한국과 일본의 노인복지제도에 관한 비교 연구

박명숙 ( Myung Suk Park ),남영신 ( Young Shin Nam ) 아시아.유럽미래학회 2010 유라시아연구 Vol.7 No.1

Elderly welfare is what is the social activity and one field of social-welfare practice that allows the elderly to maintain basic desire and cultural living as one independent person through the stability of economic life caused by the elderly``s difficulty in living, the maintenance of health in body and mind, the social participation and role performance, and the policy and system for opportunity of employment, and the welfare service. In addition to the global tendency of a swift rise in the elderly population, the aging phenomenon of the elderly population is recently showing more serious aspect. Thus, solution of elderly problem, which every nation faced in the global village, is being emerged as a big task. Also, the extension of the average longevity caused by development in medical technology is the process of a change into aging society. The elderly bracket in this process comes to suffer from the double torture called social alienation and economic difficulty. These problems are becoming a big issue in society beyond a level of responsibility in an individually old person, who is the main subject of difficulty. Even Korean people``s average longevity has lengthened rapidly by virtue of development in medical art and of satisfaction of a basic desire such as food, clothing and shelter. As a result of examining a change in average longevity of OECD member countries for 40 years from 1960 to 2000, most of the Western advanced countries haven``t been prolonged over 10 years. However, Korea was increased 23.1 years enough, and was a nation that is the highest in width of a rise in the average longevity during the same period. In this way, Korea``s populational aging is being progressed swiftly in its contents or speed. Experts are considering that Korea``s aging speed will establish the new world record. As a plan of coping with this phenomenon, the foreign advanced countries, which early experienced aging, are injecting huge finances in order to offer the elderly``s income security system, elderly``s health medical service, and welfare service necessary for the old life such as long-term protection problem. Japan, which belongs to the Oriental cultural area with similar emotion to us even among the advanced welfare countries, is a country that is enforcing by establishing the efficient aging policy. However, in case of Korea, the income security system for the elderly fails to give substantial help because of being restrictive in the beneficial subjects or allowance level. Even in the policy for housing security, the weight is being attached only to the housing supply regardless of the housing maintenance ability in low-income brackets. Thus, old people are suffering difficulty in managing residential life. A delivery system is not connected. Non-systematic parts are scattered such as insufficiency of managing the severally elderly facilities or manpower. The aging characteristic in Korea and Japan is being rapidly progressed enough to be unavailable for comparison with other advanced countries. Given examining welfare policy in two countries, Japan``s social welfare policy is emphasizing the regional responsibility, user``s self-option, and User Pays Principle due to being influenced by neo-liberalism. On the other hand, in case of Korea, it is the real situation of being stressed the publicity in social welfare(non-profitability), the nation``s responsibility, and the government``s powers. Accordingly, the purpose of this study is to be conducive to a way of going to happy life in the senescence hereafter by grasping problems about Korea``s current elderly welfare system and suggesting improvement direction through comparing the elderly welfare system between Korea and Japan. There are limitation to the analysis on socially-culturally environmental characteristics of surrounding the elderly welfare system in Korea and Japan, and to the simple comparison without in-depth analysis on merits and demerits that each system has. However, the following are the suggestions for development in Korea``s elderly welfare system based on a system of Japan, which had carried out welfare system as a front-runner prior to Korea``s elderly welfare system. First, our country``s elderly welfare system has a sense of being low in welfare benefit and of being limited even subjects, compared to Japan. However, a policy for continuous settlement of elderly welfare system is in the real situation of being driven in diverse directions. The government``s arrangement of budget for realization of elderly welfare system needs to be secured step by step. Second, the expansion in range of applicants with recognition is imminent for using elderly welfare system, which is one field of social-welfare practice. In case of Korea, the range of a recognized applicant for Elderly Recuperation Insurance, which is one field of elderly welfare system, is set for the subject``s own application, or family and relative, social-welfare public servant, and a person designated separately by mayor, county governor, or ward chief. However, in case of Japan, the range of applicant is being expanded and enforced by including even guardian for adult and committee member for people``s livelihood(‘welfare committee member’ in Korea), compared to Korea. Third, even the formation of atmosphere that our country``s beautiful traditional value can be maintained by the respect for the aged and the devotion to parents will greatly contribute to enhancement in welfare, by including the contents of practice on devotion to parents and respect for the aged in the growing adolescents, aiming at family environment and social environment that can improve the elderly``s self-esteem and enhance quality of life. Fourth, diverse policies for enhancing elderly welfare need to be continuously developed. Thus, there will be necessity for making it available for the stability in economic life caused by the elderly``s difficulty in living, the maintenance of health in body and mind, the performance of a role through social participation, and the offer of an employment opportunity through Elderly Employment Promotion Project. As the above, given examining by comparing Korea``s elderly welfare system, which is in the initial phase yet, and Japan``s elderly welfare system, the supplementation can be said to be necessary for many parts. Korea``s elderly welfare system is desired to be carried our as the effective and extensive welfare system in line with the reality by being expanded and enforced step by step. Also, according to a constant rise in the elderly population, even the necessity for securing welfare budgets for the elderly will be desperate. The establishment of a governmental measure necessary for this will need to be also accompanied. This study has the following limitations. First, Japan was begun the social security system about 40 years earlier than Korea. There have been many changes in the meantime, thereby being followed difficulty in directly comparing social security system between Korea and Japan. Second, there is no standard available for objectively comparing Korea and Japan owing to difference in traditionally cultural customs and to institutional difference in long history.

노인들의 전인적인 욕구에 근거한 기독교노인교육 프로그램 연구

김성중 장로회신학대학교 기독교사상과문화연구원 2024 장신논단 Vol.56 No.2

한국교회의 다음 세대는 계속 줄고 있지만, 노년 세대는 계속 증가하고 있다. 다음 세대가 줄고 있어서 한국교회의 위기라는 말은 많이 들어왔지만, 노년 세대가 계속 증가하고 있어서 한국교회의 희망이라는 말은 전혀 들어보지 못했다. 노년 세대가 한국교회에 중심을 잡고 있어서 한국교회는 희망이 있다는 시각의 전환이 필요하다. 한국교회의 부흥기를 이끌었고, 아직도 한국교회의 주축을 이루고 있는 노년 세대들을 귀하게 바라보며, 이들을 위한 교육목회가 이루어져야 한다. 교회 안에서 노인들은 교육의 대상으로 인식하지 못하고 있기에 현재 많은 교회에서 시행하고 있는 노인들을 위한 프로그램은 행사 중심으로 주로 기획하고 시행되고 있다. 노인들도 배움에 대한 열망이 있고, 하나님 나라에 가는 날까지 예수 그리스도에게까지 자라가기를 원한다. 그래서 이제는 교회 안에서 노인들을 위한 교육 프로그램이 마련되어야 한다. 노인들을 위한 교육 프로그램을 마련할 때는 노인들의 전인적인 욕구에 근거해서 기획되어야 하고, 노인들로 구성된 따뜻한 공동체 안에서 시행되어야 한다. 다음 세대 교육에 있어서 “맞춤식 교육”이라는 말이 자연스럽게 사용되고 있는데, 이제 노년 세대 교육에 있어서도 “맞춤식 교육”이 이루어져야 한다. 이러한 관심을 가지고 본 논문에서는 성서에서 나타난 노인에 관한 내용을 바탕으로 노년 세대를 이해하였고, 노인들의 신체적인 특징, 정신적인 특징, 신앙적인 특징을 하나하나 살펴보면서 노인들의 전인적인 욕구를 파악해 보았다. 그리고 8주 과정으로 구성된 노인들의 전인적인 욕구에 근거한 기독교노인교육 프로그램을 교회 현장에서 실행할 수 있도록 구체적으로 제시해보았다. The next generation of Korean Churches continues to decrease, but the elderly generation continues to increase. There have been many people saying that the Korean Church is in crisis because the next generation is decreasing, but we have never heard of it being a hope for the Korean Church because the elderly generation continues to increase. As the elderly generation is centered on the Korean Church, there is a need for a change in the perspective that the Korean Church has hope. The elderly generation, who led the revival of the Korean Church and who still forms the core of the Korean Church, should be treated with respect and educational ministry should be provided for them. Because the elderly are not recognized as targets of education within the church, programs for the elderly currently implemented in many churches are mainly planned and implemented from the perspective of events. Elderly people also have a desire to learn and want to grow up to Jesus Christ until the day they go to heaven. So now, an educational program for the elderly should be prepared within the church. When preparing educational programs for the elderly, they should be planned based on the holistic needs of the elderly and implemented within a warm community comprised of the elderly. The term “customized education” is naturally used in the education of the next generation, and now “customized education” should also be implemented in the education of the elderly generation. With this interest, this paper understood the elderly generation based on the contents of the elderly in the Bible, and attempted to understand the holistic needs of the elderly by examining their physical, mental, and religious characteristics one by one. In addition, the paper presented the actual Christian senior education program based on the holistic needs of the elderly, which consists of an 8-week course, in detail so that it can be implemented in the church.

100세 시대, 활동적 노화를 위한 노인체육의 역할과 기대

권구명(Goo-Myeung Kwon) 한국발육발달학회 2020 한국발육발달학회지 Vol.28 No.3

The purpose of this study is to propose the roles and expectations of the elderly physical education for active aging. This study examines the problem of the elderly that has emerged as an issue of our society from a multifaceted viewpoint, and the role and expectation of the elderly physical education to strengthen the consciousness and participation of the elderly for the active aging of the elderly. It emphasized that the diverse health problems of the elderly can be monetary easing of physical activity for active aging defined as health, participation, and safety. Furthermore, the deterioration of motor function due to aging led to social maladjustment and lack of social participation of the elderly. Finally, loss of role from isolation, alienation and income reduction can meet social needs through participation in physical activity. Especially, it is necessary to educate the elderly in various ways in order to enable the safe life of the elderly. The need for the development and dissemination of physical education programs for the elderly, changes in the social perception of the elderly, the space and policy for the elderly to participate actively in physical education, and the elderly physical education instructor It is a demand for upbringing.

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.

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.

노인공동생활가정의 공간환경이 감정반응에 미치는 영향에 관한 연구 -강릉 노인시설 설문조사를 중심으로-

문정인 한국기초조형학회 2017 기초조형학연구 Vol.18 No.4

n terms of physical environment, the increase of the elderly means the expansion of housing, leisure, medical welfare facilities for the elderly, and the physical facilities provided to the elderly affect the satisfaction of the elderly and the family. However, the current research focuses on satisfaction with medical quality, and research on the overall physical space and improvement measures of the elderly facilities is actively conducted. However, research on how elderly people respond to the environment Is insufficient. The purpose of this study is to analyze the emotional response and to draw realistic results. And this paper is to predict the changes of the welfare facilities for the elderly in Korea and to use them as basic data for the planning and design of differentiated elderly facilities. The subjects of this study were the elderly group homes in Gangneungsi, and the survey method was conducted for the guardians entrusting the elderly. The specific contents of the study are as follows. First, the reasons for the selection of the current facilities were the reasons for the spatial composition. Second, the degree of overall feelings about the spatial environment of the elderly facilities, namely design, was analyzed as three factors: reliability, comfort, and affirmation. Third, the spatial environment of the elderly facilities affects the satisfaction of guardians, and the room elements, such as furniture, fabric, finishing materials, colors, signs, etc. Fourth, analysis on the reuse of the elderly facilities showed statistically significant influence on the indoor element and space design. Fifth, overall feelings about space design and intent to revisit were also found to have the greatest effect on trust. 최근 물리적 환경 측면에서 노인의 증가는 고령자를 위한 주거, 여가, 의료 복지시설 등의 확대를 의미하고 있으며 노인에게 제공되는 물리적인 시설들은 노인 및 가족들의 만족도에 많은 영향을 미치게 된다. 하지만 현재의 연구는 의료 품질에 대한 만족도에 초점을 둔 연구가 대부분이며 노인시설의 전반적인 물리적 공간 및 개선방안의 연구는 활발하게 진행되고 있는 실정이지만 노인들이 그 환경에 어떠한 감정반응을 하는지에 대한 연구는 미비한 편이다. 이와 같이 본 연구는 노인공동생활가정에 부모를 위탁한 보호자의 노인시설의 공간환경에 대한 감정반응을 분석하고자 한다. 그리고 이 자료는 향후 국내의 노인복지시설의 변화를 예측하고 차별화된 노인시설의 건축계획 및 설계 시 기초자료로 사용할 수 있는 것을 목적으로 한다. 연구대상은 강릉시의 노인공동생활가정이며, 연구방법은 감정반응 및 노인공동생활가정의 물리적 환경 관련 이론고찰을 진행한 후 노인을 위탁하고 있는 보호자들을 대상으로 설문조사를 진행하였다. 또한 조사를 통해 공간디자인이 노인의 감정반응에 미치는 영향에 관련한 내용을 도출하였다. 연구의 구체적인 결과는 다음의 내용과 같다. 첫째, 현재 시설의 선택 이유는 공간 구성 현황의 이유가 가장 많았다. 둘째, 노인 시설 공간 환경 즉 디자인에 대한 전반적인 감정의 정도는 신뢰성, 편안함, 긍정성 세 가지 요인으로 분석되었다. 셋째, 노인시설의 공간 환경은 보호자의 만족도에 영향을 미치는데 공간의 실내요소 즉 가구, 패브릭, 마감재, 색채, 사인물 등이 가장 큰 것으로 나타났다. 넷째, 노인시설 재이용여부에 대한 분석결과 실내요소, 공간디자인이 통계적으로는 유의한 영향을 미치는 것으로 나타났다. 다섯째, 공간디자인에 대한 전반적인 감정 및 재방문의도도 신뢰성이 가장 큰 영향을 끼치는 것으로 나타났다.

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.

Zolpidem as a high risk factor for elderly suicide in South Korea

김은,이덕희,이재희 대한응급의학회 2020 대한응급의학회 학술대회초록집 Vol.2020 No.2

Introduction South Korea, a nation with rapidly aging population, has the highest suicide rates in the world, and the elderly have a suicide rate three times higher than the national average. We classified the drugs ingested for suicide attempts by age groups and compare the clinical outcomes between non-elderly and elderly patients who attempted suicide by ingesting drugs. Material & Method Data were obtained from nationwide the Emergency Department-Based Injury Surveillance of the Korea Centers for Disease Control and Prevention, South Korea between January 2011 and December 2016. Result There were 12,104 patients who attempted suicide by ingesting drugs, of whom the elderly (73.5%) ingested more sedatives and hypnotics than the non-elderly (53.9%); of these drugs, zolpidem ingestion was higher in the elderly than the non-elderly. Conversely, the non-elderly ingested more antipsychotics and antidepressants (15.9%) and analgesics (10.8%) than the elderly (7.4% and 2.8%, respectively). Conclusion Findings suggest that zolpidem has become the greatest risk factor for the elderly Koreans in suicide attempts. Further prevention efforts are needed to prevent suicide among the elderly.

노인돌봄체계의 개선방안에 관한 법적 고찰 - 재가(가정방문형)서비스를 중심으로 -

장봉석,박정연 전북대학교 부설법학연구소 2018 法學硏究 Vol.58 No.-

After the announcement of National Responsibility System for Dementia, Ministry of Health and Welfare is recently presenting new welfare policies, such as establishment of Social Services Institute, the Second Long-term Care Fundamental Plan and Community Care. For the successful implementation of these policies, study on improving the problems of current system has to be preceded. Therefore, this study intends to analyze the problems of current elderly care system and propose some improvement plans in terms of range of recipients, the contents of service, delivery system and financial aspect focusing on home care service. There are diverse home care services such as elderly care basic service, visiting care service, home care service for the elderly, long-term care service(esp. home care service) for the aged, elderly caring integrated service and community resources associated service under the current legal system, but it is imperative to set up an improvement plan due to the complexity, redundancy and abstruseness of these services. Problems of current home care service system for the elderly are overlapping of the range of the recipients between elderly caring basic service and elderly caring integrated service and overlapping of the contents of services between visiting care services under Welfare of the Aged Act and Act on Long-Term Care Insurance for the Aged. Also, there is a hierarchical problem of community resources associated service due to the overlapping and similarity between visiting care services. Furthermore, delivery system problem between theelderly caring basic service and elderly caring integrated service as well as the matter of regional unbalance in finance of home care service for the elderly has been raised. To solve these problems, first, under the dual system of preventive care and post care, related services should be integrated and adjusted focusing on recipients and the contents of service. Second, elderly caring basic service and home care service for the elderly should integrate focusing on home care service for the elderly, and it is appropriate to specify the special care for the senior citizens who live alone within the home care service for the elderly. Third, it is proper to eliminate the visiting care service under Welfare of the Aged Act upon consideration of the relationship with Long term care service for the elderly. Last, it is necessary to embrace the elderly caring integrated service into Long-term care service and establish new provision on community resources associated service. Elderly care service within the Community Care must reflect social, physical and emotional needs that the elderly has throughout all areas and the system should meet the needs. Through the prompt reorganization of the related legal system, home care service for the elderly ought to properly carry out its function and role within the social security area. 최근 보건복지부는 치매국가책임제 발표 이후 사회서비스원의 설립, 제2차 장기요양기본계획 및 커뮤니티 케어(Community Care) 등 새로운 복지정책들을 제시하고 있는바, 이러한 정책들이 성공을 거두기 위해서는 현행 관련제도의 문제점을 살펴보고 그 개선방안을 마련하기위한 연구가 선행되어야 한다. 본고는 이와 같은 문제의식 하에 특히 재가서비스를 중심으로 수급자 범위, 급여내용, 전달체계 및 재정의 측면에서 현행 노인돌봄체계의 문제점과 개선방안을 제시하고자 한다. 현행 재가서비스로는 「노인복지법」상 노인돌봄기본서비스·재가노인복지서비스로서의 방문요양서비스·재가노인지원서비스, 「노인장기요양보험법」상 재가급여, 「사회서비스이용권법」상 노인돌봄종합서비스 및 지역사회자원연계서비스가 있는데, 서비스의 중복성·복잡성·난해성으로 인해 혼선이 야기되고 있어 개선방안 마련이 시급하기 때문이다. 현행 재가노인돌봄체계의 문제점을 살펴보면, 먼저 수급자 범위에 있어서 노인돌봄기본서비스와 재가노인지원서비스 간의 중복, 「노인복지법」상 방문요양과 「노인장기요양보험법」상 방문요양서비스 간의 중복이 나타나고 있다. 또한 급여 내용에 있어서는 「노인복지법」상방문요양과 「노인장기요양보험법」상 방문요양서비스 간의 중복, 노인장기요양서비스와 노인돌봄종합서비스 간의 중복 및 급여의 유사성으로 인한 지역사회자원연계서비스의 위계 문제등이 제기된다. 나아가 노인돌봄기본서비스와 노인돌봄종합서비스의 전달체계 상 문제점과재가노인돌봄 재정에 있어서 지역적 불균형 문제도 제기된다. 이러한 문제점을 개선하기 위해서는, 첫째 사전예방적 돌봄과 사후적 돌봄이라는 이원적 체계 하에서 수급자 및 급여내용을 중심으로 관련 서비스를 통합·조정해야 한다. 둘째, 노인돌봄기본서비스와 재가노인지원서비스는 재가노인지원서비스를 중심으로 서비스를 통합하되, 독거노인에 대한 특별한 돌봄사업의 필요성은 재가노인지원서비스 내에서 구체화하는 것이 타당하다. 셋째, 「노인복지법」상 방문요양서비스는 노인장기요양서비스와 관계를 고려하여 삭제하는 것이 바람직하다. 마지막으로, 노인돌봄종합서비스를 장기요양서비스에 포섭하고 지역사회자원연계사업에 관한 명문 규정을 신설할 필요가 있다. 커뮤니티 케어에서의 노인돌봄은 노인의 사회적·신체적·정신적 기능 등 모든 영역에 걸쳐이들이 가진 문제나 욕구를 반영하고 그에 따른 대응체계를 갖추어야 한다. 관련 법제도의 신속한 정비를 통해 사회보장영역에서 재가노인돌봄서비스가 그 기능과 역할을 제대로 수행할수 있도록 해야 할 것이다.

노인미술교육 참여 수강생의 학습과정에 대한 내러티브 연구

김지현,이병준 한국문화교육학회 2018 문화예술교육연구 Vol.13 No.1

This study was conducted for the elderly learners participating in the arts lecture as culture arts education, and the leisure, elderly art education and learning experience as elderly education were examined. In the aging society, there are many researches for the elderly in Korea. Especially, leisure programs for the elderly are being developed along with the elderly leisure education. Most of these leisure programs, however, are not enough to provide cultural and arts programs that can improve the quality of life for the elderly through hobby, education, literacy and employment oriented programs. As a cultural arts education for adults who are offered at department stores or cultural centers, elderly people are interested and participate in arts lecture programs. The subjects of this study formed consensus by forming the self - esteem by participating in the art classes and narrowing the difference between the generations that can occur in the learning field through art education and learning experience. In addition, social development of the elderly is carried out through communion outside the learning field, which helps most elderly people who are suffering from loneliness and depression to recognize their social existence. Therefore, it is meaningful to study how to share experiences among learners and pursue a better life through elder art lectures. In addition, it is hoped that leisure programs for the elderly will actually develop diverse programs as real cultural arts that give value to the lives of the elderly. 본 연구는 문화예술교육으로서 미술강좌에 참여하고 있는 노인 학습자를 대상으로 이루어졌으며, 노인교육으로서의 여가와 노인 미술교육, 학습경험에 대해 살펴보았다. 고령화 사회의 우리나라는 노인을 위한 연구가 여러 방면으로 활발히 이루어지고 있으며, 특히 노인 여가 교육과 더불어 노인을 위한 여가 프로그램들이 진행되고 있다. 하지만 이러한 여가프로그램 대부분은 취미, 교양, 문해, 취업 위주의 프로그램으로 노인들의 삶의 질을 높일 수 있는 문화예술 프로그램의 제공은 미미한 편이다. 이에 백화점이나 문화센터에서 제공되고 있는 성인대상을 위한 문화예술교육으로서 미술강좌 프로그램에 노인들이 관심을 가지며 참여하고 있다. 본 연구의 연구 대상자들은 미술강좌에 참여함으로써 자아 존중감을 형성하고 학습의 장에서 일어날 수 있는 세대 간의 차이를 미술교육과 학습경험, 미적 체험 등을 통해 차이를 좁히면서 공감대를 형성하고 있었다. 또한 노인들의 사회성 발달은 학습의 장외에서 친교를 통해 이루어지고 있으며, 이는 고독감과 우울함을 겪고 있는 대부분의 노인들에게 자신을 사회적 존재를 인식하는데 도움을 주고 있다. 따라서 노인 미술강좌를 통해서 학습자간의 경험들을 공유하고 더 나은 삶을 추구하고 있는 모습들을 살펴보는 것에 연구의 의의가 있다. 더불어 노인들을 위한 여가 프로그램들이 실질적으로 노인의 삶에 가치를 부여하는 진정한 문화예술로서의 다양한 프로그램의 개발이 이루어지기를 바란다.