노인요양시설 종사자 보수 실태 및 개선방안에 관한 연구

임정빈,홍근석 한국비교정부학회 2023 한국비교정부학보 Vol.27 No.3

(Purpose) The long-term care service field has reached a mature stage, but there are still many challenges. The number of long-term care service users is expected to continue to increase in the future, so the supply scale should be expanded. In order to expand the supply scale, it is necessary to improve the quality of jobs, such as improving the treatment of long-term care service providers in order to attract more professionals to the field. (Design/methodology/approach) A survey was conducted among 1,200 workers employed in 200 long-term care facilities between 15 March and 13 April 2023. The survey was to ascertain the present compensation levels and treatment provisions for workers occupying various roles and positions within long-term care facilities, as well as to understand perceived priorities for improving treatment conditions for long-term care facility workers. (Findings) In order to improve the treatment of long-term care facility workers, first, it is necessary to amend the law that is the basis for the support of labor costs, and to abolish the lump-sum payment system, so that the labor status of care workers can be recognized. Second, it is necessary to adjust the labor cost expenditure ratio for long-term care service provision and payment cost calculation methods, so that the ratio is similar between facilities, and to improve the standards for calculating the average labor costs so that workers do not fall into a low-wage structure. Third, the notification on long-term care service provision and payment cost calculation methods should be amended. Fourth, a wage system that takes into account career should be established. The long-term care personnel continuous support grant system should be established or the existing long-term service incentive grant system should be reformed to improve the level of support. (Research implications or Originality) The establishment of institutional and policy measures to improve the treatment of long-term care facility workers will contribute to improving the quality of long-term care services and the quality of life of the elderly.

비영리법인의 운영수익성에 대한 연구:노인장기요양보험 노인요양시설을 중심으로

배성호 한국세무학회 2021 세무와 회계저널 Vol.22 No.1

The long-term care insurance system, which has been in place since 2008, has started to show different perspectives from each other as there are various interested groups. Representatively, there is a difference in opinion on operating profitability between the National Health Insurance Corporation, which operates the long-term care insurance system, and the long-term care service provider. Therefore, this study analyzes the operating profitability by focusing on the elderly care facilities among the payment types of the long-term care insurance system. Specifically, six institutions were selected among the nationwide elderly care facilities, and the major financial ratios of the target institutions (cash inflow-outflow ratio, long-term care margin, net profit margin) were compared with previous studies. Next, it was estimated how the major financial ratios would change when applying the reimbursement standards for nursing care workers recommended by the Ministry of Health and Welfare. Finally, the break-even point was analyzed by estimating the cost function. As a result of the analysis, the cash inflow-outflow ratio was 1.95%, the long-term care margin was -3.09%, and the net profit margin was 0.41%. These are lower than those of previous studies. The long-term care profit margin worsened to -18.35% and net profit margin to -14.87% when applying the reimbursement standards for nursing care workers recommended by the Ministry of Health and Welfare. The number of residents per day at the break-even point of the sample institution is estimated to be 72, but the average number of residents per day at the actual sample institution was 57, below the break-even point. The results of this study are contrary to the opinion of the policy authorities claiming that the operation of elderly nursing facilities is profitable, which means that long-term care institution profitability analysis and long-term care fees need to be reviewed. In addition, it implies that it is necessary to revise and implement unified accounting standards applicable to long-term care institutions. 2008년부터 시행된 장기요양보험제도는 다양한 이해관계집단이 존재함에 따라 각자의 입장에서 서로 다른 시각차이가 나타나기 시작했다. 대표적으로 장기요양보험제도의 운영주체인 국민건강보험공단과 장기요양서비스 제공 주체 간 운영수익성에 대한 견해차이를 들 수 있다. 이에 본 연구는 장기요양보험제도의 급여형태 중 노인요양시설에 초점을 두어 운영수익성을 분석한다. 구체적으로 전국 노인요양시설 중 6개 기관을 선정하여 대상 기관의 주요 재무비율(수지차율, 장기요양이익률, 당기순이익률)을 선행연구와 비교하였으며, 보건복지부가 권고한 요양보호사 급여기준을 적용하였을 경우 주요 재무비율이 어떻게 변하는지, 원가함수를 추정하여 손익분기점이 얼마인지를 분석하였다. 분석 결과 수지차율은 1.95%, 장기요양이익률은 -3.09%, 당기순이익률은 0.41%로 나타났다. 이는 선행연구의 수치에 비해 낮은 것이다. 보건복지부가 권고한 요양보호사 급여기준을 적용하였을 경우 장기요양이익률이 —18.35%, 당기순이익률이 -14.87%로 더 악화되는 것으로 나타났다. 표본 기관의 손익분기점 1일 입소자 수는 72명으로 추정되나, 실제 표본 기관의 1일 평균 입소자 수는 손익분기점 이하인 57명이었다. 이러한 본 연구의 결과는 노인요양시설 운영에 수익성이 있다고 주장하는 정책당국의 견해와는 상반되는 것으로, 장기요양기관 수익성 분석 및 장기요양수가에 대한 재검토가 필요하다는 것을 의미한다. 또한 장기요양기관에 적용할 수 있는 통일되고 명확한 회계기준의 개정 및 시행이 필요함을 시사한다.

장기요양기관의 운영 지속성에 영향을 미치는 요인에 관한 연구

강세미,김태일 한국사회정책학회 2024 한국사회정책 Vol.31 No.1

본 연구의 목적은 우리나라 장기요양기관의 폐업 양상에 대한 실증적인 분석을 제시하고 개별 재가장기요양기관의 운영 지속성에 영향을 미치는 변수를 파악하는 데 있다. 선행연구는 영세 장기요양기관의 난립으로 경영난 심화와 잦은 폐업이 발생할 수 있는 가능성을 제시하며, 외국의 사례를 들어 시설변경 과정에 대한 이용자의 권리와 참여를 최대한 보장하는 폐업관리 시스템의 구축 필요성을 지적한다. 그러나 우리나라 장기요양기관의 폐업 현황에 대한 분석과 운영 지속성에 영향을 미치는 요인에 대해서는 실증 연구가 부족한 상황이다. 따라서 본 연구는 재가급여와 시설급여 장기요양기관을 나누어서 콕스의 비례위험모형을 적용하였고, 기관 내부적 특성(총수입 규모, 운영주체, 평가등급, 정원)과 환경적 특성(소재지, 수급자 대비 요양보호사 비율, 총 인구 대비 수급자 비율)이 개별 장기요양기관의 생존에 미치는 영향을 파악하였다. 주요변수에 대한 분석결과는 다음과 같다. 콕스 비례위험모형을 적용한 결과, 장기요양기관의 재무데이터까지 포함하였을 때 재가급여와 시설급여 장기요양기관 모두 공통적으로 운영주체의 개인 여부와 법인 여부, 총수입의 로그값이 생존기간에 정의 영향을 미쳤다. 재가급여 장기요양기관은 총 인구 대비 등급인정자 비율이 추가적으로 통계적으로 유의미하게 나타났으며, 시설급여 장기요양기관은 중소도시 여부, 농어촌지역 여부, 수급자 대비 요양보호사 수, 비급여 수입 비율이 유의미하게 나타났다. 이러한 결과를 종합하였을 때, 소규모 개인영리기관에 대한 폐업관리와 정책적인 지원이 중요하다고 여겨진다. 또한 새로운 장기요양기관의 지정 여부를 결정하고 기존 장기요양기관을 관리함에 있어서 각 지역의 장기요양서비스 수요량과 공급량을 반드시 고려해야 한다. The purpose of this study is to provide an empirical analysis of the closure patterns of long-term care facilities in South Korea and to define the variables affecting the survival of individual long-term care facilities. Previous research suggests that the proliferation of small long-term care facilities can exacerbate financial difficulties and lead to frequent closures, highlighting the need to establish a closure management system that ensures the rights and participation of users during the facility transition process, as evidenced by cases from abroad. However, there is a lack of empirical research on the closure status of long-term care facilities in South Korea and the factors influencing their survival. Therefore, this study applies Cox's proportional hazards model separately to home care and facility-based long-term care facilities, and identifies the internal characteristics (total revenue, operator type, evaluation grade, capacity) and environmental characteristics (location, caregiver-to-beneficiary ratio, beneficiary-to-total population ratio) that affect the survival of individual long-term care facilities. The analysis results for the main variables are as follows: When applying the Cox proportional hazards model, it was found that both home care and facility-based long-term care facilities were significantly affected by whether the facility is run by individuals, corporations, or government, as well as the logarithm of total revenue, when financial data of long-term care facilities were included. Additionally, for home care long-term care facilities, the ratio of beneficiaries to total population was statistically significant. For facility-based long-term care facilities, the factors of being located in small to mid-sized cities, rural areas, caregiver-to-beneficiary ratio, and non-benefit revenue ratio were found to be significant. Overall, considering these results, it is deemed important to focus on closure management and policy support for small-scale private-profit institutions. Moreover, when determining the designation of new long-term care facilities and managing existing ones, the demand and supply of long-term care services in each region must be carefully considered.

우리나라 정신요양시설의 이용현황 및 평가에 관한 연구

채은희,서동우,이효영 대한보건협회 2003 대한보건연구 Vol.29 No.1

After the Mental Health Act was established at 1995, mental health service in korea has continuously been changed. The demand for long-term mental health care is on rise as the number of patient among population and social costs increases. In addition, as social concern about patient s quality of life enlarged, people give weight to quality management and evaluation of long term mental health care facilities. Through the evaluation of long-term mental health care facilities, the quality of mental health care can be improved and the function of long-tern mental health care facilities will be identified in mental health care system. Therefore this article will be used as a basic data for not only enhancing their service quality, but setting role and function of long-term mental health care facilities in health care delivery system. From the evaluation of long-term mental health care facilities, the eighty percents of a total 55 facilities was high or middle level. Physical environment items were at the highest level in evaluation parts but system management items were at the lowest level. So system management should be improved. The evaluation of long-term care facilities is a chance for checking the system and finding out problems in running the facilities. Also this evaluation will help to identify the role and function of long-term mental care facilities in the health care system.

노인장기요양보험법의 문제점과 개선방안

고준기 동아대학교 법학연구소 2012 東亞法學 Vol.- No.57

With entry into an aged society, numerous problems of the aged to health of the elderly among the elderly are associated with chronic disease in elderly individuals with disabilities and their activities of daily living, such as the morbidity and instrumental activities of daily living from carrying on the family as alleviate caregiver burden and redundant use of National Health Insurance Act due to a system for reducing the fiscal deficit as from 1 July 2008 are being conducted nationwide. The Long-Term Care Insurance plan has been successfully enforced in many ways, such as an increase number of recipients of the service and improvement of the qualify of elderly life etc. However, problems in the Long-Term Care Insurance Act for the aged since the Act has been put into effect include service quality and effectiveness of care issues. Effective management of Long Term Care of the elderly by providing ways to improve the quality of life, ease the burden of the family. This study is to review the Long-Term Care Insurance Act in Korea in order to find some implications and suggest policy alternatives for the improvements of the system. The main contents of this paper are diagnosis of present state and problems of long-term care insurance system, directional establishments in constructing new system and consideration of practical alternatives of new system. Some lessons from foreign experiences show that the more wide range of the aged could get the Long-Term Care Insurance services by giving them proper legal rights. At the same time it requires as well as more public funds and its efficient management and fully qualified home helper and education program for them. However, one of the most important issues, whether or not providing cash benefit, is still unresolved. This paper suggest that the cash benefit in long-term care insurance is indispensible in achieving the goal of the long-term care system. The law must be presented in elders protections for social insurance to settle the home service, day-night care service and counseling system. Welfare of the aged Act is just welfare service law for the aged focusing on facilities welfare and about care for the aged Long-term Care Insurance Act for Aged plays an important part. In the perspective of Welfare of the aged Act, the enforcement of the plan has to solve the newly rised problem about the blind spot as well as to lead the various and extensive role on preventive and complementary part of the service. Nonetheless Welfare of the aged Act does not adequately cope with these kind of problems. To solve these problems, relationship between two parties has to be clearly defined according to the aim and the purpose of the law and based on that, following problems, such as the scope of the recipients, details of the service, comparison with other countries, and financial matter has to be examined. 사람은 고령화되면 건강이 쇠퇴하며, 육체적․정신적으로 매우 허약해지고, 장애의 발생이 높아 다른 사람에게 의존 가능성이 커진다. 또한 노인계층의 상병구조도 만성질환 중심으로 변화하면서 완치가 불가능하여 질병을 관리하는데 많은 비용을 소요하게 하여 부담을 늘리게 한다. 만성질환은 장애를 수반하는 경우가 많다. 장애는 만성질환과 결부되어 만성질환 이환율이 높아지는 만큼 삶의 질을 저하시킨다. 우리나라는 2008년 7월부터 노인장기요양보험제도를 시행하고 있다. 노인장기요양보험법은 가족의 노인장기요양부담을 완화하고 노인의 삶의 질을 향상시키려는 목적으로 제정되었다. 이 논문에서는 공적노인요양보장 법제의 구조 등 노인보건의료에 관한 법적 체계와 현행법상의 나타나고 있는 개별적인 문제점을 도출하고 노인장기요양서비스의 질적 제고와 다양화 및 급여확대를 위한 법적 개선방안을 마련하고자 하였다.

장기요양요원의 근로실태가 생활만족도에 미치는 영향

유병선 ( Yoo Byungsun ),정요한 ( Jung Yohan ),이경원 ( Lee Kyeongwon ),박승희 ( Park Seunghee ) 한국장기요양학회 2021 장기요양연구 Vol.9 No.1

본 연구는 고령화와 맞물리면서 장기요양시설의 꾸준한 증가와 함께 돌봄이 필요한 노인에게 서비스를 제공하고 있는 장기요양요원의 근로실태를 파악하고, 생활만족도에 영향을 미치는 주요한 요인이 무엇인지 분석하고자 하였다. 이를 통해 장기요양요원들의 열악한 근로환경 및 처우를 개선하고, 생활만족도를 향상시키기 위한 방안을 강구하는 데에 기초자료로 제공하는 것이 연구의 목적이다. 이를 위해 구조화된 설문지를 이용하여 경기도 내 장기요양시설에 종사하고 있는 장기요양요원(사회복지사, 간호(조무)사, 요양보호사)을 대상으로 근로실태와 생활만족도를 조사하였다. 조사 분석은 SPSS 20.0 Win. 패키지를 사용하였으며, 기본통계분석 및 평균비교분석(t-test/ANOVA 분석), 다중회귀분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 전체 응답자 중 중·고령(50대 이상 67.9%) 여성(79.6%)이 장기요양요원으로 많이 근무하고 있었으며, 요양보호사(47.6%)가 전체의 절반에 가까웠고, 정규직과 계약직 비율은 비슷했다. 주관적 건강상태는 평균 3.15점으로 보통(3점)을 약간 상회하였다. 둘째, 입소시설 종사자가 78.2%로 대다수를 차지하였고, 입소자 50명 이상인 큰 규모의 시설(37.7%)에 가장 많이 종사하고 있었다. 그리고 법인(42.4%)보다 개인(57.6%) 운영 시설이 조금 더 많았다. 셋째, 주 평균 근무시간은 45.48시간이었고, 월평균 임금은 177만 4천원으로 나타났으며, 근로만족도는 평균 2.85점으로 보통(3점)에 다소 못 미치는 것으로 나타났다. 넷째, 인구 사회적 특성, 근무지 특성, 근로 현황이 생활만족도에 미치는 영향 요인을 분석한 결과, 성별과 직위(직종), 주관적 건강상태, 월평균 임금, 근로만족도가 통계적으로 유의미한 영향을 미쳤다. 이러한 연구결과들을 토대로 장기요양요원의 근로실태 및 근무환경 개선과 생활만족도 제고를 위해 필요한 정책과 방안을 제시 하였다. This Study aimed to understand the working conditions of long-term care workers who are providing services to the elderly in need of care along with the steady increase in long-term care facilities along with aging, and analyze the main factors that affect life satisfaction. Through this, the purpose of the study is to provide basic data to improve the poor working conditions and treatment of long-term care workers and to find ways to improve their life satisfaction. To this end, a structured questionnaire was used to survey long-term care workers(social welfare workers, nursing staff, and caregivers) who are engaged in long-term care facilities in Gyeonggi-do Province. The SPSS 20.0 Win. package was used for basic statistical analysis, average comparison analysis(t-test/ANOVA analysis), and multiple regression analysis. The results of the study are as follows. First, among the total respondents, over 50s(67.9) and women(79.6%) were working as long-term care workers, and caregivers(47.6%) were nearly half of the total, and the ratio of regular and non-regular workers was similar. Subjective health conditions averaged 3.15, slightly above the normal(3 points). Second, 78.2% of the workers in residential facilities accounted for the majority, and they were most engaged in large-scale facilities(37.7%) with more than 50 people admitted to the facilities. Third, the average weekly working hours were 45.48 hours, the average monthly wage was 1.774 million won, and the average work satisfaction was 2.85, which is somewhat below the normal(3 points). Fourth, as a result of analyzing the factors of population social characteristics, workplace characteristics, and working conditions, gender and position(job type), subjective health conditions, average monthly wages, and work satisfaction had a statistically significant impact. Based on these findings, policies and measures needed to improve the working conditions and working environment of long-term care workers and improve their life satisfaction were presented.

활동적 노화의 관점에서 본 장기요양시설의 돌봄 유형 분석

김현정 한국노년학회 2021 한국노년학 Vol.41 No.1

The purpose of this research is to analyze care types in long-term care facilities with the view of Active Ageing by using Q-methodology. In-depth interviews were conducted to grasp various thoughts on care of long-term care facilities in three areas of WHO's active aging: health, safety, and participation. 35 people participated in the interview, including the elderly living in long-term care facilities, adult children of the elderly living in long-term care facilities, the elderly living in the community, service providers, and long-term care professionals. Of the 451 Q populations, 63 Q samples were extracted, and a total of 43 P samples were used for final data analysis. Data were analyzed using the QUANL program, and as a result, three factor structures (4 types) were found to be suitable and accounted for 30.15% of the total variance. Current care types in long-term care facilities were analysed into 4 types: protection-oriented care (type 1), participation-oriented care (type 2), medical-connected care (type 3), and human-centered care (type 4). Based on the results of this study, institutional and practical suggestions and implications were presented for the qualitative change of care in long-term care facilities. 본 연구는 활동적 노화의 관점을 적용하여 장기요양시설에서의 돌봄 유형에 관한 다양한 인식유형을 분석하는 데 목적을 둔다. 이를 위해 Q방법론을 적용하였다. WHO의 활동적 노화를 위한 건강, 안전, 참여 세 영역에서 장기요양시설의 돌봄에 관한 다양한 생각을 파악하기 위해 심층면접을 진행하였다. 면접조사에는 장기요양시설 거주 노인, 거주 노인의 성인자녀, 지역사회 거주 노인, 서비스 제공자, 장기요양 전문가 등 35명이 참여하였다. 451개의 Q모집단 중 63개의 Q표본을 추출하였으며, 최종 자료분석에는 43개의 P표본 자료가 활용되었다. QUANL 프로그램을 활용하여 자료를 분석한 결과, 3개의 요인구조(4개 유형)가 적합하며 이는 전체 변량의 30.15%를 설명하는 것으로 나타났다. 현재 장기요양시설의 돌봄은 보호 중심 돌봄(1유형), 참여 중심 돌봄(2유형), 의료연계 중심 돌봄(3유형), 인간 중심 돌봄(4유형)으로 유형화할 수 있다. 본 연구결과를 바탕으로 장기요양시설에서 돌봄의 질적 변화를 위한 제도적, 실천적 함의를 제시하였다.

장기요양 서비스 이용 패턴 유형 및 특성 연구

신유미(Yumi Shin) 한국노년학회 2022 한국노년학 Vol.42 No.3

본 연구는 장기요양 서비스 이용 패턴을 유형화하고, 유형별 특성 차이 및 변화를 확인하는 것을 목적으로 한다. 노인장기요양보험제도에서 제공하는 서비스는 재가급여, 시설급여(요양시설)이지만, 현실에서는 의료기관인 요양병원이 장기요양시설처럼 이용되는한국의 특수한 상황이 보고되고 있다. 장기요양 서비스 이용 및 이행은 재가급여, 시설급여(요양시설), 요양병원까지 다양한 서비스 형태사이에서 장기간에 걸쳐 발생한다. 이러한 복합적인 장기요양 서비스 이용 행위를 장기적 관점에서 파악하기 위해서는, 동일 개인을 중심으로장기간의 서비스 이용 변화를 추적 관찰하여 장기요양 서비스 간 이용 행위를 연속적이고 총제적으로 확인할 필요가 있다. 이에 본연구는 장기요양보험에서 제공하는 재가급여와 시설급여만이 아니라 요양병원까지 포함하여, 장기요양 서비스 이용 패턴을 유형화하고유형별 차이 및 시간에 따른 변화를 종합적으로 분석하였다. 건강보험공단의 노인코호트DB를 분석자료로 사용하여 배열분석을 하였다. 분석결과 장기요양 서비스 이용 패턴은 11개로 유형화되었다. 재가급여 시작 비중이 큰 유형이 9개(78.6%), 시설급여 시작 비중이 큰유형이 1개(16.1%), 요양병원 시작 비중이 큰 유형이 1개(5.4%)로 확인되었고, 처음 이용하기 시작한 서비스를 계속 이용하는 패턴 유형이대다수를 차지하였다. 재가에서 시설(요양시설/요양병원)로 이행하는 패턴은 이행 시기가 세분화되어 유형화되었고, 시설에서 재가로이행하는 패턴은 유형으로 확인되지 않았다. 재가에서 시설로 이행하는 패턴 유형 중 요양시설로 이행하는 패턴 비중과 요양병원으로이행하는 패턴 비중은 2:1로, 재가에서 요양시설로 이행하는 패턴 유형의 비중이 많았지만 요양병원으로 이행하는 패턴 유형도 적지않았다. 장기요양 서비스 이용 패턴 유형별로 인구학적 특성, 돌봄욕구 특성, 가족돌봄자원 특성, 경제적자원 특성을 비교한 결과, 유형간 자원 격차가 나타났다. 이에 장기요양 서비스 간 합리적 이용 및 지역사회 거주 지원을 위한 정책적, 실천적 과제를 제안하였다. The purpose of this study is to categorize long-term care service use patterns and to identify differences and changes in characteristics by type. By applying the sequence analysis method to the Senior DB of the National Health Insurance Service(NHIS), the long-term care service use patterns were categorized. We tracked the transitions between long-term care in-home benefits, long-term care facilities (LTCFs), and long-term care hospitals (LTCHs) experienced by the same individual. Differences and changes in service use patterns type were comprehensively analyzed. As a result of the analysis, long-term care service use patterns were categorized into 11 types. The pattern type of continuing to use the service that has been started occupied the majority. The transition from home to facility(LTCFs/LTCHs) was subdivided into types by the transition period, while the transition from facility to home was not identified as a type. Among the types of transition from home to facility(LTCFs/LTCHs), the proportion of transition to LTCFs and transition to LTCHs was 2:1. While the transition from home to LTCFs accounts for a greater proportion, transitions from home to LTCHs have also been significant. As a result of comparing demographic characteristics, care needs, family care resources, and economic resources by type of long-term care service use pattern, a resource gap was found between the types. Accordingly, policy and practical tasks were proposed for rational use of long-term care services and support for living in the community.

일본 개호보험 도입에 따른 장기요양보호시설의 변화에 관한 연구

이특구,김석준 한국의료복지시설학회 2006 의료·복지 건축 Vol.12 No.1

The demand for long-term care is continuously on the rise as number of elders among the population increases. Due to the rapid growing demand for long-term care in Korea, there have been discussions for the introduction of new long-term care system into Korean society. The purpose of this study in to analyze changes of elderly care facilities in Japan after the beginning of long-term care system in 2000. The functional and architectural changes of Japanese facilities were researched to be used as references for predicting changes in Korean facilities. In Japan, after the execution of long term care system, the alterative aspect of facilities is divided into some categories; in sum, the change of environment for long term care, the effort to spread specialized facilities in a whole community, and the tendency to complex a variety of function of facilities such as an facility for home care service, and the like.

장기요양시설내 노인학대 대응정책에 관한 연구

문용필(Moon, yongpil),이호용(Lee, hoyong) 한국사회정책학회 2017 한국사회정책 Vol.24 No.1

본 연구의 목적은 장기요양시설내 노인학대 문제에 대한 WHO 및 주요국의 정책을 검토하고, 이를 바탕으로 한국의 장기요양시설 노인학대 예방정책의 방향을 도출하고자 하는 것이다. 이에 본 연구는 WHO의 노인학대 위험요인으로 지적된 요인 중에서 장기요양시설에서 문제가 되고 있는 세가지 이슈(노인의 특성(시설내 치매노인 분리수준), 종사자 특성(신체억제대 사용수준, 야간 돌봄인력 처우수준), 시설 특성(시설내 CCTV설치수준))을 중심으로 살펴보았다. 연구결과, 첫째, 많은 국가들에서 시설의 개방성에 대해서 강조하고 있었다. 관련 정책으로 옴부즈맨제도, 성인후견인제도 등을 통한 시설방문, 외부 감시체계를 운영하고 있었다. 둘째, 시설의 입소노인의 특성에 대한 고려가 필요하다. 특히, 장기요양시설 특성상 치매노인, 야간시간대 입소노인의 특성이 고려된 학대예방책이 요구되었다. 셋째, 장기요양시설의 시설종사자의 처우조건, 종사자의 시설환경 수준 등이 각 국가별로 차이가 있었다. 시설내 학대예방을 위해 시설환경의 향상과 종사자의 처우개선이 중요하였다. 넷째, 향후 입소자 중심 예방정책으로의 패러다임 변화가 요구된다. 이러한 연구결과를 토대로 본 연구는 한국의 장기요양시설내 노인학대 문제를 예방하고 해결하기 위한 정책적 제언을 제시하였다. This study compared policies of elderly abuse of long-term care facilities on WHO, Main countries for improvement of Korean policy. So, This study reviewed policies of elderly abuse of long-term care facilities on WHO, Main countries. So, This study reviewed risk factors that may increase the potential for abuse of an older person can be identified at individual level, care-woker levels, socio-cultural levels and facilities levels. The results of the study were as follows: First, The openness of long-term care facilities are emphasized on many countries. There are a need for a policy considerations such as policies of Ombudsman, Adult guardianship for visiting facilities, external monitoring. Second, There was a difference of facilities infrastructure and workers of treatment condition long-term care facilities each other countries. So It is important to improve facilities infrastructure and workers of treatment condition. Third, It is necessary to consider traits of elderly in long-term care facilities. Especially, it is required to manage dementia elderly and elderly on night time in long-term care facilities. Finally, implications and future directions of policies of elderly abuse of long-term care facilities were discussed based on the finding of the study.