concept of elderly suicide and analyze the present situation of elderly suicide. Research has identified such problems as financial insecurity, retirement, loss of social roles, physical illness, lack of social supports, and loneliness as the problems that increase the incidence of suicidal behavior. Though it is difficult for us to explain and understand the phenomenon of elderly suicide because of its complexity, we need to ascertain problems and social conditions behind suicides. It is also recommended that we prepare for some appropriate policy-tasks in light of social welfare for the aged, through examination of the phenomenon. Theoretical orientations based on sociological, and psychological perspectives are used to explain elderly suicide. From the standpoints of social integration theory and exchange theory, this study examines the relationship between late-life problems and suicide. These two may have been fruitfully employed in conjunction with each other Chapter three makes a model for elderly suicide prevention. The model is composed of universal prevention, selective prevention and indicated prevention for elderly suicide. Chapter four conc1udes the study of elderly suicide. This study would identify urgent late-life problems related to the elderly suicide rate and suggested the relevant policies for Korean elders. Sometime in the near future, the government should be required to provide social welfare programs for the elderly, particularly for those at risk for increasing suicidal behaviors.

제주도의 재가노인 복지사업의 현황과 발전방향

박차상 濟州漢拏大學論文編輯委員會 2005 論文集-논문집편집위원회 Vol.28 No.-

The purpose of this research is to apply the Social Work Practice Model of Case Management in the service at home of the elderly and propose alternatives or reformative measures of the welfare policy of the one. Chapter one shall raise the necessity of the welfare policy of the elderly at home, specially Jeju area. Because it is a rapid aging speed and a high level of the elderly populations ratio to the whole ones. I shall raise the problem of the service at home of the elderly. It is necessary to introduce a new practical method, Case Management. Chapter two shall explain the theory of domiciliary welfare. With the extended life span the population of the aged was increased in recent years and also there is a rapid increase of late aged people who need a long-term care & shelter because of their chronic disease and difficulty in physical and mental health. In result there are urgent demands of systematic and integrated approach to the care work for the aged to meet their needs, to take care of them continuously, and to reduce burden of family support. At present the needs of the care work for the aged were increased rapidly by aging, nuclear families, and female social participations. However, there is insufficient in cognition on the necessity and communication system so we are not able to satisfy the care needs and demands of the aged. Therefore, both the government and the people should enhance their understanding on the care work for the aged to provide them more diverse and professional health and work service. In addition, for this specialized service we need to expand facilities and professional human resources. In order to raise the efficiency and responsibility of the care work for the aged, it is required to diversify the service provider . Until now mostly the care work for the aged who have the chronic disease and difficulty in physical and mental health has been conducted by doctors, hospitals, public health centers, sanatoriums so it costs a lot as a form of medical service and also it is fragmentary in service. From now on it should be a model of social service as a long-term care & shelter including prevention, medical care, and rehabilitation. Furthermore, it should be a model of whole personal service. For this objective the communication system for the aged health and welfare needs to be set up by the domiciliary welfare. Chapter three shall introduce the Social Work Practice Model of Case Management. I defined the concept of case management, explained the goal. function, process of the one, the role of the case manager, the number of the case, the practical method, and developed the Practice Model of Case Management. I propose alternatives or reformative measures of the elderly welfare service in Jeju area in terms of the Social Work Practice Model of Case Management. The characteristics of the aged populations is diverse needs and multiple problems. The main problems of the elderly as the social problem are an economic poverty, a sickness, a loneliness, an alienation. I shall analyze the present situation of the elderly welfare service at home. It was divided into two parts: the one is an present circumstances of the elderly welfare service at home in Korea, specially Jeju area, the other is an application of the Social Work Practice Model of Case Management. The main contents are following ① the fullness of the goal of the Case Management. ② the induction of the social work practice skill of case management ③ the effective maintenance of the social work practice skill to guarantee changing manpower of the elderly, and to ensure developing the resources of the community and self-support program, ④ the expansion of the service at home for the elderly welfare policy. Chapter four shall conclude. We have to expand the case management for the elderly at home. Because it was the effective method for solving diverse needs and multiple problems of the elderly. It means to ensure an instruments for changing the quality of the aged life in Jeju area. Therefore we will try to give the social worker a professional education more deeply. 1987년 가정봉사원파견사업의 시범 실시 이후 18년 이 지나는 동안 재가노인복지사업은 우리 나라 노인복지서비스의 중요한 분야가 되었다. 이는 재가노인복지사업이 우리 나라의 인구 • 사회학적 특성은 물론 노인의 다양한 욕구를 반영하는 효율적인 서비스 체제 구축에 용이할 뿐 아니라, 세계 사회복지의 흐름과도 그 맥을 같이 하고 있기 때문이다. 세계적인 사회복지사업의 성격과 개념의 변화를 살펴보면 로마니쉰 (John M Romanyshyn) 은 다음과 같이 설명하고 있다. 보충적인 성격에서 제도적인 성격으로 ② 자선에서 시민권으로 ③ 선별적인 서비스에서 보편적인 서비스로 ④ 최저수준에서 최적수준의 서비스로 ⑤ 개인적 차원에서 사회적 차원으로 ⑥ 자발성에서 공공성으로 ⑦ 빈민구제에서 복지사회 건설로 변화하고있다. 요컨대,경제적으로 빈곤한 산업화 이전의 사회에서 복잡하고 상호의존적인 현대 산업화 이후의 사회로 변천됨에 따라서 발생되는 여러 가지 사회문제에 대하여 사회복지적인 개업이 점차 확대되고 있다. 우리 나라에서 재가노인복지사업의 중요성이 제기된 것은 1980년대에 이르러서였다. 경제성장과 더불어 산업화, 도시화, 핵가족화 현상이 급격하게 진행되면서 노인부양의 문제가 새로운 사회문제로 대두되기 시작한 것이다. 도시화의 진전이 가져온 가족구조의 변화는 노인 문제에 대한 새로운 해결방법올 요구하고 있다. 평균수명의 연장, 출산율의 감소 둥으로 인해 절대적•상대적 으로 증가 추세를 보이고 있는 노인인구에 대한 국가적 차원의 대책마련이 시급한 것이다. 특히 65세 이상 노인의 99.6%가 지역사회의. 일반 가정에서 생활하고 있는 우리 나라의 경우 산업화 이후 약화된 가족의 부양기능을 지지할 사회적 차원의 대책마련이 시급히 요청되었다. 핵가족화에 따른 노인단독세대의 증가, 맞벌이 부부의 증가, 그리고 부양가족의 질병, 출장 등 노인을 보호할 수 없는 사유 발생으로 인하여 재가노인복지서비스의 중요성이 더욱 제기되었다.

한국 醫療福祉서비스 傳達體系에 관한 硏究

박차상 東亞大學校 大學院 1990 大學院論文集 Vol.15 No.-

The social welfare of Korea was promoted cetnteral government centered after the 1945 Liberation. For Korean government had to solve the social problem in short time by the limited finance through the 1945 Liberation and the Korea War. And local govermnent was unable to settle the social problem for financial shortage. Moreover centeral government enforced the National Health Insurance System initiatively on July 1.1989. This political will performance through the administrative organization. Therefore this article is designed to investigate the centeral departments involved health care and examine the problem and propose reform measures. The first, since the centeral departments involved health care are pluralistic, the health polcy is lacking consistency. The alternatives is to organize tentativerly named "the centeral council" and this mechanism coordinate the health polcy among the centeral departments involved health care and make a health plan and control a program and evaluate an effect. The second, since the centeral departments involved health care operate the public medical institutions, the efficiency and self-control go down. The alternatives is that the public medical insitutions make to be a special corporation or a public corporation. Then the efficiency and self-control of the public medical institution will enhance. The third, since absence of the health plan of community is a grave question, the alternatives is to expand community health system. Then even if a local autonomy put into operation in future, the health care of community will be no problem. Additionly Health care delivery system is pointed as a problem. For instance, it is that the role and function of a hospital and a clinic, a medical specialist and a medical generalist is not divided in addition to confusion of patient referral system. The alternatives is to divided the role and function of a hospital and a clinic, a medical specialist and a medical generalist into primary, secondary and ternary medical institution.

수요자 중심의 노인복지 인사행정을 위한 방안 연구 : 제주도내 노인복지 인력을 중심으로 On the emphasis on the Personnel for the Old in Jeju

박차상 제주한라대학 2002 論文集 Vol.26 No.-

The professionalism of personnel for the old is necessary to improve the welfare of the old. In spite the importance of personnel administration in necessity to operate social welfare services, in fact, we do not settle the problems for the establishment of the professionalism of personnel for the old. The task, which should be most urgently solved for the establishment of the professionalism of personnel for the old, should be debated by the three dimensions of civil servants, employese of welfare facilities and volunteers. And it continue their activities more actively. In this context, this research has performed about the employment extension, vocational training and their institutional mechanism. By exploring their case, I will develope the alternatives for the improvement the welfare of the old. The purpose of this research is to analyze the personnel administration for the old in Jeju and propose alternatives or reformative measures for developing the alternatives for the welfare of the old. The structure of the implementation of this research objective is as follows : Chapter one shall raise the social problem of the old. The rate of the old had increased, so the importance of personnel administration for the old should increase. But the citizens did were not recognize the importance of it. Moreover the members of personnel for the old have not been increased. Chapter two shall addressed the method about this research. It was divided into two parts ; literature and interviewing the three dimensions of civil servants, and employees of welfare facilities. Chapter three and four shall addressed the research findings in term of the practice. It investigated the rate of the member of civil servants, employee of welfare facilities compared with the old and cases of motivating volunteers. I will propose the alternatives for the importance of personnel administration for the old. Chapter five shall be the concludeon. The significances of this research encourages the successive reformative to affect the improvement of personnel administration for the old by the result of this research. We have to develop the potential energy of the Jeju community for the old in terms of short and long tern perspectives. It means to ensure the instruments and sources for enhancing the quality of life in Jeju.