• Korean Journal of Social Welfare Studies
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• v.44 no.3
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• pp.31-56
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• 2013

The purpose of this study was to investigate the changes that family caregivers have experienced since using the Korean Long-Term Care Insurance(LTCI) system. In-depth interviews were conducted to determine how the services offered within the LTCI program had affected family caregiving and what changes they had incurred. Results from the qualitative content analysis show that the LTCI program significantly reduced the caregiving burden among family caregivers although burdens that family caregiver perceived varied greatly depending on the types of service that the family selected, and assigned family caregivers different identities and diverse roles(i.e., service user, family caregiver, certified care provider) depending on the service they use. The phenomenon of 'certified family care provider', which was not an intention of LTCI, demonstrates the practical need of elderly persons who require both care and the comfort of family and economic status of the family. Despite the positive impact of the LTCI policy on the family caregivers' burden and family relationship, the current LTCI system should be modified in order to better meet the needs of beneficiaries and their family caregivers.

• The Journal of the Korea Contents Association
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• v.21 no.4
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• pp.555-564
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• 2021

This study evaluates the social value orientation, well-being of the elderly and care needs of elderly that elderly care services are identified and seeks future service development directions through a desire survey. As of October 2019, 1,501 elderly living alone who used basic care services for the single elderly households for more than 3 months were sampled, and frequency analysis, technical statistical analysis, t-test, and variance analysis were conducted. The survey found that social value orientation averages 90.93, and the sense of well-being of the elderly is 71.29 points. As a result of the analysis of variance and post-hoc analysis, the well-being of the elderly was statistically significant in groups well aware of their social value orientation. In addition, key words such as "loneliness", "lonely Death", and "safety" were derived for concerns that may arise when the service is discontinued. Based on the results of this study, it could be used as basic data to explore the development direction of the new "elderly care services" and to establish a care system for senior citizens in preparation.

• 한국사회정책
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• v.25 no.3
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• pp.103-130
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• 2018

The study aims to analyse Korean Long-Term Care Insurance system in terms of caring justice on the premise that elder care should be included in discussions and policies of care. Caring justice means an ideal of equal sharing duties and rights of care by all citizens. Four dimensions of caring justice(decommodification, defamilialization, degenderization and elderly participation and power) were established for the analysis. The results of the analysis were presented that Korean Long-Term Care Insurance system was maintained by commodificated and gendered care services attempting defamilialization with the exclusion of elderly beneficiaries, which represented typical caring injustice. Policy suggestions were made to realize caring justice: improving the status of caring labour by achieving proper service price and public employment, reorganization of life cycle based caring system integrating children, disabled adults and elders, and developing user-centered long-term care system to guarantee participation and choice of people in caring relationships.

• 한국사회정책
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• v.23 no.1
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• pp.227-256
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• 2016

This study examines whether formal home care has led to a reduction in family member's allocation of time to care of elderly and changing the allocation of other time: informal care, market work, leisure, etc. Long-term care for the elderly is not the entire burden of elderly families anymore due to the increasing of the formal home care service for elderly since mid-2000's. This study uses triple difference(DDD) methods for evaluating policy reforms when reforms are equally and nation-wide accessible and analyzes data from the 2004 and 2009 Time Use Survey Data of the National Statistical Office in Korea. The treatment group is composed of the families of the elderly who need care and low- and middle- income family. Controlling for demographic characters, the three-way interaction term has statically significant and negative impact on care time of family members in treatment group statistically significant. The results reveal that the policy changes in elderly home care service affect time allocation of family members with old adults, which decreases caregiving time in a daily life. This result becomes apparent when we limit the case of women. But the level of reduction is not enough to change other kinds of time-informal care, market work, leisure, etc. The results indicate that formal home care for the elderly can reduce the burden of caregiving in families, but only minimally.

• Journal of Society of Preventive Korean Medicine
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• v.27 no.1
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• pp.29-42
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• 2023

목적 : 노인 인구가 급격히 증가하면서 노인 돌봄에 대한 관심이 높아지고 있다. 본 연구의 목적은 한국, 일본, 대만, 중국의 노인들을 위한 지역사회 돌봄 시스템을 비교하는 것이다. 방법 : 본 연구는 PubMed를 포함한 다양한 데이터베이스를 사용하여 4개국의 커뮤니티 케어 시스템을 파악했다. 검색은 지역사회 돌봄, 통합 돌봄, 노인 돌봄 등 다양한 용어를 사용해 이뤄졌으며 연구는 제외 및 포함 기준에 따라 식별되었다. 결과 : 본 연구에는 총 77개의 연구가 포함되었다. 이 연구는 4개국의 지역사회 돌봄체계를 분석했다. 그리고 의료정책에 초점을 맞춰 "퇴원지원"과 "방문의료"의 시스템과 운영사례를 비교하였다. 결론 : 지역사회 돌봄에서 적절한 한의 홈 헬스케어 서비스를 제공하기 위해서는 한의사에 대한 인식 제고와 예산 증액이 필요하며, 본 연구는 향후 보다 발전된 노인돌봄정책 수립에 활용될 수 있다.

• 한국노년학
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• v.40 no.4
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• pp.577-598
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• 2020

As the socialization of care is progressing rapidly, the necessity of community-level mental health intervention for older adults with severe social isolation and depression is also increasing. In line with the reorganization of the Individualized Support Services for Older Adults in 2020, the social relations revitalization project for the elderly living alone, which had been conducted as a pilot project in 2014~19, was expanded and reorganized into a separate specialized project within the Individualized Support Services for Older Adults. The purpose of this study is to enhance understanding of the specialized service and to clarify its conceptual framework. The characteristics and conceptual framework of the specialized service were examined through a review of the process of institutionalization of the specialized service, which included analysis of related literature and the pilot projects. Finally, it discussed what to consider in order for the specialized service to proceed as intended in the future, focusing on a couple of situations that occur at the fields.

• Journal of Convergence for Information Technology
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• v.11 no.9
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• pp.50-57
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• 2021

The purpose of this study was to typology the integrated care needs of communitydwelling elderly, explore the socio-demographic characteristics of each type, and determine their effects on depression. The secondary data analyses using the 2017 National Survey of the elderly were conducted. The research results are as follows: First, as a result of typology patterns of care needs of the elderly based on the number of chronic diseases, ADL/IADL, dwelling satisfaction, social activities, and social support networks, three clusters were derived; 'low care needs group (LCN), 'high social needs group (HSN)' and 'complex care needs group (CCN)'. Second, compared to HSN, CCN was characterized by older, women, low educational level and urban residence. Third, the level of depression in LCN was lower than that of the HSN, and the depression level of CCN was higher. The practical and policy implications of the results were discussed.

• Journal of Digital Convergence
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• v.17 no.6
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• pp.267-277
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• 2019

The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.254-263
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• 2020

The purpose of this study is to verify whether there is a mediating effect of social integration in the relationship between the elderly's change of life and satisfaction of care service through the 'Donation Bank of Social Contribution Activities'. The ultimate aim is to improve social values and the quality of life of the senior citizens. In order to achieve the purpose of this study, a survey was conducted focusing on senior citizens using care services from 50 institutions performing Care Bank activities and data of 434 people were finally used for analysis. For the analysis method, frequency analysis, descriptive statistics, correlation analysis and hierarchical regression analysis were applied by using SPSS 25 package program. As a result of the analysis, it was found that the life changes of caring elderly had a significant effect on satisfaction of care service. In addition, the social integration had a statistically significant mediating effect on the relationship between the elderly's change of life and satisfaction with care service. Based on these findings, practical and policy alternatives were discussed to improve the quality of life of senior citizens, and to enhance social integration and satisfaction with care services.

• Journal of Korea Entertainment Industry Association
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• v.14 no.1
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• pp.179-186
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• 2020

The purpose of this study is to examine the factors affecting the satisfaction of elderly care service in the elderly living alone and to provide basic data for the improvement of the satisfaction of elderly care service. The subjects of this study were 301 elderly people aged 65 or older who were receiving care services for the elderly in J city, Chungbuk province. Multiple regression analysis was conducted to examine the influencing factors. The results of this study showed that the factors affecting the satisfaction of elderly care service of the elderly living alone were the manager factor, service factor, institutional factor, and income level. This shows that the higher the life manager, service factor, and institution factor, and the elderly living alone with low income level, the higher the satisfaction of the elderly care service. Especially, the factors of life manager had the greatest effect on the satisfaction of elderly care service, followed by institutional factors and service factors. Based on these results, policy proposals are as follows: First, improvement of professionalism and treatment of life managers, second, professional and systematic service support and strengthening of social safety net, and third, improvement of appropriateness, accessibility and persistence for quality improvement of elderly care service.