산업융합연구 (Journal of Industrial Convergence)

대한산업경영학회 (DAEHAN Society of Industrial Management)
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재가방문요양 서비스 제공과정에서 겪는 불신경험에 관한 연구: 시설운영자 관점을 중심으로

Study on the Experience of Unbelief in the Process of Providing Home Visiting Care Service: Focusing on the perspective of the Facility Director

  • 김준숙 (A+과천행복노인복지센터) ;
  • 김지혜 (성결대학교 일반대학원) ;
  • 김정미 (성결대학교 일반대학원) ;
  • 박미영 (성결대학교 일반대학원) ;
  • 임병우 (성결대학교 사회복지학과)
  • Jun-Suk Kim (A+ Gwacheon Happiness Elderly Welfare Center) ;
  • Ji-Hye Kim (Dept. of Social Welfare, Graduate School of General, SungKyul University) ;
  • Jung-Mi Kim (Dept. of Social Welfare, Graduate School of General, SungKyul University) ;
  • Mi-Young Park (Dept. of Social Welfare, Graduate School of General, SungKyul University) ;
  • Byung Woo Lim (Dept. of Social Welfare, SungKyul University)
  • 투고 : 2023.08.17
  • 심사 : 2023.10.20
  • 발행 : 2023.10.28
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초록

본 연구는 귀납적 내용분석을 통하여 재가방문요양기관의 시설장이 겪고 있는 수급자와 보호자의 재가방문요양 서비스에 대한 불신경험을 토대로 심층적 접근을 하여 재가방문요양기관이 겪고 있는 위기와 서비스 질의 저하 및 노인장기요양보험제도와 기관에 대한 불신 현상을 살펴보고자 하였다. 재가방문요양 서비스를 제공하고 있는 기관의 시설장 5명을 대상으로 FGI를 실시하여 인터뷰 내용을 전사한 후 귀납적 내용분석을 하였다. 그 결과 서비스의 질 저하, 제도 및 기관에 대한 불신, 장기요양기관 운영의 애로사항이라는 중심현상을 발견하였다. 본 연구를 토대로 재가방문요양 서비스의 질을 향상시키고 요양보호사와 기관에 대한 신뢰를 구축하기 위해 첫째, 재가협회나 재가방문요양기관 운영법인은 요양보호사와 사회복지사의 역량강화를 위한 신규 교육프로그램 계획과 매뉴얼을 개발해야 한다. 둘째, 국민건강보험공단의 실효적인 모니터링 시스템과 요양보호사의 전문성 관리 체계를 구축하여야 한다. 셋째, 요양보호사의 역할, 전문성, 권리 등의 인식개선 운동이 필요하며 넷째, 장기요양서비스의 질 저하 원인인 요양보호사의 이직률을 낮추기 위해 요양보호사의 근무처우에 대한 개선방안이 요구된다.

Through inductive content analysis, this study sought to examine the crisis experienced by the institution, the quality of service, and the distrust of the system and institution based on the experience of distrust in the home-visiting care service of bbeneficiary and guardians. FGI was conducted on five managers of institutions that provide home-visiting care services. As a result, the central phenomenon was found: deterioration of service quality, distrust of systems and institutions, and difficulties in opera-ting long-term care institutions. In order to improve the quality of home-visited care services and build trust in care workers and institutions, first, home-based associations or operating corporations should develop new education program plans and manuals to strengthen the capabilities of care workers and social workers. Second, the NHIS's monitoring system and the professional management system of care workers should be established. Third, it is necessary to improve awareness of the role, expertise, and rights of care workers, and fourth, improvement measures are required to reduce the turnover rate of care workers, which is the cause of the deterioration of the quality of long-term care services.

키워드

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