노인의료비 감소를 위한 대안으로 제시되는 요양병원에 관한 연구

김호영,김동일 한국비즈니스학회 2023 비즈니스융복합연구 Vol.8 No.4

2021년 기준 한국의 노인인구는 약 8,537,000명으로 전체인구의 약 16.5%에 달한다. 이는 2060년까지 18,815,000명으로 증가할 것으로 예상된다. 이는 전체인구의 약 43.6%에 달할 것이다. 생산인구 100명이 부양하는 노인인구 수를 의미하는 노년부양비는 2021년에 23.0에서 2060년에는 91.4로 증가할 것으로 예상된다. 의료기관 중에서 가장 많은 수의 병실과 병상을 보유하고 있어서 가장 많은 입원환자를 수용할 수 있는 의료기관이 어느 곳인지 한번 살펴보고, 불필요한 입원비 지출을 줄일 수 있도록 효율적으로 관리되고 있는지를 살펴본다면, 미래의 불필요한 노인 의료비 지출을 줄이는데, 어느 정도 도움이 될 것이다. 의료비 상승에 가장 영향을 준다고 알려진 65세 이상 노인 인구 증가와 노인 의료비 증가의 상관관계를 베이지안 회귀분석 하여 노인 인구 증가가 노인 의료비 증가에 미치는 영향을 살펴보고자 한다. 65세 이상 노인 인구수 증가와 노인의료비 증가의 상관관계는 베이지안 회귀분석을 한 결과 회귀계수의 값은 2.26이므로 65세 이상 노인 의료비 비율은 노인인구 비율의 2배로 나타났다. 전체 인구 대비 노인인구 비율 예상치와 전체 의료비 대비 노인 의료비 비율 예상치의 상관관계를 베이지안 회귀분석과 일반회귀분석으로 살펴본 결과 회귀계수는 약 2.2이므로 65세 이상 노인 의료비 증가율은 노인 인구증가율의 2배로 나타났다. 결론적으로 65세 이상 노인 의료비 증가의 가장 큰 원인은 노인 인구 증가 때문이라는 것을 알 수 있다. 기존의 선행연구들에 따르면, 요양병원의 저렴한 본인부담률과 본인부담금 상환제는 요양병원 입원환자들의 본인부담금을 더욱 낮추어 주는 효과가 있고, 이는 의도치 않게 사회적 입원을 부추긴다는 지적이 있었다. 해외사례들을 볼 때, 요양병원 입원환자들에 대해 정기적인 입원기준 적합성 판정과 경증 환자에 한해 장기 입원시 기간에 비례하여 본인부담금을 상향 조절하여 사회적 입원 즉 직접적인 의료서비스가 필요하지 않지만, 단순 돌봄 서비스가 필요해서 입원한 환자들의 불필요한 장기 입원을 통제하는 방안을 제안하고자 한다. As of 2021, the elderly population in Korea is about 8,537,000, accounting for about 16.5% of the total population. This is expected to rise to 18,815,000 by 2060. This will amount to about 43.6% of the total population. The elderly support ratio, which refers to the number of elderly people supported by 100 working-age people, is expected to increase from 23.0 in 2021 to 91.4 in 2060. If we take a look at which medical institution can accommodate the most inpatients because it has the largest number of hospital rooms and beds among medical institutions, and if we look at whether it is efficiently managed to reduce unnecessary hospitalization expenses, It will help to some extent to reduce the elderly medical expenses. Bayesian regression analysis of the correlation between the increase in the elderly population aged 65 and over and the increase in medical expenses for the elderly, which is known to have the most influence on the increase in medical expenses, was conducted to examine the effect of the increase in the elderly population on the increase in medical expenses for the elderly. As a result of Bayesian regression analysis, the correlation between the increase in the number of elderly people aged 65 years and older and the increase in medical expenses for the elderly was performed, and the value of the regression coefficient was 2.26. As a result of examining the correlation between the expected ratio of the elderly population to the total population and the ratio of the elderly population to total medical expenses through Bayesian regression analysis and general regression analysis, the regression coefficient is about 2.2, so the growth rate of medical expenses for the elderly aged 65 years or older is twice that of the elderly population. In conclusion, it can be seen that the biggest cause of the increase in medical expenses for the elderly over 65 is the increase in the elderly population. According to previous studies, it was pointed out that the low co-payment rate and co-payment reimbursement system of nursing hospitals have the effect of further lowering the co-payments of inpatients in nursing hospitals, which unintentionally encourages social hospitalization. Looking at overseas cases, for patients inpatients in nursing hospitals, regular admission criteria are determined and co-payments are increased in proportion to the period of long-term hospitalization for patients with mild symptoms, so social hospitalization, that is, direct medical service is not required, but simple care We would like to propose a plan to control unnecessary long-term hospitalization of patients who are hospitalized because they need services.

A Study on Effect of the Elderly Living Alone s Date upon Psychological Loneliness and Happiness

Jung,Myung-Hee,Joo,Min-Kyung 한국유통과학회 2019 KODISA ICBE (International Conference on Business Vol.2019 No.-

In this study, the elderly s date gave life satisfaction: Men elderly s date gave self esteem, and women elderly s date did satisfaction with the realities. This study investigated effect of the elderly s date upon psychological loneliness and happiness to give material of alternatives. These days, the elderly population rapidly increased to produce social issue and to be short of welfare policy and studies on the elderly. The elderly has lost roles in the society because of aged to give up human reason and love in accordance with traditional concept: Models and subjects had relation with the elderly s date, loneliness and happiness. The elderly s date degree had significant influence upon psychological loneliness. Hypothesis was adopted. The elderly s date degree had significant influence upon psychological loneliness (.230**) to account for 13.2% of psychological loneliness. needs of the elderly s date had influence upon psychological loneliness. Psychological loneliness mediated with the elderly s date opportunity and happiness. Hypothesis was the elderly s date has influence upon happiness. At testing of the hypothesis, the elderly s date opportunity, degree, needs and friendliness had no significant influence upon happiness.

Prevalence and Predictors of Geriatric Depression in Community-Dwelling Elderly

김증임,최명애,채영란 한국간호과학회 2009 Asian Nursing Research Vol.3 No.3

Purpose This study aimed to examine the relationship between depressive mood and physical and socio-environmental variables of community-dwelling elderly. Methods This study was designed as a cross-sectional descriptive survey. The setting was two elderly welfare centers and two public health centers in Korea. The subjects were recruited by public announcement and participated after giving their written informed consent. A total of 295 participants were included in the final analysis. The Korean version of the short form of Geriatric Depression Scale (SGDS-K), Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) of activities of daily living (ADL) and a socio-demographic questionnaire were administered to participants. Hand-grip strength was measured with a hand dynamometer. Results The prevalence of depression among the subjects was 63%. Of the elderly, 21% had severe depressive symptoms. The mean depression score was 6.21 (SD= 3.83) and it was higher in women than in men. In the regression analysis, perceived health status alone had an accountability of 17.3% to depression. When TMIG-IC was added, this increased to 22.6%. Additionally, when hand-grip strength and social activities were input, it increased to 25.2%. Therefore, perceived health status was a significant and powerful factor explaining depression among the Korean elderly. Conclusion In this research, perceived health status was the most powerful predictor of elderly depression. TMIG-IC, hand-grip strength and social activities also predicted Korean elderly depression. These factors should be considered when the program is developed for elderly people with depression. Purpose This study aimed to examine the relationship between depressive mood and physical and socio-environmental variables of community-dwelling elderly. Methods This study was designed as a cross-sectional descriptive survey. The setting was two elderly welfare centers and two public health centers in Korea. The subjects were recruited by public announcement and participated after giving their written informed consent. A total of 295 participants were included in the final analysis. The Korean version of the short form of Geriatric Depression Scale (SGDS-K), Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) of activities of daily living (ADL) and a socio-demographic questionnaire were administered to participants. Hand-grip strength was measured with a hand dynamometer. Results The prevalence of depression among the subjects was 63%. Of the elderly, 21% had severe depressive symptoms. The mean depression score was 6.21 (SD= 3.83) and it was higher in women than in men. In the regression analysis, perceived health status alone had an accountability of 17.3% to depression. When TMIG-IC was added, this increased to 22.6%. Additionally, when hand-grip strength and social activities were input, it increased to 25.2%. Therefore, perceived health status was a significant and powerful factor explaining depression among the Korean elderly. Conclusion In this research, perceived health status was the most powerful predictor of elderly depression. TMIG-IC, hand-grip strength and social activities also predicted Korean elderly depression. These factors should be considered when the program is developed for elderly people with depression.

고령/비고령 보행자와 차량간의 상충위험도 측정연구

장정아,이현미,최기주 대한교통학회 2017 大韓交通學會誌 Vol.35 No.6

Traffic accident fatalities in Korea in 2016 was 4,292 and 1,732 cases were deaths of elderly people. In spite of this, the researches on behaviors of the elderly when crossing roads, are rather limited. The purpose of this study is to investigate and analyze road crossing behavior characteristics of the elderly, when crossing roads, especially focusing on the characteristics of pedestrians and vehicles. Cross-sectional data was collected from six different sites in two regions and the following results was identified. First, at road crossings, 528 cases(84.3%) out of 626 conflict situations of the elderly and 303 cases(63.3%) out of 478 conflict situations of the non-elderly pedestrians were found to be dangerous, respectively. The elderly tend to face a statistically significant risk of 3.11 times higher than that of non-elderly people. Second, 519 cases(82.9%) of jaywalking occurred in 626 conflict cases of the elderly and 375 cases(78.5%) of jaywalking in 478 conflict events of non-elderly persons, which indicates the elderly’s 1.34 times higher trend compared with the non-elderly’s . Third, the pedestrian safety margin (PSM) analysis showed that the PSM of the elderly and the non-elderly were 3.33 seconds and 4.04 seconds respectively, which is 17.5% high. Fourth, the difference in pedestrian safety interval was examined by dividing the speed of approaching vehicle into less than 30km/h, above 30km/h and less than 50km/h, and over 50km/h. There was no significant difference between the PSM of coming vehicles with the speed less than 30km/h and the PSM of approaching with the speed 30km/h~50km/h, but the conflicts with vehicle of the speed above 50km/h show significantly lower PSM than with vehicle speed of 30km/h~50km/h. Finally, when the risk threshold is set to less than 2.5 seconds, the analysis shows that older pedestrians tend to cross roads dangerously 1.59~2.53 times than younger pedestrians. The results set forth here can be used as a basis for constructing the elderly safety measures at present and a potential basis for autonomous vehicle safety application in the future for solving the issue of the difference in crossing behavior between elderly and non-elderly pedestrians. 2016년 우리나라 교통사고 사망자 수 4,292명 중, 노인사고 사망자 수는 1,732명에 달한다. 그럼에도, 고령 보행자의 도로횡단 특성에 대한 연구는 많지 않다. 본 연구는 보행자와 차량 간의 횡단특성을 고령 보행자 측면에서 조사 및 분석한 연구이다. 연구에서는 2개 지역, 6개 지점에 대한 횡단 조사를 실시하였으며 주요 결과를 간략히 살펴보면 다음과 같다. 첫째, 도로 횡단 시 고령자는 626건의 상충상황 중에서 528건(84.3%), 비고령자는 478건의 상충상황 중에서 303건(63.3%)이 위험상황으로 나타나, 고령자가 비고령자에 비하여 3.11배의 높은 통계적으로 유의한 위험상황에 직면하는 경향을 보였다. 둘째, 고령자의 경우 전체 626건의 상충상황 중에서 519건(82.9%)의 무단횡단이 나타났고, 비고령자의 경우 478건의 상충 상황 중에서 375건(78.5%)를 보여, 고령자가 비고령자에 비하여 1.34배의 높은 통계적으로 유의한 무단횡단 경향을 보였다. 셋째, 보행자안전간격(Pedestrian Safety Margin, PSM)을 분석 결과 고령자의 PSM은 3.33초, 비고령자의 PSM은 4.04초로 고령자의 PSM은 비고령자보다 약 17.5%가 작은 경향을 보였다. 넷째, 접근하는 차량의 속도를 30km/h 이하 차량, 30-50km/h 차량, 50km/h 이상인 차량으로 나누어 보행자 안전간격의 차이를 검토해 본 결과 속도30km/h 미만 차량과 속도 30km/h 이상 50km/h 미만 차량의 PSM은 유의미한 차이를 보이지 않지만, 속도가 50km/h 이상인 차량과의 상충은 30km/h 미만과 30km/h 이상 50km/h 미만보다 PSM 이 유의미하게 작아진다. 다섯째, 위험상황의 임계치를 PSM 2.5초 이하로 설정한 경우, 고령자가 비고령자 보다 1.59-2.53배 위험하게 횡단하는 경향을 보였다. 이러한 연구 결과는 향후 고령 보행자와 비고령보행자의 횡단 행태 차이를 토대로 고령 보행자안전대책, 자율주행차량의 안전 등의 기반 연구로 활용할 수 있다.

고령친화형 공공주택 리모델링 계획에 관한 연구

염태준 ( Yeom Taejun ),박미진 ( Park Mijin ),홍은기 ( Hong Eunki ) 한국공간디자인학회 2020 한국공간디자인학회논문집 Vol.15 No.1

(연구배경 및 목적) 고령사회에 진입한 우리나라는 2026년에는 초고령사회에 도달할 것으로 예측되고 있다. 이처럼 60세 이상 노인들의 50% 이상은 공공주택에서 거주하고 있는 것으로 나타났다. 특히 고령자 사고 중 61.5%가 주택 내에서 발생하기 때문에 주의가 필요하다. 이에 고령자 주거를 개선하기 위한 관련 기준들을 제안하고 있지만 고령자가 거주하는 공공주택에서는 시간이 경과함에 따라 건축물의 노후화와 초기 설계 단계에서 고령자의 신체적 여건이 고려되지 않았다는 계획적 문제에 직면하고 있다. 또한 공공주택은 규모가 작기 때문에 고령자 주택 기준의 적용에 어려움이 나타나는 것으로 나타났다. 이에 본 연구의 목적은 공공주택의 고령친화형 리모델링 계획방향과 이를 적용한 계획안을 제안하는 것이다. 이를 통해 노후화된 공공주택의 활용과 고령화사회의 사회적 문제로 나타나고 있는 고령자의 안전과 주거 불편 문제를 해결할 수 있을 것으로 판단된다. (연구방법) 국내의 고령자 주택 관련 기준의 비교분석을 통해 기준별 특징과 리모델링 시 적용의 문제점을 파악하였다. 또한 공공주택의 단위 공간 분석을 통해 국내의 고령자 주택 기준을 고려한 리모델링 계획방향을 도출하였으며 고령친화형 공공주택의 계획방향을 적용한 리모델링 계획(안)을 제시하였다. (결과) 본 연구의 결과 첫째, 전용면적 59m² 정도의 공공주택에서는 휠체어 활동공간 1,500mm×1,500mm 확보가 어려우므로 보행 보조기구의 활동공간으로 1,200mm×1,200mm 확보가 적절하였다. 둘째, 화장실 및 욕실은 2개를 계획하는 것이 바람직하며 거실에서 접근하는 화장실에는 샤워 기능을 포함한다. 세면대 및 변기는 건식으로 설치하고 샤워부스는 방수가 뛰어난 홀딩도어를 설치하는 것이 적절하였다. 셋째, 1,200mm~1,500mm 유효면적 확보가 어려운 발코니는 인접한 실의 확장을 통해 부족한 실내공간을 확보하는 것이 적절하였다. 넷째, 높이조절 가구, 핸드레일, 미끄럼방지 마감재 등 기준에 제시된 안전대책 외에도 가구, 벽체 등 코너 보호대, 핸드레일 높이까지 푹신한 마감재 사용을 통해 안전성을 확보하는 것이 적절하였다. 다섯째, 단위 공간 계획에 있어 발생하는 데드스페이스는 활동공간 확보에 의해 부족해진 수납공간으로 계획하는 것이 적절하였다. (결론) 공공주택 리모델링 계획방향을 통해서 현재 거주하는 주택에서 지속적으로 거주할 수 있도록 단위 공간을 리모델링하여 고령자의 안전사고를 예방할 수 있고 고령자 가구의 주거 복지를 향상시킬 수 있을 것으로 보인다. (Background and Purpose) Korea is expected to reach super-aged society by 2026. More than 50 percent of the elderly over the age of 60 live in housing. In particular, caution is needed as 61.5 percent of elderly accidents occur within homes. In response, related standards are proposed to improve housing for the elderly. In response, Elderly-friendly standards are proposed to improve housing for the elderly. However, in housing, where the elderly reside, they face a planned problem that, deterioration buildings and the physical conditions of the elderly have not been taken into account at the initial design stage. In addition, it has been found that the size of housing is small, making it difficult to apply the housing standards for the elderly. The purpose of this study is to propose a plan for the elderly-friendly remodeling of housing and a plan for its application. It is believed that this will solve the problems of the elderly' safety and housing inconveniences that have emerged as social problems in the aging society and the use of aging housing. (Method) Through a comparative analysis of the criteria related to housing for the elderly in Korea, we identified the characteristics of each standard and problems with its application in remodeling. In addition, through analysis of the unit-space of housing, the plan for remodeling was derived considering the standard of housing for the elderly in Korea, and applied to the planning direction of elderly-friendly housing was proposed. (Results) The results of this study first, It is difficult to secure 1,500mm×1,500mm of wheelchair activity space in housing with a exclusive area of housing 59m². Therefore, 1,200mm×1,200mm was secured as an active space for walking assistance device. second, It is desirable to plan two bathrooms and approaching from the living room includes showering. It is appropriate to install a dry process washbasin and toilet and a well-waterproof holding door for shower booths. third, Balcony, which is difficult to secure an effective area of 1,200mm to 1,500mm, is advised to secure insufficient interior space through the expansion. fourth, Safety measures are installed as specified by the criteria, such as height-controlled furniture, handrail and slip-resistant finishing materials. It is appropriate to secure safety through the use of soft finish materials up to the height of handrail. fifth, For unit-space planning, it is appropriate to plan dead space as a storage space that is insufficient due to the securing of activity space. (Conclusions) A plan for remodeling of housing was applied to the unit-space that is continuously habitable in the current dwelling. This is expected to prevent safety accidents for the elderly and improve housing welfare.

가정 노인과 양로원 노인의 신체기능 정도와 건강 증진 행위에 대한 연구

심문숙 최신의학사 2000 最新醫學 Vol.43 No.2

노인의 성생활 실태와 다면적 요인 분석

이상붕 한국노인복지학회 2019 노인복지연구 Vol.74 No.1

The purpose of this study is to examine the sex life of the elderly and analyze the multifaceted factors affecting the sexual life of the elderly. This study used KSHAP(Korean Social Life, Health and Aging Project) data, and the subjects were aged 65 and over living in A District in Gyeonggi Province and District B in Seoul. Research methods are descriptive statistics, t-test, and tobit regression analysis. The results of the study are summarized as follows. First, the proportion of the elderly people to maintain their sex life is 20.1%, 17.0%, and 22.3% for the all elderly, urban elderly, and rural elderly, respectively. Second, sex, age, education level, marital status, and economic activity are factors that affect the frequency of sex life of the elderly. Among them, the influence of spouse and gender was relatively large. Third, sex, age, and marital status have a common effect on the frequency of sex living in urban and rural elderly people. The effects of socio-demographic variables and individual variables on the frequency of sex life were similar between urban and rural elderly people. Finally, the characteristics of the elderly group should be reflected in the design and application of sex-related programs for the elderly. 본 연구의 목적은 노인의 성생활 실태를 살펴보고, 노인의 성생활에 영향을 주는 다면적인 요인을 분석하는 것이다. 본 연구는 「한국인의 사회적 삶, 건강과 노화에 대한 조사(Korean Social Life, Health and Aging Project)」 자료를 사용하였고, 연구대상자는 경기도 A군와 서울시 B구에 거주하는 65세 이상 노인이다. 연구방법은 기술통계분석, t검증, 토빗 분석(Tobit regression analysis)이다. 연구의 분석 결과를 요약하면 다음과 같다. 첫째, 노인의 성생활 유지는 전체 노인, 도시 노인, 농촌 노인이 각각 20.1%, 17.0%, 22.3%이다. 둘째, 노인의 성생활 빈도에 영향을 주는 요인은 성별, 연령, 교육수준, 배우자 유무, 경제 활동 유무이다. 이 중에서 배우자 유무와 성별의 영향력이 상대적으로 크게 나타났다. 개별 변수에서는 삶의 만족도와 주관적 경제 수준이 영향을 주는 것으로 나타났다. 마지막으로, 도시와 농촌 노인의 성생활 빈도에 공통으로 영향을 주는 요인은 성별, 연령, 배우자 유무이다. 성생활 빈도에 영향을 주는 사회인구적 변수와 개별 변수의 영향은 도시과 농촌 노인 사이에 유사하다는 것을 확인하였다. 결국, 노인을 대상으로 하는 성관련 프로그램 설계 및 적용에 있어 개별 노인집단의 특성이 반영되어야 할 것이다.

싱가포르의 노인주거복지정책 및 노인주택 특성 분석

이현정 대한건축학회 2006 대한건축학회논문집 Vol.22 No.11

The purpose of this study is to examine the housing policy for elderly in Singapore, and to analyze the design components of elderly housing according to independence levels of the elderly. To achieve the research goals, both site visits and in-depth interviews with policy makers, researchers, architects, on-site managers and social workers are conducted. The public policy for the elderly in Singapore aims at two groups: one who is able to independently live and the other who requires intensive care. The emphasis of the elderly housing policy is on both aging in place and independent living. Therefore, the elderly housing programs are geared to intimacy at a distance, and they direct either upgrading or modifying in current housing in which the elderly with family ties have lived, or new provision of small-sized, accessible, and affordable housing for the elderly without any familial relationships. In either case, the living arrangement is designed with elderly-friendly features that adopt barrier-free design including alert alarm system. The finding indicates that accessible and affordable housing heightens the independent living of the elderly.

고령친화산업체의 활성화를 위한 현장인력재교육사업 교과과정 사례 연구

유윤섭 ( Yun Seop Yu ),김상훈 ( Sang Hoon Kim ) 한국실천공학교육학회 2011 실천공학교육논문지 Vol.3 No.2

본 논문은 고령친화산업의 활성화를 위한 고령친화산업체에 재직하는 현장인력재교육사업의 사례를 소개한다. 고령친화산업체 재직자를 대상으로 2009년 8월 이후 2년여동안 IT기반 고령친화산업 현장기술인력 재교육사업을 운영하면서 개발된 IT기반의 고령친화제품 개발에 필요한 교과과정을 소개한다. 본 교과과정은 ISD(instruction system design: 교수체제설계) 모형에 기반하여 개발했다. IT기반 고령친화 제품 개발을 위해서 재직자 및 전문가들이 인간공학기반 설계와 IT기반의 설계와 관련된 교육을 요구해서 인간공학기반 제품설계는"고령친화 인체특성 및 고령자 생활공학", "고령자 색체감성 및 유니버셜디자인", "디자인의 이해 및 디자인 프로세스"교과목으로 구성되고 고령친화 생활·건강관리기기 설계과정은 "고령친화 IT 기기용 임베디드 시스템 설계 및 디버깅 실습", "고령친화 안드로이드 구현 설계", "실버케어 안드로이드 기반 스마트 장치 설계 및 실습" 교과목으로 구성된다. In this paper, to invigorate elderly-friendly industry, a case study on curriculum for re-educational work of the field engineers is introduced. The curriculum has been developed to retrain technicians and engineers in IT-based elderly-friendly business industry, to help them develop elderly-friendly products, and it have been evolved by operating it and analyzing outcome and satisfaction levels since August in 2009. The re-education work of the field engineers are designed for invigorating the IT-based elderly-friendly business industry, based on the instruction system design(ISD) model. To develop IT-based elderly-friendly products, the elderly-friendly accessible design and the elderly-friendly living and health care equipment design are required. For the elderly-friendly accessible design, it consists of "Elderly-Friendly Engineering Based on Human Characteristics", "Color Sensibility and Universal Design for The Elderly", and "Design Understanding and Process". For the elderly-friendly living and health care equipment design, it consists of "Embedded System Design and Debugging Experiments for Elderly-Friendly IT Equipment", "Elderly-Friendly Android Implementation Design", and "Design and Experiments of Silver-care Android-based Smart Equipment".

노인인권 향상을 위한 노인학대 대응 방안

박영숙,박은주 한국인권사회복지학회 2015 인권복지연구 Vol.- No.17

노인학대는 개인이나 가족의 문제가 아닌 사회구조적인 문제이다. 노인학대는 노인의 인간으로서의 존엄성을 무시할 뿐 아니라 노인의 삶의 질을 위협하는 대표적인 행태이다. 이에 본 연구에서는 노인학대 현황을 살펴보고 앞으로 노인의 인권 향상을 위해서 어떻게 대응해 나가야 할지 그에 대한 다음의 몇 가지 과제를 제시하였다. 먼저 생활시설의 노인에게 발생하는 학대에 대한 관심과 지원이 확대되어야 하며, 자기방임이 발생하지 않도록 노인 단독가구에 대한 관심과 지원이 보다 확대되어야 한다. 노-노 학대가 증가하고 있으므로 노인부부가구를 지원해 줄 수 있는 서비스, 부부관계회복프로그램 등이 필요하다. 그리고 복지 사각지대를 보완하여 실질적인 도움이 될 수 있도록 하고 건강한 노인에게는 일자리 제공이 필요하다. 이 외에 가해자에 대한 상담서비스, 교육 프로그램, 다양한 지원 활동 등의 정책적 지원이 확대되어야 한다. Elderly abuse is not a problem of a person or family but a social structural problem. Elderly abuse is the typical form that threatening quality of elderly's life and ignoring elderly's dignity. In this study, we suggested plans for countermeasure research to improve the elderly's right after looking at the current state of elderly abuse. First, attention and support about elderly abuse in elderly living facility should be expanded. Also, attention and support for single elderly household should be expanded not to generate self-ignoring. Marriage enrichment program is needed to support elderly couple against increasing elderly-elderly abuse problem. Offering a job for healthy elderly is also needed by giving them actual help as supplementing the dead zone of welfare. Besides, government support should be expanded as providing various activities that are counseling service, education program for the perpetrator and so on.