한국의 공공복지 전달체계 개편실험의 성과분석 : 보건복지사무소 시범사업을 중심으로 = An Analysis of the demonstration project of the health and welfare office

다국어 초록 (Multilingual Abstract)

Recently, there have been much dabate over how to reform the existing social welfare delivery system into the more effective one in Korea. Out of this delete, the demonstration project of the health and welfare offices has been implemented in 5 counties since 1995. In the process of this project, the offices have been evaluated in terms of various aspects: their effectiveness and efficiency, integrity of health services and social services in each office, the accessibility of services, and the organizational structures of the offices. This paper aimed at exploring the processes of the demonstration project, reviewing the evaluation results, and raising some critical issues over the reform of the welfare delivery system that policy-makers should take into account. To achieve these aims, the three main items were explored: the validity and feasibility of the goal, that is providing the effective services through the linkage between health and social services; the adequacy of policy implementation tools, health and welfare offices, that is the new agencies to provide integrated services the gains and losses resulted from the demonstration project; and what are the long-term issues developed from the overall processes which have changed the delivery system. From these explorations, I concluded that the critical issues related to the reform of the welfare delivery system are as follows: first, what are the tasks of the welfare delivery system in the public realm as opposed to the one in the voluntary realm, and how much specialty we should expect from the public delivery system. To answer these questions, we should define exactly what we can do through the social work practices in this country; second, which roles we should impose on the Korean social workers who are perplexed from the conflict between the expected roles and their inferior work environments; and third, through what processes we should integrate health services and social services. For this, it is important to search the flexible linkage of health and social services rather than to merge separate agencies into the awkardly united agency.