• Review of Korea Contents Association
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• v.14 no.3
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• pp.20-24
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• 2016

• 한국노년학
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• v.36 no.3
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• pp.673-691
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• 2016

As the provision of long-term care policy takes root and with a gradual increase in elderly population, the use of elderly care service has become a growing norm. More than ever, there exists an urgent need for a paradigm shift in the building of an institutional basis for the improvement of care service, from the prevalent practice of 'need based service' toward the concept of 'human rights based service'. A great focus is being shed on care-workers, at the 'front line' of advocating human rights, as their human rights advocacy behaviour is seen as a key variable in providing high quality care service for elders. This study aims to examine how care-workers' individual human rights awareness levels, and the influence of their respective organizations, as an environmental factor, affect their human rights advocacy behaviour. The study includes a comprehensive analysis of the interactions between the regulatory effect of environmental factors (service orientation?) on an organizational level, human rights awareness (individual level) and the service environment (organizational). The analysis sample consisted of 782 registered non-profit corporation of long-term care facilities all over the country in 2014. The findings of the thesis suggest that human rights awareness at individual levels has a significant influence on human rights advocacy behavior. The interaction of human resources management in service orientations was also found to influence human rights advocacy on a significant level. Both human rights awareness at individual level and service orientations at organizational level were thus determined as key variables for improving the human rights awareness of care worker in long-term care facilities in Korea.

• Communications for Statistical Applications and Methods
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• v.18 no.1
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• pp.137-146
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• 2011

Long-term care insurance is a social insurance system that provides benefits to the elderly who have difficulty taking care of themselves for a period of at least 6 months. This system was started in July, 2008 and it is very important to set proper judgement ratings for the approval process. We try to develop and improve the judgement rating system using decision tree models. Our tree model is found to be more stable and efficient than the previous one.

• Korean Journal of Social Welfare Studies
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• no.39
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• pp.253-286
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• 2008

The care market has a unique characteristic that cannot be understood only by pure consumerism. It is not simply constituted by the relationship between consumers and providers at a uni-dimensional level of consumerism logic; rather, it operates in the tripartite-dimensional relationship between the state, consumers and providers through the design and regulation of policies by the state(Evers 1994). The unit costs of long-term care insurance has a meaning as the signal of state for policy direction. This paper consists three contents. The first, it provides to examine the developing process and method of the unit costs of long-term care and to define the characteristics of the developing method of unit costs of the Korean Long term care Insurance. The second, it tried to evaluate the adequacy, validity, and equity of unit costs of care. The third, it proposed the policy direction and measures focused on state's role as price determinator and regulator of care market in that unit costs of care is very important factors for formation and operating of care market.

• 한국노년학
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• v.31 no.4
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• pp.871-884
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• 2011

Standard Long-term care(LTC) Utilization Plan is a kind of care plan, which aims to help beneficiaries and their family choose services to meet their care needs. The objective of this study is to determine the relationships among family caregivers' perceived quality, overall satisfaction and utilization in Standard LTC Utilization Plan. Data were gathered from family caregivers with beneficiaries who have used community service in long-term care insurance system. A national cross-sectional descriptive survey was conducted in December 2008, using proportionate quota sampling. Finally, 351 family caregivers completed questionnaires which included demographic characteristics, perceived quality(9 items), overall satisfaction(1 item) and utilization(2 items). Path analysis was conducted to find a causal relationship. This study shows firstly, the quality of Standard LTC Utilization Plan was categorized into three dimensions, that is, assessment of care needs, recommended care plan, and management of monthly benefits. Secondly, reliability and validity of quality items were satisfied. Finally, in the effect of perceived quality and satisfaction for utilization, assessment of care needs(indirect effect, path coefficients=0.077) and overall satisfaction(total effect, path coefficients=0.324) were statistically significant. The findings of this study would be helpful in developing the strategies, which is needed to improve the role of Standard LTC Utilization Plan.

• The Journal of the Korea Contents Association
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• v.15 no.11
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• pp.192-201
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• 2015

The purposes of this study were to understand the organizational culture and to explore factors related to organizational commitment. The nationwide mailing survey was conducted using structured questionnaires from February 7th, 2013 to February 18th, 2013. With regard to the organizational culture, a relationship-oriented culture was predominant. The relationship-oriented culture(${\beta}=0.45,p<0.001$) and innovation-oriented culture(${\beta}=0.34,p<0.001$) had a positive influence on organizational commitment. This study has 56% of the explanatory power(F=14.83,p<0.001). The long-term care facilities with higher evaluation grades showed higher organizational commitment(F=7.18,p<0.001), which affected positively the evaluation of long-term care facilities (${\beta}=0.53,p<0.001$). On the basis of the above results, the conclusions were as follows: First, managers in the long-term care facilities should strive to build good relationships with staffs as to achieve greater organizational commitment and higher evaluation scores. Second, more researches are needed to find out how to improve the relationships among staffs.

• 한국노년학
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• v.30 no.4
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• pp.1359-1375
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• 2010

Expecting the expansion of the elderly population under long-term home care with the coming of the aged society, this study purposed to propose a prevention and self-reliance support model and to get practical implications for minimizing dependency on care benefits and enhancing the effectiveness of prevention and self-reliance support. Research methods employed for this study were: first, reviewing theoretical literature for clarifying the concept of prevention and self-reliance support in providing long-term care benefits for the elderly; second, identifying factors hindering prevention and self-reliance support through analyzing standard long-term care use plans and documents related to long-term care benefits at elderly welfare centers to which the research subjects belonged; and third, surveying care benefit users on factors hindering their use of prevention and self-reliance support and their needs in the use of care benefits. Based on the results of the three types of qualitative research, we proposed directions for prevention and self-reliance support modeling and suggested practical implications for enhancing the effectiveness of prevention and self-reliance support. For this study, we collected documentary materials and conducted in-depth interviews with the participants with the consents and cooperation of managers and professional social workers at day care centers and elderly welfare centers in D City. According to the results of this study, literature review suggested that long-term care prevention and self-reliance support should be provided in a way of 'strengthening user-centered support systems,' which support elderly long-term care beneficiaries' right to lead a life as the subject of their own life. Document analysis found the absence of benefits related to health and medicine and lack of social support systems for prevention and self-reliance support, and the results of in-depth interviews suggested the necessity to strengthen services related to elderly long-term care beneficiaries' prevention and self-reliance, and the keen needs of the long-term care elders for prevention and self-reliance included: ① loneliness, anxiety, fear; ② missing for and worry about children and people; ③ moving, outing; ④ health and medical services, rehabilitation programs; ⑤ desire to use day care; ⑥ inconvenience of house structure; ⑦desire for meal menus; and ⑧ the occurrence of disuse syndrome. Based on these results, we suggested the base of prevention and self-reliance support modeling with three axes: ① strengthening user-centered support systems; ② strengthening support systems connected to health and medicine; and ③ strengthening social support systems.

• Korean Journal of Social Welfare
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• v.67 no.4
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• pp.279-299
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• 2015

This study examines the impact of Long-Term Care Insurance(LTCI) on family caregivers(especially focused on female household members) labor supply in South Korea. When public care and informal care are substitutes, LTCI will change allocation of time of family caregivers to spend more time to paid work. The impact of LTCI on labor supply depends on each country's institutional level of public care services. If public care can not substitute for informal care, labor supply of family caregivers will not rise significantly. The conclusions of vigorous empirical study from western countries' are incompatible and problem of endogeneity in terms of methodology has been raised consistently. The dataset of this study are used the third and ninth waves of Korea Welfare Panel. As a result, the introduction of LTCI had no effect on labor supply of household members. Robust findings suggest the positive effects of caregiving on labor market outcomes in simple comparison t-test, but not in fixed-effect regression. Compared with western countries, South Korea's public care services can be interpreted as a supplement to only part that remained at the level does not substitute informal care. These findings may suggest that if LTCI become much more prevalent in the future, senior citizens and family members will be able to choose the LTCI arrangement that best suits their needs.

• Korean Journal of Social Welfare
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• v.63 no.4
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• pp.301-326
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• 2011

The major purpose of this study is to evaluate the impact of the long-term care insurance program. In order to estimate the impact of policy accurately, certain bias which might hamper the validity of this study has been removed by Propensity Score Matching(PSM) and Double Difference(DD) method from the semi-experimental design. To study the effects of long-term care insurance on the elderly and their family members as social outcome variable sand the quality of life of their family and satisfaction in family relationships, the third and fourth waves of Korea Welfare Panel are used to match experimental and comparative groups by the propensity score matching. Then, DD method, using the panel fixed effects model, is applied to estimate the differences of those groups'treatment effects before and after the policy implementation. As a result, it was found that the Quality of life on the elderly and their family members is statistically meaningless, while the satisfaction in family relationships has much increased after the policy implementation. The result has a limitation in that this evaluation is performed at the point when the long-term insurance program has not been ripened enough. However, there is an important implication on the significance of realizing the main goal of the long-term care insurance to improve the quality of life of the elderly and their family members and as for the potentiality of further system improvements.

• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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• v.9 no.11
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• pp.1015-1026
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• 2019

The purpose of this study is to develop evaluation indexes for improving the quality of long-term care institutions (facility salary) evaluation in the sense that the applicability and effectiveness of previous studies related to the development of evaluation indexes for long-term care facilities for elderly are insufficient. There was this. To this end, an analytical review of the 2018 long-term care institution (accommodation benefit) evaluation index, an analysis of Japan's elderly long-term care home evaluation index, and the elderly long-term care facility workers in Korea and the special care home for the elderly in Japan FGI on evaluation indicators and evaluation system was conducted. Based on the results of the research, evaluation indicators were developed in terms of supporting users to receive high quality services. The characteristics of the elderly, that is, the characteristics of elderly diseases that are difficult to maintain and improve, the direction and transparency of institutional operation, and the need for terminal care were reflected. Forty-three evaluation indicators were presented, covering institutional operations, environment and safety, beneficiary rights protection, payroll process, and payroll results. In addition, we proposed a four-step multi-level evaluation system that can improve the efficiency of the evaluation process by improving the redundant and unnecessary evaluation process.