고령자 주택개조 관련 제도 현황 분석

권오정(Kwon, Oh-Jung),김진영(Kim, Jin young),이용민(Lee, Yong min) 한국실내디자인학회 2018 한국실내디자인학회논문집 Vol.27 No.2

Implementing a home modification to enable elderly’s safe and independent living is the key plan to realize their aging in place. South Korea in which had entered an aged society is not yet vitalized in home modification for the elderly compared to that of welfare-developed countries, and South Korea provides support that is limited to the low-income elderly. Therefore, this purpose of this study was to analyze the laws related to the home modification, the present condition of home modification support, the standards and guidelines in home modification, the support in house modification cost, and supporting organization and working force in the home modification. Through the analyzing process, this study examined the current situation and problems of institutional support in the home modification for elderly and the proposed plan for institutional improvement. The suggestions based on the results are as in the following. 1) Home modification support law(act or regulation) is required to be improved 2) Home modification support system correspondent to aging process should be provided regardless of their income levels. 3) Delicate plan standard and guideline are necessary for a process of implementing the home modification for the elderly. 4) Information on life behavior is in need for the implementation of elderly-customized home modification. 5) Cost for the home modification should be considered to cover by the Act on Long-Term Care Insurance for the Aged. 6) Housing Welfare Center and Housing Welfare Professional should be actively utilized for the home modification support institution and work force.

노인가구를 위한 주택개조 실행과정 연구 - 공공지원사업 대상노인의 가족을 중심으로 -

권오정(Kwon, Oh-Jung),김은지(Kim, Eun-Ji),이용민(Lee, Yong-Min),김서연(Kim, Seo-Yeon) 한국주거학회 2022 한국주거학회 학술대회논문집 Vol.34 No.1

Korea is facing a super-aged society, so an active response is urgently needed. Home modification for Elderly Households is a key point to reduce the burden of care for elderly families. In this study, the process of home modification of elderly households was explored using a survey and in-depth interview method targeting the families of the elderly with experience in public support projects. The first content of this survey is awareness of home modification, second, information collection process for home modification, third, planning of home modification and finally, evaluation of home modification. As a result of the survey, the awareness of home modification was high, and the method of collecting information was also highly preferred for community centers. In addition, the most frequent home modification was the bathroom, and the safe handles were installed. Finally, it was investigated that the overall effect felt by elderly families after home modification was high, and there were few difficulties in the process of implementing home modification. This study is meaningful in exploring the process of home modification of elderly households, but the limitation is that only reviewed the Jeonju-si area.

노인가구를 위한 주택개조 실행과정 연구 - 공공지원사업 대상노인의 가족을 중심으로 -

권오정(Kwon, Oh-Jung),김은지(Kim, Eun-Ji),이용민(Lee, Yong-Min),김서연(Kim, Seo-Yeon) 한국주거학회 2022 한국주거학회 학술대회논문집 Vol.33 No.2

Korea is facing a super-aged society, so an active response is urgently needed. Home modification for Elderly Households is a key point to reduce the burden of care for elderly families. In this study, the process of home modification of elderly households was explored using a survey and in-depth interview method targeting the families of the elderly with experience in public support projects. The first content of this survey is awareness of home modification, second, information collection process for home modification, third, planning of home modification and finally, evaluation of home modification. As a result of the survey, the awareness of home modification was high, and the method of collecting information was also highly preferred for community centers. In addition, the most frequent home modification was the bathroom, and the safe handles were installed. Finally, it was investigated that the overall effect felt by elderly families after home modification was high, and there were few difficulties in the process of implementing home modification. This study is meaningful in exploring the process of home modification of elderly households, but the limitation is that only reviewed the Jeonju-si area.

고령친화 주택개조 사업유형별 사업 수행 특성 연구 -중간개입자를 중심으로-

권오정,김서연,이용민 한국주거학회 2022 한국주거학회 논문집 Vol.33 No.6

The purpose of this study is to categorize age-friendly home modification projects currently underway in Korea according to the project contents, and to present an improvement plan for the implementation process and manpower that reflects the characteristics of the project by analyzing the actual status of the project. To this end, a survey was conducted on coordinators who had participated in age-friendly home modification projects, and some coordinators were selected to hear in-depth opinions and additional interview surveys were conducted. In this study, age-friendly home modification projects were divided into 3 types such as ‘Improvement of housing performance’, ‘Home modification for aging’, and ‘Home modification for discharged patient’. The following is a summary of the main research results shown in this study to suggest improvement plans for age-friendly home modification: 1) It is necessary to clearly set the purpose of age-friendly home modification projects and to develop a specialized age-friendly home modification project to fit the purpose. 2) It is necessary to clarify the role of coordinators and secure manpower. 3) It is necessary to provide formal and systematic education and data/information on age-friendly home modification. 본 연구는 현재 우리나라에서 진행 중인 고령친화 주택개조 사업을 사업내용에 따라 유형화하고, 이를 통해 사업 수행 실태를 분석하여 사업 특성을 반영한 실행과정 및 인력에 대한 개선방안을 제시하는 것을 목적으로 한다. 이를 위해 고령친화 주택개조 사업에 참여한 경험이 있는 중간개입자를 대상으로 설문조사를 실시하였으며, 심층적인 의견을 듣기 위해 일부 중간개입자를 선정하여 추가 인터뷰조사를 실시하였다. 본 연구에서는 고령친화 주택개조 사업을 '주택성능개선', '노화대응', '퇴원환자 대응'이라는 3가지 유형으로 나누었다. 본 연구에서 나타난 연구 결과를 정리하여 고령친화 주택개조를 위한 개선방안을 제시하면 다음과 같다. 1) 고령친화 주택개조 사업 목적을 명확히 설정하고, 목적에 맞게 특화된 고령친화 주택개조 사업이 필요하다. 2) 중간개입자의 역할을 분명히 하며 인력을 확보해야 한다. 3) 고령친화 주택개조에 대한 공식적이고 체계적인 교육 및 자료/정보를 제공해야 한다.

노인을 위한 주택개조 관련 산업 동향에 대한 고찰

권오정(Kwon, Oh-Jung),김동숙(Kim, Dong-Sook),이용민(Lee, Yong-Min) 대한건축학회 2016 대한건축학회논문집 Vol.32 No.5

This research has as an objective to examine industrial trends of the home modification industry for the elderly in Korea and Japan, thus investigated literatures on policies and situations regarding home modification in both countries. Through visits and interviews of the groups and organizations which are leaders in research and tasks in the field and through materials and information obtained from visits to fairs, it includes an analysis of current industries involved in home remodeling. As a result, most of Korea"s home modification products were relying on imports. In addition, home modification-related products provided by the long-term care insurance system were limited to handles and solutions for any unevenness caused by steps, which are categorized into equipment in this study. Therefore, they had a narrow product range and their development was slow. For this reason, the supply market related to home modification for the elderly was not being facilitated. In contrast with this, Japan was developing a variety of devices, equipment, and products related to home modification, which can guarantee the elderly"s independent life, by identifying a series of movements based on the elderly"s daily activities with a good understanding of their body and psychology with regard to the elderly"s home-based life. Moreover, while Japanese companies were actively participating in the development of home modification-related products, Korea"s relevant systems and policies remained inadequate, which hindered the research & development and investment of companies. This suggests that the Korean government should establish various governmental support systems and Korean companies should make active research & development efforts.

작업기반의 가정환경 수정 및 보조도구 제공 중재가 장애인의 일상생활활동 수행과 가정 내 위험요인에 미치는 영향

조예지,김희 대한작업치료학회 2018 대한작업치료학회지 Vol.26 No.3

목적 : 본 연구는 가정환경 수정 및 보조도구 제공이 장애인의 작업수행 및 일상생활활동 수행 수준과 가정 내 위험요인에 미치는 영향을 알아보고자 하였다 연구방법 : 지역사회에 거주하고 있는 장애인을 대상으로 만성질환으로 인해 뇌병변과 지체 장애 등급을 받은 8명을 대상으로 하였다. 캐나다작업수행측정을 통하여 가정 내 중요한 일상생활활동을 선정하고 작업 수행도와 만족도를 확인하였다. 가정 내 일상생활활동 평가를 통해 선정된 활동들의 독립성, 어려움, 안전성을 파악하고, 가정안전 자가 평가도구를 사용하여 가정 내 위험요소를 확인하였다. 가정환경 수정 및 보조도구 제공 중재 전·후의 장애인의 작업 수행도와 만족도, 일상생활활동 수행 수준과 가정 내 위험요인에 미치는 영향을 비교하기 위하여 Wilcoxon signed rank test로 분석하였다. 결과 : 가정 내 현관, 거실 및 침실, 주방, 욕실, 화장실 공간에서 작업 수행을 실시하는데 중요한 공간으로 선정 되었으며 가정환경 수정 및 보조도구 제공 후의 수행도와 만족도는 유의하게 증가하였다. 가정 내 일상생활활동 수행 수준에서는 독립성과 어려움 영역에서 유의한 차이를 보였으며, 가정 내 위험요소는 전반적으로 감소되었고 특히, 침실과 욕실에서 유의하게 감소하였다. 결론 : 다양한 질환을 가진 장애인을 중심으로 작업기반의 가정환경 수정과 보조도구 제공을 통하여 작업 수행 능력을 향상시켰고 가정 내 위험요소를 제거하였다. 장애인의 독립적인 역할을 유지하고 일상생활에서 능동적인 참여를 할 수 있는 기회를 제공할 수 있었다. 개인의 가정마다 적합한 중재를 제공하기 위해 다양한 평가도구 적용을 제안하고 보다 많은 작업 중심의 환경 수정이 이루어지기를 기대한다. Objective : This study was conducted to investigate the effects of home modification and intervention using assistive devices on occupational performance, activities of daily living performance and risk factor at home in people with disabilities. Methods : Eight participants diagnosed with cerebrovascular diseases and physical disabilities due to chronic diseases were included in this study. The Canadian Occupational Performance Measure(COPM) was used to identify important daily activities at home and confirm the performance and satisfaction of the activities. The Assessment of Home-based Activities(AHA) was utilized to identifythe importance, difficulty and safety scores of selective activities . The Home Safety Self-Assessment Tool(HSSAT) was used to identify risk factors at home. In order to compare the effects of home modification and intervention using assistive devices on occupational performance, activities of daily living and risk factors at home before and after the intervention, Wilcoxon signed rank test was conducted. Results : The front entrance, living room, bedroom, kitchen and bathroom were selected as important spaces to conduct occupational performance. After the intervention of home modification and assistive devices application, performance and satisfaction significantly increased. There was a significant enhancement in independence and difficulty in the level of activities of daily living at home, and the overall risk factors at home significantly decreased, especially in the bedroom and bathroom. Conclusion : The occupation-based home modification and intervention using assistive devices improved occupational performance of people with disabilities and reduced the risk factors at home. Researchers were capable of providing chances of maintaining independent role and participating in daily lives to people with disabilities. We suggest applying various assesment tools for each individual’s household and expect more occupation-based home modifications to happen.

농촌거주 시각장애인의 주택개조사례 과정을 통해 본 맞춤형 개조 방향도출연구

이연숙(Lee, Yeun-Sook),안소미(An, So-Mi),김민주(Kim, Min-Ju),현지원(Hyun, Ji-won) 한국실내디자인학회 2018 한국실내디자인학회논문집 Vol.27 No.2

There is a growing interest on and expansion of rights of people with disabilities. Among them, people with visual impairment show high adaptation to environments in comparison to people with other types of disabilities, thus a large percentage of them live in their own houses rather than residing in a care facility. According to the housing status of people with visual impairment, the ratio of their residence in rural areas is high. In rural areas people who have disabilities often live in poor residential environments, requiring much improvement. However, such improvement is too costly for them to pay, and home modification that does not fully consider the user, may cause less efficiency and another dangerous situation to people with disabilities. The purpose of this study is to delineate empirical lessons for direction of customized home modification for people with disabilities through analysis of process of home modification including the execution as a intervention. This study used qualitative method to examine and analyzed the entire customized home modification process. The conclusion of this study is as follows. First, home modification measures should be derived considering the suitability of the target building for the specific condition of residents. Second, discussions with various stakeholders from the early stage during which proper home modification measure is searched are essential for realizing appropriate customized home modification. This study has significance in that it provides the direction for customized home modification for people with disabilities as well as empirical data that could reduce trials and errors in the future.

고령친화 집수리 사례 연구 - 고령친화 및 개인맞춤형 주거환경 만들기 사업을 중심으로 -

이용민,정원재,김기영 한국부동산경영학회 2023 부동산경영 Vol.27 No.-

사례 분석 결과 첫째, 고령친화 집수리는 자립 노인, 반자립/반의존 노인 및 의존 노인 에 적합한 집수리 모델로 적합하다. 둘째, 고령친화 집수리 사업은 기존 집수리에서 적용하기 어려웠던 정리수납 서비스 연계, 온열 기구 설치, 입식 가구 설치를 포함하는 등 주 택의 물리적 환경과 거주자의 상황을 고려한 다양한 요소를 적용할 수 있었다. 셋째, 고령 친화 집수리 사업을 통해 고령자의 행위별 자립도가 전반적으로 향상된 것으로 나타났다. 이에 정책적 시사점은 다음과 같다. 첫째, 고령자의 노화에 대응하는 사후관리 차원의 주거환경개선뿐만 아니라, 안전사고를 예방하며, 현재와 같은 자립생활을 가능한 오랫동 안 지속할 수 있도록 하는 예방 차원의 집수리가 가능하다. 이는 노인들의 시설 입소를 지연하고 지역사회 내 계속 거주를 지원하여 궁극적으로 공적 부양 부담이 줄어들 수 있 다. 둘째, 고령자 행위를 기반으로 한 고령친화 집수리 항목 도출 과정이 노인을 대상으로 하는 집수리 사업에 적극적으로 적용되어야 하며, 이러한 행위분석을 기초로 한 향후 자 립도 외에 안전성, 편리성 등의 지표를 추가하여 집수리 사업 후의 효과와 의의에 대해 정교하게 살펴볼 필요가 있다. 마지막으로 집수리 후 1년 이후의 추적조사를 통해 지금 현장에서 적용되고 있는 집수리 항목들이 어떤 의미를 내포하는지 분석해볼 필요가 있다. The case analysis showed that, first, age-friendly home modification is a suitable home modification model for independent, semi-independent, and dependent seniors. Second, the age-friendly home modification project was able to apply various factors that took into account the physical environment of the house and the situation of the residents, such as connecting to organizing services, installing heating appliances, and installing standing furniture. Third, it was found that the independence of the elderly by behavior was generally improved through the age-friendly home modification project. The policy implications are as follows: First, it is possible to improve the housing environment not only as a reactive measure to respond to the aging of the elderly, but also as a preventive measure to prevent safety accidents and enable them to continue living independently for as long as possible. This can delay the need for institutionalization and support the elderly to remain in the community, ultimately reducing the burden on the public purse. Second, the process of deriving age-friendly home modification items based on the behavior of the elderly should be actively applied to home modification projects targeting the elderly, and it is necessary to elaborate on the effects and significance of home modification projects by adding indicators such as safety and convenience in addition to future independence based on such behavioral analysis. Finally, it is necessary to analyze the implications of the home modification items currently being applied in the field through a follow-up survey one year after home modification.

지역사회 지속 거주를 위한 노인가구의 주택개조 실태와 개선 요구 - 2020년 주거실태조사를 중심으로 -

황지혜,이현정,전은정 한국주거학회 2023 한국주거학회 논문집 Vol.34 No.2

This study aims to provide implications as basic data for seeking spatial alternatives for sustainable home-based elderly housing in the community and establishing policies by identifying the reality of housing modification and improvement needs of older adults households. The analysis data used the micro-data of Korea housing survey 2020, and the older adults household owners aged 65 or older who responded that they had experience in housing modification were targeted. As a result, older adults households of 'female and 'over 85 years of age' were found to be the most in need of support as both the awareness and use rate of home modification installation and housing support programs were lower than others. As the age increases, the proportion of home modification experience grows. Depending on whether or not there was a disability, older adults households with disabilities had a higher rate of home modification experience, but among them, 'non-registered disabled' households. Most of the home modification items were repaired in the kitchen and toilet- related facilities, 'lever-type faucet (faucet)', and 'a kitchen workbench of appropriate height' was the highest in order. On the other hand, 'emergency bells in the house' and 'auxiliary chair on the porch' showed the lowest rate. The necessary home modification was 'safe flooring for anti- slip', 'a toilet or bathroom support handles', 'emergency bells in the house', and 'removal of steps such as thresholds and stairs in the house' were higher than others. 'Male' older adults households were more aware of the housing support program than 'female' older adults. Even though home modification was the preferred program, it showed a low utilization rate. 본 연구는 노인가구의 주거수정 및 개선요구 실태를 파악하여 지역사회에서 지속가능한 주거기반 노인주거의 공간적 대안을 모색하고 정책 수립을 위한 기초자료로서 시사점을 제공하고자 하였다. 분석자료는 주거실태조사 2020의 마이크로데이터를 활용하였으며, 주택개조 경험이 있는 65세 이상의 고령자 가구를 대상으로 하였다. 그 결과 '여성', '85세 이상'의 노인가구는 주택개조 요구가 높았으나 실제 주택개조 설치 및 주거지원 프로그램에 대한 인식과 이용률이 모두 낮았다. 장애가 있고 연령이 높아질수록, 노인가구의 주택 개조 경험률이 높았졌으며 그중 '비등록 장애인' 노인가구가 가장 많았다. 주택개조 항목은 대부분 주방 및 화장실 설비와 관련된 것으로 '레버형 수전(수도꼭지)', '적절한 높이의 부엌 작업대' 순으로 높게 나타났다. 반면 '주택 내 응급 비상벨'과 '현관에 보조의자 설치'는 가장 낮은 비율을 보였다. 필요하다고 느끼는 주택개조 항목은 '미끄러짐 방지를 위한 안전한 바닥재', '화장실이나 욕실 지지대 손잡이', '주택 내 응급 비상벨', '문턱, 주택 내 계단 등 단차 제거' 등이 높게 나타났다. 주거지원 프로그램에 대하여 '남성' 노인 가구가 '여성' 노인 가구보다 인지도가 높았고, 주택개량·개보수 지원은 노인가구가 선호하는 프로그램이었으나 이용률은 낮았다.

노인의 주택 내 생활행위 수행을 위한 주택개조 패키지 사용성 평가

권오정,김동숙,이옥경,임지수 한국재활복지공학회 2018 재활복지공학회논문지 Vol.12 No.2

This paper explains the implementation of home modification by developing a home modification package technology targeting four owner-occupation elderlies to improve behaviors of daily living with difficulties in supporting an independent living inside the home. Moreover, this paper carried out the usability evaluation with a comparison between before and after the implementation in order to understand kinds of improvement happened by the home modification package technology. As a result, this paper assessed that there was an improvement in life behaviour with difficulties through the verifications of four cases. In addition, in terms of home modification components, there were improvements in development of products that had reflected colors, figures, and elderlies’ life habits. With some supplementation, the home modification package can be commercialized in the future. 본 연구는 노인의 주택 내에서의 자립적인 생활을 지원하기 위해 수행에 어려움이 있는 생활행위를 개선하고자 4명의 자택거주노인을 대상으로 맞춤형 주택개조 패키지를 개발하여 현재 거주하고 있는 주택에 개조를 실시하였다. 또한 어려움이 있는 생활행위 수행에 개선이 있었는지를 파악하기 위해서 주택개조 전·후를 비교한 사용성 평가를 실시하였다. 그 결과 노인4사례에서 대부분의 어려움이 있는 생활행위에 개선이 있었다고 평가하였다. 또한 주택개조요소에 대하여 색상과 형태, 노인의 생활습관을 반영한 제품 개발 등의 개선사항이 있었다. 이를 보완한다면 향후 상용화도 가능 할 것으로 보인다.