한국전문물리치료학회지 (Physical Therapy Korea)

  • 제29권2호
  • /
  • Pages.94-105
  • /
  • 2022
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

한국과 일본의 노인 대상 지역사회 재활서비스 비교 연구: 노인장기요양보험 제도를 중심으로

Comparison of Community Rehabilitation Services for the Elderly in South Korea and Japan: Focusing on the Long-Term Care Insurance System

  • 이민영 (국립재활원 재활연구소 건강보건연구과)
  • Lee, Minyoung (Department of Healthcare and Public Health Research, National Rehabilitation Research Institute, Ministry of Health and Welfare)
  • 투고 : 2022.04.05
  • 심사 : 2022.04.22
  • 발행 : 2022.05.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

키워드

참고문헌

  1. Choi SE. Long-term care insurance for the elderly and financial policy for senior care in the aging society. Korea Institute of Public Finance [Internet]. Sejong: 2022 Feb 15 [cited 2022 Mar 30]. Available from: https://www.kipf.re.kr/kor/Publication/All/kiPublish/ALL/view.do?serialNo=526759.
  2. Ministry of Health and Welfare. The long-term care act of South Korea. Ministry of Health and Welfare [Internet]. Sejong: 2021 Jul 27 [cited 2022 Mar 30]. Available from: https://www.law.go.kr/LSW/lsInfoP.do?efYd=20220128&lsiSeq=234301#0000.
  3. Statistics Korea. 2021 statistics on the aged. Korean Statistical Information Service [Internet]. Daejeon: 2021 Sep 29 [cited 2022 Mar 30]. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=403253.
  4. Ministry of Health and Welfare. "Providing social services centered on home and local communities" full-scale promotion of community care. Ministry of Health and Welfare [Internet]. Sejong: 2018 Mar 12 [cited 2022 Mar 30]. Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344177.
  5. Ministry of Health and Welfare. 「Community integrated care」, the first step in 8 local governments. Ministry of Health and Welfare [Internet]. Sejong: 2019 Apr 4 [cited 2022 Mar 30]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=3&CONT_SEQ=348925&SEARCHKEY=TITLE&SEARCHVALUE=%ED%86%B5%ED%95%A9%EB%8F%8C%EB%B4%84.
  6. Ministry of Health and Welfare. Community integrity care (community care). Korea.kr [Internet]. Sejong: 2021 Nov 17 [cited 2022 Mar 30]. Available from: https://www.korea.kr/special/policyCurationView.do?newsId=148866645.
  7. Yi CH, Weon JH, Ok JY. House visits by physical therapist and patient needs. Phys Ther Korea 2000;7(1):64-78.
  8. Yang YA, An SJ, Park YH, Park BR, Heo J, Park JS, et al. A study of visiting rehabilitation service and implementation method. J Korean Aging Health Friendly Policy Assoc 2011;3(1):59-70.
  9. Kwon HJ, Kim YK, Moon TS, Hwang SS, Lee KJ. Research to the recognition and the need of development for proper insurance costs for home physical therapy, visiting physical therapy and school of physical therapy. J Korean Phys Ther Sci 2013;20(1):27-35.
  10. Jung DI, Kim CK, Ko DS. The survey of awareness and necessity on introduce home physical therapy in the long-term care insurance. J Korea Contents Assoc 2014;14(6):298-306. https://doi.org/10.5392/JKCA.2014.14.06.298
  11. Ministry of Health and Welfare. Notification on the designation and operation of rehabilitation medical institutions. Ministry of Health and Welfare [Internet]. Sejong: 2019 Aug 30 [cited 2022 Mar 30]. Available from: http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&CONT_SEQ=350647.
  12. Ministry of Health, Labour and Welfare. The long-term care act. e-Gov Law Search [Internet]. Tokyo: 2021 [cited 2022 Mar 30]. Available from: https://elaws.e-gov.go.jp/document?lawid=409AC0000000123.
  13. Ministry of Health, Labour and Welfare. Outline of long-term care insurance system. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/hukushi_kaigo/kaigo_koureisha/gaiyo/index.html.
  14. Ota H, Takeuchi T. Current status and issues of regional rehabilitation activities. Jpn J Rehabil Med 1993;30(2):91-112. https://doi.org/10.2490/jjrm1963.30.91
  15. Ministry of Health, Labour and Welfare. Act on social welfare for the elderly. e-Gov Law Search [Internet]. Tokyo: 2020 [cited 2022 Mar 30]. Available from: https://elaws.e-gov.go.jp/document?lawid=338AC0000000133_20210401_502AC0000000052.
  16. Ministry of Health, Labour and Welfare. Geriatric health law. e-Gov Law Search [Internet]. Tokyo: 2020 [cited 2022 Mar 30]. Available from: https://elaws.e-gov.go.jp/document?lawid=338AC0000000133_20210401_502AC0000000052.
  17. Ministry of Health, Labour and Welfare. The direction of elderly rehabilitation. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2014 Sep 29 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/shingi2/0000059463.html.
  18. Ministry of Health, Labour and Welfare. Report of a new rehabilitation study group for the elderly in the community. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2015 Mar [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/shingi2/0000081906.html.
  19. Long-term Care Benefit Subcommittee of Social Security Council. Fact-finding on rehabilitation in chronic phase. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2014 Jul 16 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/shingi/0000051721.html.
  20. Japan Association for Day Care. Research project on the way of existence of outpatient rehabilitation and visit rehabilitation, considering the purpose of them. Japan Association for Day Care [Internet]. Tokyo: 2019 Feb 3 [cited 2022 Mar 30]. Available from: https://day-care.jp/about/about06.
  21. Ryu SK. A comparative study on public long term care insurance in Korea-Japan. J Korean Assoc Mod Jpn 2008;22:233-48.
  22. Lee KJ. A study on the policy network of long-term care insurance for the elderly - a comparative study of policy process stage between Korea and Japan -. Korean Soc Secur Assoc 2009;2009(2):151-83.
  23. Kim DJ, Yang YA. A study of Korean elderly health care system and it's improvement plan. J Korean Aging Health Friendly Policy Assoc 2012;4(2):1-7.
  24. Kim S, Iwata J, Yoo J. Challenges that Korea's long-term care insurance faces and setting directions moving forward: research on the history of Japan's social security scheme. J Korean Long Term Care 2019;7(2):19-44. https://doi.org/10.32928/TJLTC.7.2.2
  25. Oh MH. Comparative study of after effect of the act on long-term care insurance for aged between Korea and Japan. J Korean Long Term Care 2014;2(1):54-86.
  26. Shinjuku City Long-term Care Insurance Division. Guidebook for long-term care insurance. Tokyo: Shinjuku City Long-term Care Insurance Division; 2018.
  27. Ministry of Health and Welfare. Welfare of senior citizens act. Ministry of Health and Welfare [Internet]. Sejong: 2021 Dec 21 [cited 2022 Mar 30]. Available from: https://www.law.go.kr/LSW/lsInfoP.do?efYd=20220322&lsiSeq=238097#0000.
  28. Ministry of Health and Welfare. Enforcement decree of the long-term care insurance act. Ministry of Health and Welfare [Internet]. Sejong: 2021 Dec 21 [cited 2022 Mar 30]. Available from: https://www.law.go.kr/LSW/lsInfoP.do?efYd=20220101&lsiSeq=238121#0000.
  29. Ministry of Health and Welfare. Announcement on standards for providing long-term care benefits and method of calculating benefit costs. Ministry of Health and Welfare [Internet]. Sejong: 2018 Dec 26 [cited 2022 Mar 30]. Available from: https://www.law.go.kr/LSW/admRulInfoP.do?admRulSeq=2100000174636.
  30. Long-term Care Benefit Subcommittee of Social Security Council. Home-visit rehabilitation. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Aug 19 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_13021.html.
  31. Long-term Care Benefit Subcommittee of Social Security Council. Home-visit nursing. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Aug 19 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_13021.html.
  32. Long-term Care Benefit Subcommittee of Social Security Council. Outpatient rehabilitation. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Jul 20 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_12499.html.
  33. Long-term Care Benefit Subcommittee of Social Security Council. Long-term care health facility. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Aug 27 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_13082.html.
  34. Long-term Care Benefit Subcommittee of Social Security Council. Outpatient day long-term care. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Jul 20 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_12499.html.
  35. Long-term Care Benefit Subcommittee of Social Security Council. Short-term admission for daily life long-term care. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Jul 20 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_12499.html.
  36. Long-term Care Benefit Subcommittee of Social Security Council. Short-term admission for recuperation. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Jul 20 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_12499.html.
  37. Long-term Care Benefit Subcommittee of Social Security Council. Daily life long-term care admitted to a specified facility. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Jul 8 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_12239.html.
  38. Long-term Care Benefit Subcommittee of Social Security Council. Long-term care welfare facility for the elderly. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Aug 27 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_13082.html.
  39. Long-term Care Benefit Subcommittee of Social Security Council. Integrated facility for medical and long-term care. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2020 Aug 27 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_13082.html.
  40. Ministry of Health, Labour and Welfare. Actual statistics such as long-term care benefits expenses. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2019 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/toukei/saikin/hw/kaigo/kyufu/18/index.html.
  41. Long-term Care Benefit Subcommittee of Social Security Council. Research related to verification of the effect of revision of long-term care fees. Ministry of Health, Labour and Welfare [Internet]. Tokyo: 2021 Mar 24 [cited 2022 Mar 30]. Available from: https://www.mhlw.go.jp/stf/newpage_17054.html.
  42. Ministry of Health and Welfare. Enforcement rule of the welfare of senior citizens act. Ministry of Health and Welfare [Internet]. Sejong: 2019 Jul 5 [cited 2022 Mar 30]. Available from: https://law.go.kr/LSW/lsInfoP.do?lsiSeq=209853&viewCls=lsRvsDocInfoR#.
  43. Statistics Korea. Long-term care insurance statistics. Korean Statistical Information Service [Internet]. Daejeon: 2019 [cited 2022 Mar 30]. Available from: https://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01&outLink=Y&entrType.
  44. Ministry of Health, Labour and Welfare. The act of totally reservation of medical care and nursing care. e-Gov Law Search [Internet]. Tokyo: 2021 [cited 2022 Mar 30]. Available from: https://elaws.e-gov.go.jp/document?lawid=401AC0000000064_20220201_503AC0000000049.
  45. Moon Y. Analysis of issues related to policy changes of elderly care for long-term care insurance. HSS21 2021;12(5):2201-14. https://doi.org/10.22143/HSS21.12.5.155