제5차 재활중기계획에 대한 평가 및 개선방안

목차 (Table of Contents)

• 제1장 서론 ······································································································· 1
• 1. 연구배경 및 목적 ········································································································ 3
• 1) 연구배경 ······························································································································· 3
• 2) 연구목적 ······························································································································· 4
• 2. 연구내용 및 방법 ········································································································ 4
• 1) 연구내용 ······························································································································· 4
• 2) 연구방법 ······························································································································· 5
• 3. 연구수행체계 ·············································································································· 6
• 4. 연구 분석틀 ·················································································································· 7
• 5. 연구 기대효과 및 활용방안 ······················································································ 7
• 1) 기대효과 ······························································································································· 7
• 2) 활용방안 ······························································································································· 8
• 제2장 산재노동자 및 재활서비스 현황 ······················································ 9
• 1. 산재노동자 현황 ········································································································ 11
• 1) 산업재해 현황··················································································································· 11
• 2) 요양종결자 현황 ··············································································································· 14
• 2. 재활서비스 현황 ········································································································ 16
• 1) 의료재활 서비스 현황····································································································· 16
• 2) 직업재활 서비스 현황····································································································· 21
• 3) 사회재활 서비스 현황····································································································· 29
• 3. 재활사업 예산 및 집행 현황 ·················································································· 34
• 제3장 재활중기계획의 발전과 변화 ························································ 37
• 1. 재활중기계획에 따른 재활의 변화추이 ································································· 39
• 2. 재활영역별 재활중기계획 추진전략의 변화 ························································· 41
• 1) 의료재활 ····························································································································· 41
• 2) 직업재활 ····························································································································· 43
• 3) 사회재활 ····························································································································· 44
• 4) 재활사업 인프라 ··············································································································· 45
• 제4장 국외 산재노동자의 재활서비스······················································ 47
• 1. 미국 ····························································································································· 49
• 1) 오리건 주의 산재노동자 재활 ························································································ 50
• 2) 캘리포니아 주의 산재노동자 재활················································································ 50
• 3) 시카고 재활병원 ··············································································································· 52
• 4) 주요 재활 서비스 ············································································································· 52
• 2. 독일 ····························································································································· 53
• 1) 의료재활 ····························································································································· 54
• 2) 직업재활 ····························································································································· 57
• 3) 사회재활 ····························································································································· 58
• 3. 일본 ····························································································································· 59
• 1) 사회복귀촉진사업 ············································································································· 60
• 2) 재해노동자등 원호사업···································································································· 61
• 제5장 재활에 대한 수요자 인식 분석 ······················································ 65
• 1. 분석개요 ····················································································································· 67
• 2. 대상자의 일반적 현황 ······························································································ 67
• 3. 자료분석 결과 ············································································································ 69
• 1) 재활서비스(직업재활, 사회재활) 이용 현황 ································································· 70
• 2) 서비스 확대 희망 분야··································································································· 71
• 3) 서비스 이용 시 걱정되는 점 ·························································································· 72
• 4) 서비스 필요성 인식 ········································································································· 73
• 4. 소결 ····························································································································· 76
• 1) 결과 요약 ··························································································································· 76
• 2) 시사점 ································································································································· 77
• 제6장 재활중기계획에 대한 공급자 인식 조사 ······································ 79
• 1. 조사개요 ····················································································································· 81
• 2. 조사대상자의 일반적 현황 ······················································································ 82
• 3. 조사분석 결과 ············································································································ 84
• 1) 제5차 재활중기계획에 대한 평가 ·················································································· 84
• 2) 의료재활에 대한 인식 및 평가 ······················································································ 87
• 3) 직업재활에 대한 인식 및 평가 ······················································································ 93
• 4) 사회재활에 대한 인식 및 평가 ···················································································· 101
• 5) 성과평가 및 인프라 에 대한 인식 및 평가······························································ 108
• 4. 소결 ··························································································································· 112
• 1) 결과 요약 ························································································································· 112
• 2) 시사점 ······························································································································· 113
• 제7장 의료재활사업 평가 ········································································· 115
• 1. 의료재활계획 개요 ·································································································· 117
• 1) 산재보험 재활중기계획에서의 의료재활···································································· 117
• 2) 제5차 산재보험 재활중기계획 내 의료재활 ······························································ 123
• 2. 의료재활계획 전체 평가 ······················································································ 125
• 1) 전략방향 ··························································································································· 125
• 2) 목표 ································································································································ 125
• 3) 전략 및 실행과제 ········································································································· 126
• 3. 의료재활 세부사업 평가 ························································································ 128
• 1) 전문재활치료 강화 ········································································································· 128
• 2) 산재병원의 재활치료 기능 강화·················································································· 166
• 3) 스마트한 요양서비스 체계 구축·················································································· 186
• 4. 소결 ··························································································································· 205
• 제8장 직업재활사업 평가 ········································································· 207
• 1. 직업재활계획 개요 ·································································································· 209
• 2. 직업재활계획 전체 평가 ························································································ 210
• 1) 전략방향 ··························································································································· 210
• 2) 목표·································································································································· 211
• 3) 전략 및 실행과제 ········································································································· 212
• 3. 직업재활 세부사업 평가 ························································································ 213
• 1) 원직복귀 지원 강화 ······································································································· 213
• 2) 산재장해인 고용지원제도 혁신···················································································· 226
• 3) 취업역량 강화를 위한 직업훈련 고도화 ···································································· 237
• 4. 소결 ··························································································································· 250
• 제9장 사회재활사업 평가 ········································································· 253
• 1. 사회재활계획 개요 ·································································································· 255
• 2. 사회재활계획 전체 평가 ························································································ 256
• 1) 전략방향 ··························································································································· 256
• 2) 목표 및 추진과제 평가································································································· 258
• 3) 효과 평가 ························································································································· 260
• 3. 사회재활 세부사업 평가 ························································································ 262
• 1) 사회참여를 위한 신규 사회재활서비스 도입 ···························································· 262
• 2) 합병증 예방 등 건강한 삶 지원 강화 ······································································ 269
• 3) 쉽고 간편하게 이용할 수 있는 사회재활서비스 제공············································· 276
• 4. 소결 ··························································································································· 286
• 제10장 결론 및 제언 ················································································ 289
• 1. 제5차 재활중기계획 총평가 ················································································ 291
• 1) 의료재활 ························································································································· 291
• 2) 직업재활 ··························································································································· 294
• 3) 사회재활 ························································································································· 298
• 2. 제6차 재활중기계획에 대한 제언 ········································································ 301
• 1) 의료재활 ························································································································· 301
• 2) 직업재활 ························································································································· 305
• 3) 사회재활 ························································································································· 306
• 4) 재활인프라 ······················································································································· 315
• 참고문헌 ························································································································· 317
• <부록> 1. 설문지 ···················································································································· 319
• 2. 의료재활 FGI 조사결과 ························································································· 329