거버넌스적 관점에서 본 노인복지서비스 전달체계에 관한 연구 = (A)study of the delivery system of the welfare service for the aged from the view of governance

다국어 초록 (Multilingual Abstract)

Our country is already a graying society, but the provisions for the elderly is very insufficient to the real situation. The problems of the aged are becoming more and more severe by the sudden changes of society and its need for cooperative provisions in the spheres of economical, social, cultural and medical activities. These changes of environment emphasize the importance for a welfare service for the elderly which is aged still more on the grounds of the idea of normalization, a local society protection and integration of society. As the second amendment of the Law on the Welfare of the Aged in 1993 states: to make a validity of the welfare service for the aged higher, policy has been changed from the support from country based welfare of equipment to the service activating the functions of market and family.
At this time the welfare service for the aged is being transferred to local government business, it looks meaningful to diagnose and review the present condition and generally address issues. Particularly, delivery system of service is recognized as the very important factor to raise the efficiency and effect. With limited resources of service in order to deliver so that beneficiaries can feel the greatest satisfaction we have to construct the good delivery system of welfare environment. In the state of insufficient welfare funds it is limited in providing good quality welfare service, so we try to illuminate the delivery system of the welfare service for the aged from the view of Governance.
Besides for filling the basic needs, having healthy and cultural life for the aged and maintenance of integration of society we try to bring review the significance and suitability of the delivery system of governance into focus in this study. Accordingly we set the range since 1995 the self-governing system was carried out in and target the city of Donghae in which citizens' groups related with the welfare service of the aged have been formed with a much higher density of population compared to large scale metropolitan cities. As the method of study we took the individual interview and used open-ended, in-depth interview method and a semi-structured interview schedule in quality. The text is composed all of five chapters and the first chapter described the purpose, targets, range and method of study. The second chapter constructed the analysis frame of the delivery system of the welfare service of the aged by searching a large number of documentary records and studies on a theoretical basis. The third chapter grasped the actual condition of the delivery system of the welfare service of the aged. The fourth chapter studied about improving plans for suitability of the delivery system of the welfare service of the aged. Finally, conclusions were made in the fifth chapter.
In consequence, the study emphasized while logical and practical theories to solve the welfare problems of aged are being developed, such the discussions are saying about the role of not the government and family but rather the role of others; the civil society and market. This suggested the small-government-centered paradigm. For the question about whether this discussion of the welfare for the aged can have suitability in actuality or, in reality, help us make up the welfare problems of the aged, we materialized the whole of the delivery system of the welfare service of the aged by binding with one theoretical frame; governance and examined the problems appearing in the delivery system through the case study critically.
Upon seeing the case analysis of the delivery system of the welfare service of the aged in small towns, in Korea, it was determined that the government, market and civil society are all important factors which all have limits, and the interaction between these factors are not harmonized either. In the relationship between the local and central government, there is no self-regulation, and there is difficulty in the communication and control because the ministries and offices providing welfare services are scattered. In the case of small towns, the participations of companies and hospitals are not properly made out, there are a lot of difficulties to provide good health care and medical service or to find supporters. The civil society also does. In this respects, the efforts expanding too much weight on market and civil society on solving the welfare problems of the aged are very unrealistic.
With the changing course of population composition in Korean society, the burden of a local autonomous entity for the welfare of the aged will be not able to help becoming bigger because the number of the aged is larger closing to the non-National Capital region. Therefore, it is so dangerous for us to think that we have to expand relative importance of markets and civil society to find practical prescription. The governance type expanding relative importance of market and civil society is not significant. By analysing the delivery system of the welfare service of the aged it is a desirable thing to have an alternative plan on the place to activate the collectivity rather than through the revitalization of the business relations among the government, market and civil society.

목차 (Table of Contents)

• 목 차
• 제Ⅰ장 서론 ························ 1
• 제1절 문제의식 및 연구목적 ··············· 1
• 제2절 연구의 범위와 방법 ················ 4
• 제Ⅱ장 노인복지서비스 전달체계의 이론적 논의······· 8
• 제1절 노인복지서비스전달체계의 개념 정립 ········ 8
• 1. 노인복지서비스전달체계의 개념·············· 8
• 2. 노인복지서비스전달체계의 주요원칙··········· 11
• 제2절 노인복지서비스전달체계에 관한 거버넌스적 접근··· 17
• 1. 선행연구 검토···················· 17
• 2. 거버넌스의 의의···················· 24
• 3. 거버넌스적 노인복지이론 ·············· 31
• 4. 거버넌스적 전달체계 유형과 구성요소········· 41
• 1) 이론적 모형 ·················· 41
• 2) 구성요소들간의 전달체계 및 관계적 특성········ 44
• 3) 지역 노인복지서비스 전달체계의 선택논리······· 66
• 4) 거버넌스적 전달체계 유형············ 81
• 제3절 연구 분석 틀·················· 87
• 제Ⅲ장 동해시 노인복지서비스 전달체계의 사례연구 ···· 89
• 제1절 노인복지서비스의 개요············ 89
• 1. 동해시 노인인구의 특성·············· 89
• 2. 노인보건복지의 예산·············· 93
• 3. 노인복지관련시설·기관 현황··········· 101
• 제2절 노인복지서비스 전달체계의 유형별 사례····· 103
• 1. 제 1 유형 (정부운영전달체계)·········· 104
• 2. 제 2 유형 (비영리민간활용·운영전달체계)······ 122
• 3. 제 3 유형 (영리민간활용전달체계)········ 145
• 4. 제 4 유형 (비영리·영리민간파트너십전달체계)····· 148
• 제3절 노인복지서비스 전달체계의 선택논리········ 166
• 제4절 노인복지서비스 전달체계의 문제점 ········ 172
• 1. 노인복지서비스 전달체계의 유형별 문제점········ 173
• 2. 노인복지서비스 전달체계의 공통된 문제점······· 181
• 제Ⅳ장 노인복지서비스 전달체계의 적합성 제고 방안··· 184
• 제Ⅴ장 결 론 ······················ 194
• 참고문헌 ························ 197
• 면접질문지 ······················· 215
• Abstract ························· 219